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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Psychol.</journal-id>
<journal-title>Frontiers in Psychology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Psychol.</abbrev-journal-title>
<issn pub-type="epub">1664-1078</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fpsyg.2025.1524373</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Psychology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Unlocking engagement: exploring the drivers of elderly participation in digital backfeeding through community education</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Sun</surname> <given-names>Sijie</given-names></name>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2887622/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
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<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
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<aff><institution>Department of Philosophy, Autonomous University of Barcelona</institution>, <addr-line>Barcelona</addr-line>, <country>Spain</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0001">
<p>Edited by: Anna Maria Berardi, Universit&#x00E9; de Lorraine, France</p>
</fn>
<fn fn-type="edited-by" id="fn0002">
<p>Reviewed by: Mei-Lan Lin, Southern Taiwan University of Science and Technology, Taiwan</p>
<p>Basil Alzougool, Arab Open University, Kuwait</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Sijie Sun, <email>1583451@uab.cat</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>06</day>
<month>02</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1524373</elocation-id>
<history>
<date date-type="received">
<day>07</day>
<month>11</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>06</day>
<month>01</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2025 Sun.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Sun</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Amid China&#x2019;s rapid aging and digitalization, elderly individuals face a &#x201C;digital refugee&#x201D; dilemma, making community education a vital channel for enhancing their digital participation. To address this, the study investigates how community education influences elderly engagement in digital backfeeding&#x2014;a process where younger generations assist older adults with digital skills&#x2014;by examining the interplay of personal, technological, and community factors in promoting technology acceptance. Using an integrated framework of the UTAUT, TTF, and TAM models, the research surveyed 482 elderly participants in community centers in Taiyuan, China, focusing on variables such as task and technology characteristics, social influence, facilitating conditions, perceived usefulness, ease of use, and technology anxiety. Analysis through AMOS and SPSS Process macro revealed that task characteristics significantly enhance engagement willingness, although technology characteristics introduce certain challenges. Furthermore, social influence and facilitating conditions were found to positively affect willingness and behavior, mediated by perceived usefulness, ease of use, and technology anxiety. Notably, participatory digital skills exhibited a stronger moderating effect on engagement willingness compared to receptive skills. These findings underscore the pivotal role of community education in fostering digital inclusion among the elderly. Practical recommendations include simplifying technology interfaces, creating supportive environments, and prioritizing participatory skills development to enhance technology acceptance, offering valuable insights for the design of age-friendly digital tools that bridge the digital divide.</p>
</abstract>
<kwd-group>
<kwd>aging</kwd>
<kwd>digital backfeeding</kwd>
<kwd>community education</kwd>
<kwd>technology acceptance model</kwd>
<kwd>digital skills</kwd>
<kwd>age-friendly design</kwd>
</kwd-group>
<counts>
<fig-count count="2"/>
<table-count count="8"/>
<equation-count count="0"/>
<ref-count count="69"/>
<page-count count="15"/>
<word-count count="10854"/>
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<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Psychology of Aging</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<label>1</label>
<title>Introduction</title>
<p>Currently, China faces the significant challenge of an aging population. With the aging rate surpassing 14.7%, the nation is on the verge of entering a deeply aged society (<xref ref-type="bibr" rid="ref90006">National Bureau of Statistics of China, 2023</xref>; <xref ref-type="bibr" rid="ref90002">UNPD, 2024</xref>). Projections from the United Nations Population Development Report estimate that by 2050, China&#x2019;s aging rate will reach 30%, with 370 million elderly individuals accounting for 23.8% of the global elderly population (<xref ref-type="bibr" rid="ref52">Zhang et al., 2024</xref>). As the country with the largest aging population in the world, China encounters pressing challenges in eldercare, including funding, care models, and education for the elderly. Addressing the aging issue has become not only a central concern in China&#x2019;s socio-economic development but also a long-term fundamental national priority (<xref ref-type="bibr" rid="ref9018">Xia et al., 2024</xref>; <xref ref-type="bibr" rid="ref52">Zhang et al., 2024</xref>).</p>
