An Emerging Adults’ Patient Portal Behavioral Model: Integrating Perceived Risk Theory, Technology Acceptance Model, and Personal Innovativeness

Abstract

Health information technology provides patients the ability to manage their healthcare through patient portals. Such portals increase patient involvement, self-management, and satisfaction. Despite their benefits, patient portal adoption and usage remain low, especially among emerging adults who are newly self-managed. To investigate the behavioral intentions of emerging adults toward adopting and using patient portals, this study builds upon the Technology Acceptance Model, Perceived Risk Theory, and Personal Innovativeness. A survey was administered to emerging adults aged 18-29, and structural equation modeling was used to assess the posited model’s fit. Results show the importance of developing practical insights and strategies to overcome resistance behavior. Additionally, the research found that personal innovativeness plays a significant role in adoption and usage intention. These findings extend the literature by highlighting the specific needs of emerging adults regarding patient portal adoption and utilization. The study underscores the importance of providing guidance, training, and awareness programs.