Abstract
Wearable health trackers improve people’s health management and thus are beneficial for social sustainability. Many prior studies have contributed to the knowledge on the determinants of wearable health tracker adoption. However, these studies vary remarkably in focal determinants and countries of data collection, leading to a call for a structured and quantitative review on what determinants are generally important, and whether and how their effects on adoption vary across countries. Therefore, this study performed the first meta-analysis on the determinants and cross-national moderators of wearable health tracker adoption. This meta-analysis accumulated 319 correlations between nine determinants and adoption from 59 prior studies in 18 countries/areas. The meta-analytic average effects of the determinants revealed the generalized effect and the relative importance of each determinant. For example, technological characteristics generally had stronger positive correlations with adoption than consumer characteristics, except for privacy risk. Second, drawing on institutional theory, it was observed that cross-national characteristics regarding socioeconomic status, regulative systems, and cultures could moderate the effects of the determinants on adoption. For instance, the growth rate of gross domestic product decreased the effect of innovativeness on adoption, while regulatory quality and control of corruption could increase this effect.
Highlights
This paper examined how the effects of determinants on wearable health tracker adoption may change across countries through an institutional perspective
Undertaking a meta-analytic review of prior research, this study investigated the determinants that influence wearable health tracker adoption and their cross-national moderators
The results showed that all of the determinants are moderated by cross-national characteristics, except for usefulness, compatibility, and privacy risk
Summary
Wearable health trackers can monitor a user’s biophysical and biochemical information and can help individuals improve lifestyle-related disorders and personal care [1,2]. Wearable health trackers provide benefits to a person’s quality of life and contribute to the growing public interest in health and the sustainability of the society [2,3]. In tracking and fighting the progression of COVID-19, wearable technology plays a key role [4]. ABI Research [5] expects that over 100 million wearable devices capable of tracking and monitoring will ship to healthcare organizations and patients within the five years. Not all wearable health trackers are favorable to consumers [6,7]
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