<p>Amid this demographic shift, the simultaneous digitalization of society has brought an additional layer of complexity. The rapid development and adoption of digital technologies have ushered China into a new digital era. According to the 53rd Statistical Report on Internet Development in China, as of December 2023, the number of internet users in China has reached 1.092 billion, with an internet penetration rate of 71.6%. This makes China the largest digital society globally. While digitalization has transformed the ways individuals access and share information, it has also fundamentally reshaped public services and social interactions, gradually reducing the constraints of physical space (<xref ref-type="bibr" rid="ref9001">Emmert-Streib, 2021</xref>; <xref ref-type="bibr" rid="ref90005">Mossberger et al., 2007</xref>; <xref ref-type="bibr" rid="ref25">Li and Sun, 2024</xref>). However, this transition has created significant challenges for older adults, who often experience declines in cognitive abilities and technological adaptability, leaving many feeling overwhelmed and marginalized. The resulting phenomenon of older adults as &#x201C;digital refugees&#x201D; requires urgent attention and innovative solutions.</p>
<p>One such solution is digital backfeeding, which has emerged as a promising approach to bridge the digital divide for older adults. This educational process involves younger generations providing support to elders in accessing, using, and mastering digital technologies (<xref ref-type="bibr" rid="ref9006">Chen et al., 2023</xref>; <xref ref-type="bibr" rid="ref9005">Junxun et al., 2024</xref>). Rooted in the concept of &#x201C;cultural backfeeding,&#x201D; digital backfeeding emphasizes intergenerational learning and collaboration (<xref ref-type="bibr" rid="ref90003">Lu et al., 2022</xref>). Beyond helping older adults navigate the digital world, this process fosters stronger family relationships and broader societal digital inclusion (<xref ref-type="bibr" rid="ref10">Damant et al., 2017</xref>; <xref ref-type="bibr" rid="ref9005">Junxun et al., 2024</xref>; <xref ref-type="bibr" rid="ref90003">Lu et al., 2022</xref>). Encouraging active participation in digital backfeeding is essential to overcoming the resistance many older adults feel toward new technologies, improving their willingness to engage with digital tools.</p>
<p>Community education plays a pivotal role in addressing these challenges by serving as a structured platform for lifelong learning. It creates social networks and learning communities tailored to the needs of older adults (<xref ref-type="bibr" rid="ref33">Philips et al., 2001</xref>). By incorporating digital technologies into its curriculum, community education can effectively break down the psychological and cognitive barriers older adults face, enabling them to develop a more positive mindset toward technology (<xref ref-type="bibr" rid="ref9004">Hodge et al., 2017</xref>). Within these learning environments, older adults not only gain access to necessary devices and instructional support but also benefit from peer interactions, which enhance their motivation and willingness to engage with digital tools (<xref ref-type="bibr" rid="ref9020">Rahi et al., 2019</xref>; <xref ref-type="bibr" rid="ref41">Marston and Van Hoof, 2019</xref>; <xref ref-type="bibr" rid="ref45">Venkatesh et al., 2011</xref>). Furthermore, the level of digital participation among older adults is closely tied to the digital skills they possess, which influence their confidence and adaptability (<xref ref-type="bibr" rid="ref51">Yang and Jang, 2024</xref>).</p>
<p>To address the gaps in existing approaches, this paper investigates how various aspects of community education influence older adults&#x2019; willingness to participate in digital backfeeding. By examining the mediating roles of technological and psychological factors, it aims to inform the design of effective digital backfeeding tools, such as interactive games that combine learning, fun, and problem-solving elements. These tools can serve as a pathway to increasing digital engagement among older adults, ultimately helping them transition from &#x201C;digital refugees&#x201D; to active participants in the digital age.</p>
<sec id="sec2">
<label>1.1</label>
<title>Current research on digital backfeeding</title>
<p>Digital backfeeding, a framework aimed at supporting older adults in adapting to digital life, has gained considerable attention, particularly in family and community settings. However, existing digital backfeeding initiatives often lack a formal structure, relying heavily on <italic>ad hoc</italic> and temporary assistance from family members or community volunteers. This informal approach, characterized by its short-term focus, limits the sustainability and effectiveness of efforts to foster long-term digital literacy among older adults (<xref ref-type="bibr" rid="ref90004">Mannheim et al., 2019</xref>; <xref ref-type="bibr" rid="ref90007">Wang and Zhang, 2024</xref>).</p>
