The Factors Influencing the Behavioural Intention of Overweight Adults to Use Wearable Devices for Sustained Health Monitoring

The volume of wearable devices that can be used for sustained health monitoring purposes is continuously growing within the healthcare sector. These devices allow users to track their own activity levels in real time. However, there are factors that may inhibit the behavioural intention to sustain the use of wearable devices for health monitoring in the long term by overweight adults. These factors include privacy concerns, costs of obtaining wearable devices, theft, frequent charging and short battery life of wearable devices and bulkiness of some wearable devices. It is against this backdrop that this study examined the factors influencing the behavioural intention of overweight adults in South Africa to make use of wearable devices for sustained health monitoring. This research made use of the Expectation Confirmation Model (ECM) as the theoretical foundation of the study. In achieving the aim of this study, a qualitative research approach was used. The purposive sampling technique was selected to identify twenty (20) overweight adults (aged 18-59 years) who are using wearable devices in East London, South Africa. Interviews were conducted with the twenty participants to identify the factors that will influence their behavioural intention to make use of wearable devices to monitor their health. Through thematic analysis, data provided by participants was grouped and summarised into relevant themes to answer the main research question. The study developed a framework that identifies the factors influencing behavioural intention of overweight adults to continue using wearable devices for sustained health monitoring. The factors that were identified include confirmation, perceived usefulness and satisfaction of wearable devices for sustained health monitoring. The realisation of weight loss, monitoring of daily activities and calories through the use of wearable devices was found to positively influence the behavioural intention of the users of wearable devices to continue their usage. However, the major factors that may inhibit the continuous usage of wearable devices for sustained health monitoring are privacy concerns, costs of obtaining wearable devices, theft, frequent charging and short battery life of wearable devices and bulkiness of some wearable devices. Based on the findings, the study recommended the following: (1) the wearable device manufacturers should assure the users of their privacy and confidentiality by providing the needed ii | P a g e interfaces for this purpose; (2) the manufacturers of wearable devices should make the devices less bulky so that they can be more portable; (3) South African government should provide security operatives in isolated areas where people are not feeling secure; (4) the manufacturers of wearable devices make the purchase prices of wearable devices more affordable, especially for low income people; and (5) the manufacturers of wearable devices should improve on battery life and quality of wearable devices so that the devices are more time efficient and require less charging of the devices