<p>In contrast, community education offers a more systematic and sustainable framework for advancing digital inclusion. By providing structured access to teaching resources, peer support, and interactive learning environments, community education addresses many of the limitations inherent in informal support systems. For instance, tools such as puzzle games have demonstrated effectiveness in enhancing digital skills and fostering engagement by offering immediate feedback and promoting a sense of accomplishment (<xref ref-type="bibr" rid="ref9019">Punchoojit and Hongwarittorrn, 2017</xref>). Furthermore, intergenerational interactions within community settings not only facilitate the acquisition of digital competencies but also contribute to strengthening social connections and mitigating generational divides, thereby addressing broader issues of digital exclusion (<xref ref-type="bibr" rid="ref9003">Bailey and Ngwenyama, 2010</xref>). Despite these advancements, research has yet to comprehensively investigate how specific community-related factors&#x2014;such as social influence and facilitating conditions&#x2014;impact older adults&#x2019; willingness to engage in digital backfeeding. This study seeks to address these gaps by analyzing how key aspects of community education contribute to promoting active participation and better integration of older adults into the digital era.</p>
</sec>
<sec id="sec3">
<label>1.2</label>
<title>Personal factor: task characteristics</title>
<p>Task characteristics are defined as &#x201C;the actions performed by an individual to transform inputs into outputs&#x201D; (<xref ref-type="bibr" rid="ref14">Goodhue and Thompson, 1995</xref>; <xref ref-type="bibr" rid="ref35">Rahi et al., 2021</xref>). In the context of older adults engaging in digital backfeeding, task characteristics encompass the specific activities required to effectively utilize digital technologies and products for information processing (<xref ref-type="bibr" rid="ref9005">Junxun, 2024</xref>). Drawing on the Task-Technology Fit (TTF) model, task characteristics are critical determinants of individuals&#x2019; intentions to adopt technology, as the alignment between technology and user needs significantly enhances task efficiency and usability (<xref ref-type="bibr" rid="ref46">Wan et al., 2020</xref>; <xref ref-type="bibr" rid="ref49">Wu and Chen, 2017</xref>). Older adults increasingly depend on digital technologies for a variety of tasks, such as scheduling medical appointments, managing finances, and maintaining social connections (<xref ref-type="bibr" rid="ref7">Carroll et al., 2020</xref>; <xref ref-type="bibr" rid="ref39">Thongsri et al., 2018</xref>). These applications underscore the importance of functionality and usability in influencing technology adoption (<xref ref-type="bibr" rid="ref10">Damant et al., 2017</xref>; <xref ref-type="bibr" rid="ref37">Sims et al., 2017</xref>). For instance, a health-monitoring application designed with simplified navigation, step-by-step guidance, and real-time feedback can encourage older adults to adopt it consistently, addressing both functional requirements and usability concerns. However, challenges such as cognitive decline and limited digital literacy necessitate the development of tailored interventions within community education settings to support technology adoption (<xref ref-type="bibr" rid="ref34">Pigeon et al., 2021</xref>).</p>
<p>Community education serves as a key enabler in addressing these barriers, operating through two primary pathways: explicit and implicit influences. Explicit influences involve direct instruction from educators, who train older adults to use digital tools for practical problem-solving, such as navigating e-commerce platforms for daily necessities. Implicit influences, on the other hand, stem from peer interactions and educator demonstrations, which shape perceptions of technology&#x2019;s value, fostering confidence and acceptance (<xref ref-type="bibr" rid="ref9004">Hodge et al., 2017</xref>; <xref ref-type="bibr" rid="ref51">Yang and Jang, 2024</xref>). These processes interact with mediating factors, such as perceived usefulness and ease of use, and moderating factors, such as digital skills, to enhance older adults&#x2019; participation in digital backfeeding. By addressing these interrelated factors, community education provides a supportive environment that mitigates barriers to technology adoption. For example, an interactive workshop on mobile banking, complemented by peer encouragement and simplified training resources, can simultaneously enhance task-specific skills and reduce technological anxiety. Consequently, task characteristics within community education play a pivotal role in promoting older adults&#x2019; willingness to participate in digital backfeeding and adopt technological products. Based on this, this study proposes hypothesis 1:</p>
<disp-quote>
<p><italic>H1</italic>: Task characteristics have a positive effect on older adults&#x2019; (a) willingness to participate in digital backfeeding and (b) technology product usage behavior.</p>
</disp-quote>
</sec>
<sec id="sec4">
<label>1.3</label>
<title>Technological factor: technology characteristics</title>
<p>Technology characteristics refer to &#x201C;the technology individuals use to perform tasks&#x201D; (<xref ref-type="bibr" rid="ref1">Abdekhoda et al., 2022</xref>; <xref ref-type="bibr" rid="ref14">Goodhue and Thompson, 1995</xref>). For older adults participating in digital backfeeding, these characteristics encompass the tools and features they need to interact effectively with digital content and derive benefits from it. However, as adopting and adapting to new technology often requires more physical effort and cognitive adaptation, older adults tend to perceive technology as more complex compared to younger individuals. This complexity demands higher levels of both physical and mental engagement (<xref ref-type="bibr" rid="ref6">Campens et al., 2024</xref>; <xref ref-type="bibr" rid="ref37">Sims et al., 2017</xref>).</p>
<p>Within community education, the perceived difficulty or ease of using technology significantly influences the effort that older adults invest in learning and using these tools. Explicit influence refers to the direct perception of difficulty in mastering new technologies, while implicit influence involves the challenges encountered during the learning process, such as technical problems faced by teachers or peers and the ease with which these issues are resolved (<xref ref-type="bibr" rid="ref9004">Hodge et al., 2017</xref>). For example, if older adults struggle to navigate a complicated online shopping platform, their frustration may hinder their willingness to engage in digital backfeeding. Thus, technology&#x2019; s complexity can act as a barrier to participation in digital backfeeding. Therefore, this paper proposes the following hypotheses:</p>
<disp-quote>
<p><italic>H2</italic>: Technological characteristics have a negative effect on older adults&#x2019; (a) willingness to participate in digital backfeeding and (b) technology product usage behavior.</p>
</disp-quote>
</sec>
<sec id="sec5">
<label>1.4</label>
<title>Community factor: social influence and facilitating conditions</title>
<p>Community factors, according to the widely used UTAUT model for explaining and predicting how users accept and use new technology, identify two peripheral influences that affect technology usage: social influence and facilitating conditions.</p>
<sec id="sec6">
<label>1.4.1</label>
<title>Social influence</title>
<p>Social influence refers to the extent to which individuals perceive pressure from their social environment to adopt particular technologies (<xref ref-type="bibr" rid="ref27">Lu and Tsai-Lin, 2024</xref>; <xref ref-type="bibr" rid="ref20">Hsu and Peng, 2022</xref>). For older adults, the pressure to engage with technology is not solely driven by the desire to follow trends but is largely motivated by the need to remain connected in a society where digital tools are becoming increasingly ubiquitous. In community settings, older adults may feel an implicit expectation to use smartphones for activities such as participating in group chats or accessing online services, thereby contributing to the broader social demand for digital engagement. This pressure may stem from a variety of sources, including peers, educators, and even younger generations who are keen to assist in bridging the digital divide.</p>
<p>It is important to recognize that social influence does not solely drive individual technology adoption but also plays a crucial role in fostering intergenerational relationships. When older adults observe their peers or educators actively engaging with digital technologies, they are more likely to be encouraged to do the same, thereby reducing feelings of intimidation. This positive feedback loop reinforces engagement, with increased social participation enhancing the willingness to adopt new technologies. Furthermore, social influence is often linked to the perception of social norms, where older adults may feel a moral or social obligation to embrace technology in order to maintain family cohesion, particularly with younger members of their social network (<xref ref-type="bibr" rid="ref18">Harfitt, 2018</xref>; <xref ref-type="bibr" rid="ref13">Garbrah et al., 2020</xref>). Given this framework, it is hypothesized that:</p>
<disp-quote>
<p><italic>H3</italic>: Social influence has a positive effect on older adults&#x2019; (a) willingness to participate in digital backfeeding and (b) technology product usage behavior.</p>
</disp-quote>
</sec>
<sec id="sec7">
<label>1.4.2</label>
<title>Facilitating conditions</title>
<p>Facilitating conditions refer to the resources and support available to individuals that enable them to adopt and effectively utilize technology (<xref ref-type="bibr" rid="ref8">Chen and Chan, 2014</xref>). While previous research has primarily focused on technical support, this study underscores the significance of the community environment in providing both practical and emotional assistance to older adults as they navigate technology adoption. Facilitating conditions in the context of community education encompass not only the availability of accessible devices and platforms but also the instructional support provided by educators and peers throughout the learning process.</p>
<p>A key component of facilitating conditions is the design of the technology itself. Older adults are more likely to engage with digital tools when these tools are designed with simplicity and accessibility in mind. Technologies featuring large, readable fonts and intuitive navigation help reduce the barriers to usage, while community-driven support structures, such as peer mentoring or instructor-led workshops, provide additional reassurance and guidance throughout the learning process (<xref ref-type="fig" rid="fig1">Figure 1</xref>).</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Main research model.</p>
</caption>
<graphic xlink:href="fpsyg-16-1524373-g001.tif"/>
</fig>
<p>Moreover, facilitating conditions extend beyond the mere provision of tools and resources. They also involve the creation of a supportive learning environment in which older adults feel empowered to explore technology without fear of failure. A positive, non-judgmental atmosphere within community education settings can alleviate technological anxiety, which in turn promotes sustained engagement with digital backfeeding. By ensuring a comprehensive support system&#x2014;comprising both technical assistance and social encouragement&#x2014;older adults are better positioned to overcome challenges and integrate technology into their daily routines. Based on these considerations, it is hypothesized that:</p>
<disp-quote>
<p><italic>H4</italic>: Facilitating conditions have a positive impact on older adults&#x2019; (a) willingness to participate in digital backfeeding and (b) technology product usage behavior.</p>
</disp-quote>
</sec>
</sec>
<sec id="sec8">
<label>1.5</label>
<title>The mediating role of perceived usefulness and perceived ease of use</title>
<p>The Technology Acceptance Model (TAM), introduced by Fred D. Davis in 1986, posits that an individual&#x2019;s use of an information system is determined by behavioral intentions, which are influenced by two primary factors: perceived usefulness and perceived ease of use. Perceived usefulness refers to the extent to which an individual believes that using a particular system will improve performance, while perceived ease of use pertains to the belief that using the system will require minimal effort (<xref ref-type="bibr" rid="ref2">Abdullah et al., 2016</xref>; <xref ref-type="bibr" rid="ref22">Kalayou et al., 2020</xref>). These belief factors collectively shape attitudes toward behavioral intentions, which in turn drive actual usage behavior. While the TAM has been extensively applied, its specific implications for older adults participating in community education remain underexplored. This study aims to expand its application by examining the mediating role of these factors in digital backfeeding.</p>
<p>Within the context of community education, older adults&#x2019; perceptions of usefulness and ease of use are influenced by both technological design and the social and instructional environment, which uniquely shape their acceptance of technology. Task characteristics, technological characteristics, and social influence are critical drivers of perceived usefulness. For instance, task characteristics highlight how technology enables older adults to efficiently manage activities like scheduling medical appointments or maintaining social connections, enhancing their sense of control and independence (<xref ref-type="bibr" rid="ref32">Oliveira et al., 2014</xref>). Technological characteristics, such as user-friendly health monitoring apps, not only streamline task completion but also foster a perception of utility by aligning with the specific needs of older users (<xref ref-type="bibr" rid="ref10">Damant et al., 2017</xref>; <xref ref-type="bibr" rid="ref33">Philips et al., 2001</xref>; <xref ref-type="bibr" rid="ref48">Wilson et al., 2023</xref>). Furthermore, observing peers successfully engaging with technology can amplify social influence, creating a sense of collective utility and reinforcing the belief that adopting digital tools is beneficial.</p>
<p>This interaction suggests that perceived usefulness acts as a crucial bridge between the characteristics of technology and its broader acceptance. Therefore, the following hypothesis is proposed:</p>
<disp-quote>
<p><italic>H5</italic>: Perceived usefulness mediates the effect of (a) task characteristics, (b) technological characteristics, and (c) social influence on the willingness of older adults to participate in digital backfeeding.</p>
</disp-quote>
<p>Conversely, technological characteristics may introduce barriers to perceived ease of use. Complex interfaces or non-intuitive features can deter older adults, particularly those with limited digital experience, from engaging with new tools, as they perceive these features to require excessive cognitive or physical effort (<xref ref-type="bibr" rid="ref15">Guner and Acarturk, 2020</xref>). However, facilitating conditions can mitigate these barriers. Factors such as clear instructions, simplified interfaces, and consistent technical support help older adults overcome initial challenges, reinforcing their confidence and comfort in using technology. For example, integrating easy-to-understand visual guides or holding regular community workshops can help demystify technology, making it more approachable. Importantly, these facilitating conditions also address the psychological barriers older adults face, such as anxiety and fear of failure, by creating a supportive and non-judgmental learning environment (<xref ref-type="bibr" rid="ref4">Barnard et al., 2013</xref>; <xref ref-type="bibr" rid="ref43">Venkatesh et al., 2008</xref>). Given these dynamics, the following hypothesis is proposed:</p>
<disp-quote>
<p><italic>H6</italic>: Perceived ease of use mediates the effect of (a) technological characteristics and (b) facilitating conditions on the willingness of older adults to participate in digital backfeeding.</p>
</disp-quote>
</sec>
<sec id="sec9">
<label>1.6</label>
<title>The mediating role of perceived technological anxiety</title>
<p>Perceived technological anxiety refers to the apprehension or discomfort experienced by individuals when interacting with technology, including concerns about their ability to adapt to rapid technological advancements (<xref ref-type="bibr" rid="ref24">Lee et al., 2021</xref>; <xref ref-type="bibr" rid="ref28">Maduku et al., 2023</xref>). This anxiety is particularly pronounced among older adults, who may feel uncertain about their capability to navigate digital tools and platforms. Within the context of community education, this phenomenon is further influenced by group pressure, where individuals are subject to the expectations and behaviors of the majority or influential members of their social environment (<xref ref-type="bibr" rid="ref3">Asch, 2016</xref>). Social influence in communities often exerts dual effects: while observing peers and educators adeptly using technology may inspire older adults to engage, it can simultaneously heighten their anxiety if they perceive themselves as less competent or fear negative judgments. The implicit expectation within communities that older adults must adopt digital tools to remain socially integrated adds further complexity to their acceptance of technology, often amplifying feelings of inadequacy and apprehension.</p>
<p>The interplay between social influence and technological anxiety reveals a nuanced mechanism where group dynamics can either facilitate or inhibit digital adoption. Communities that foster supportive and non-judgmental environments, emphasizing encouragement and gradual learning, are more likely to mitigate technological anxiety, thereby enhancing older adults&#x2019; willingness to engage with digital tools. Conversely, settings that prioritize rapid adaptation or peer comparison may intensify anxiety, creating psychological barriers to participation. This dynamic underscores the critical importance of tailoring community-based interventions to address both the emotional and cognitive needs of older adults. Strategies such as one-on-one mentoring, tailored instructional pacing, and consistent reassurance can help alleviate anxiety, promoting self-efficacy and enabling older adults to perceive technology adoption as an attainable goal. Recognizing technological anxiety as a mediating factor provides valuable insight into the mechanisms through which social influence operates, highlighting the need for nuanced approaches to support digital inclusion in aging populations.</p>
<p>Based on this framework, the following hypothesis is proposed:</p>
<disp-quote>
<p><italic>H7</italic>: Perceived technological anxiety mediates the effect of social influence on the willingness of older adults to participate in digital backfeeding.</p>
</disp-quote>
</sec>
<sec id="sec10">
<label>1.7</label>
<title>The moderating role of digital skills</title>
<p>As technology becomes increasingly pervasive in society, the digital skills of older adults are continuously evolving and can be categorized into two distinct types: receptive skills and participatory skills (<xref ref-type="bibr" rid="ref90001">Lee et al., 2011</xref>; <xref ref-type="bibr" rid="ref51">Yang and Jang, 2024</xref>). Receptive skills encompass the ability to interpret, search for, and evaluate digital content, whereas participatory skills involve higher-level activities such as communication, content creation, participation, and sharing within a digital environment (<xref ref-type="bibr" rid="ref5">Bartomeu and Ventura, 2021</xref>). These two skill types represent different levels of digital engagement, with participatory skills implying a deeper integration of technology into daily life. While receptive skills enable older adults to absorb and process information, participatory skills empower them to actively contribute to digital interactions, express their preferences, and showcase their competencies (<xref ref-type="bibr" rid="ref10">Damant et al., 2017</xref>; <xref ref-type="bibr" rid="ref37">Sims et al., 2017</xref>; <xref ref-type="bibr" rid="ref48">Wilson et al., 2023</xref>).</p>
<p>For instance, an older adult with strong receptive skills may use a health app to access information about medication schedules or view exercise tutorials, demonstrating their ability to retrieve and evaluate digital content. In contrast, an individual with participatory skills might actively use the same app to share exercise progress with peers, engage in group discussions about health topics, or even customize their digital profile. This level of engagement reflects a proactive approach to digital technology, fostering deeper connections within their community and enhancing their overall digital literacy. Older adults with participatory skills are better positioned to contribute to and benefit from digital backfeeding processes, as they exhibit greater confidence and willingness to explore new technological products and services (<xref ref-type="fig" rid="fig2">Figure 2</xref>).</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Mediation and moderation model.</p>
</caption>
<graphic xlink:href="fpsyg-16-1524373-g002.tif"/>
</fig>
<p>Given the distinction between these skill levels, it is anticipated that participatory skills will amplify the effects of various influencing factors, such as perceived usefulness, social influence, and facilitating conditions, on digital backfeeding engagement (<xref ref-type="bibr" rid="ref50">Wu et al., 2021</xref>; <xref ref-type="bibr" rid="ref42">Vanduhe et al., 2020</xref>). Older adults with higher participatory skills are more likely to demonstrate enthusiasm for digital backfeeding and actively use technological products compared to those with only receptive skills. This moderating effect underscores the importance of tailoring educational interventions to not only build basic receptive skills but also cultivate participatory competencies, as they have a stronger influence on digital inclusion and engagement. Based on these considerations, the following hypothesis is proposed:</p>
<disp-quote>
<p><italic>H8</italic>: Digital skills (receptive vs. participatory) moderate the effects on older adults&#x2019; (a) willingness to participate in digital backfeeding and (b) technology product usage behavior. Older adults with participatory skills exhibit greater willingness and engagement in digital backfeeding and technology usage compared to those with receptive skills.</p>
</disp-quote>
</sec>
</sec>
<sec sec-type="methods" id="sec11">
<label>2</label>
<title>Method</title>
<sec id="sec12">
<label>2.1</label>
<title>Participants</title>
<p>The main study recruited elderly participants from two retirement communities in Taiyuan, Shanxi Province, China, between January 20 and February 20, 2024 for the formal survey. Participants were selected through a convenience sampling method, which ensured that the study focused on a specific elderly population within these communities. While convenience sampling has certain limitations, particularly in terms of representativeness, it was highly suitable for this study as it provided easy access to the target group. Additionally, the selected communities offered a degree of diversity, ensuring that the sample was reasonably representative and the findings valid.</p>
<p>The demographic characteristics of respondents in <xref ref-type="table" rid="tab1">Table 1</xref> show that 53.1% of the participants in the study were male, and 46.9% were female. 60.0% of the respondents were aged between 65 and 69&#x202F;years old. The majority had either junior high school (45.2%) or high school (32.4%) education levels. Approximately 15 participants were identified as illiterate, and they received assistance from trained researchers or community volunteers to complete the questionnaire. Regarding health conditions, participants were generally healthy and capable of engaging in community activities. However, some participants reported chronic conditions, such as hypertension or diabetes, which are common among the elderly. No participants with severe neurological disorders, such as advanced dementia or recent strokes, were included in the study. Mild cognitive impairments were not explicitly excluded, as these reflect the general elderly population. To ensure safety, informed consent was obtained, personalized assistance was provided during the survey, and basic medical support was available on-site to address any emergencies.</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Demographics of respondents.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Variable</th>
<th align="left" valign="top">Description</th>
<th align="left" valign="top">Frequency</th>
<th align="left" valign="top">Percentage</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" rowspan="2">Gender</td>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">256</td>
<td align="center" valign="top">53.1%</td>
</tr>
<tr>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">226</td>
<td align="center" valign="top">46.9%</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="4">Age</td>
<td align="left" valign="top">60&#x2013;64</td>
<td align="center" valign="top">62</td>
<td align="center" valign="top">12.9%</td>
</tr>
<tr>
<td align="left" valign="top">65&#x2013;69</td>
<td align="center" valign="top">289</td>
<td align="center" valign="top">60.0%</td>
</tr>
<tr>
<td align="left" valign="top">70&#x2013;74</td>
<td align="center" valign="top">97</td>
<td align="center" valign="top">20.1%</td>
</tr>
<tr>
<td align="left" valign="top">More than 75</td>
<td align="center" valign="top">34</td>
<td align="center" valign="top">7.0%</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="4">Educational qualification</td>
<td align="left" valign="top">Elementary school or below</td>
<td align="center" valign="top">63</td>
<td align="center" valign="top">13.1%</td>
</tr>
<tr>
<td align="left" valign="top">Junior high school</td>
<td align="center" valign="top">218</td>
<td align="center" valign="top">45.2%</td>
</tr>
<tr>
<td align="left" valign="top">High school</td>
<td align="center" valign="top">156</td>
<td align="center" valign="top">32.4%</td>
</tr>
<tr>
<td align="left" valign="top">Bachelor or above</td>
<td align="center" valign="top">45</td>
<td align="center" valign="top">9.3%</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec13">
<label>2.2</label>
<title>Tests administered</title>
<p>To ensure the validity of all measures, the measurement items for the variables in the proposed model were developed based on previous studies. The structured questionnaire was professionally translated into Chinese for use in the survey. The survey consists of two parts: Part I includes demographic information such as the age, gender, and education level of the respondents. Part II contains questions related to different constructs proposed in the research model (as shown in <xref ref-type="table" rid="tab2">Table 2</xref>), with all items rated on a 5-point Likert scale ranging from 1 (&#x201C;strongly disagree&#x201D;) to 5 (&#x201C;strongly agree&#x201D;).</p>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>Summary of variable with measurement items.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Variable</th>
<th align="left" valign="top">Items</th>
<th align="left" valign="top">Sources</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" rowspan="4">Task characteristics (TaC)</td>
<td align="left" valign="top">I need to use technological products to bring convenience to my life.</td>
<td align="left" valign="top" rowspan="4">
<xref ref-type="bibr" rid="ref53">Zhou et al. (2010)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">I need to use technological products to improve my efficiency.</td>
</tr>
<tr>
<td align="left" valign="top">I need to use technological products to enhance the quality of my life.</td>
</tr>
<tr>
<td align="left" valign="top">I need to use technological products so that I can handle things in life more quickly.</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="4">Technology characteristics (TeC)</td>
<td align="left" valign="top">Technological products can provide real-time service.</td>
<td align="left" valign="top" rowspan="4"><xref ref-type="bibr" rid="ref53">Zhou et al. (2010)</xref> and <xref ref-type="bibr" rid="ref47">Wang et al. (2020)</xref></td>
</tr>
<tr>
<td align="left" valign="top">Technological products can provide reliable service.</td>
</tr>
<tr>
<td align="left" valign="top">I feel that using technological products in daily life is easy</td>
</tr>
<tr>
<td align="left" valign="top">I believe that learning to use technological products is relatively easy for me</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="3">Social Influence (SI)</td>
<td align="left" valign="top">In my social circle, people who are important to me think that I should use technological products.</td>
<td align="left" valign="top" rowspan="3">
<xref ref-type="bibr" rid="ref9021">Samar et al. (2017)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">In my social circle, technological products are considered important for daily life.</td>
</tr>
<tr>
<td align="left" valign="top">In my social circle, people whose opinions I value prefer that I use technological products.</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="3">Facilitating Condition (FC)</td>
<td align="left" valign="top">There is always a specific person available to help me with learning to use technological products.</td>
<td align="left" valign="top" rowspan="3"><xref ref-type="bibr" rid="ref9002">Abd Ghani et al. (2017)</xref> and <xref ref-type="bibr" rid="ref44">Venkatesh et al. (2003)</xref></td>
</tr>
<tr>
<td align="left" valign="top">For learning to use technological products, I have the necessary technical resources.</td>
</tr>
<tr>
<td align="left" valign="top">For learning to use technological products, I possess the knowledge needed during the learning process.</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="5">Perceived usefulness (PU)</td>
<td align="left" valign="top">Using technological products can bring many benefits to my life.</td>
<td align="left" valign="top" rowspan="5"><xref ref-type="bibr" rid="ref31">Nissinen et al. (2024)</xref> and <xref ref-type="bibr" rid="ref9020">Rahi et al. (2019)</xref></td>
</tr>
<tr>
<td align="left" valign="top">Using technological products allows me to manage my time better.</td>
</tr>
<tr>
<td align="left" valign="top">Using technological products can help me connect with others more quickly.</td>
</tr>
<tr>
<td align="left" valign="top">Using technological products enables me to quickly access the necessary information in my life.</td>
</tr>
<tr>
<td align="left" valign="top">Using technological products can make my life easier.</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="5">Perceived ease of use (PEU)</td>
<td align="left" valign="middle">For me, using technological products is easy.</td>
<td align="left" valign="top" rowspan="5"><xref ref-type="bibr" rid="ref9020">Rahi et al. (2019)</xref> and <xref ref-type="bibr" rid="ref49">Wu and Chen (2017)</xref></td>
</tr>
<tr>
<td align="left" valign="middle">I can use technological products flexibly according to my needs.</td>
</tr>
<tr>
<td align="left" valign="middle">The methods for using technological products are clear.</td>
</tr>
<tr>
<td align="left" valign="middle">I can easily find guides on how to use technological products.</td>
</tr>
<tr>
<td align="left" valign="middle">Using technological products is not difficult for me.</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="3">Perceived technological anxiety (PTA)</td>
<td align="left" valign="top">When people around me use technological products, I feel I must learn to avoid falling behind.</td>
<td align="left" valign="top" rowspan="3">
<xref ref-type="bibr" rid="ref36">Santor et al. (2000)</xref>
</td>
</tr>
<tr>
<td align="left" valign="top">When everyone uses technological products, I find it hard to resist, even if it makes me uncomfortable.</td>
</tr>
<tr>
<td align="left" valign="top">If everyone around me uses technological products, I feel stressed and uneasy.</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="4">Willingness to use (WU)</td>
<td align="left" valign="middle">I am very satisfied with handling things using technological products.</td>
<td align="left" valign="top" rowspan="4">
<xref ref-type="bibr" rid="ref30">Ng et al. (2024)</xref>
</td>
</tr>
<tr>
<td align="left" valign="middle">I am willing to use technological products to handle matters in my daily life.</td>
</tr>
<tr>
<td align="left" valign="middle">I find that the various functions within technological products are well integrated, making them convenient to use.</td>
</tr>
<tr>
<td align="left" valign="middle">When I have tasks to handle, I prefer using technological products over traditional methods.</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="5">Usage behavior (UB)</td>
<td align="left" valign="middle">I use technological products to communicate with friends and family.</td>
<td align="left" valign="top" rowspan="5">
<xref ref-type="bibr" rid="ref9">Choudhury et al. (2022)</xref>
</td>
</tr>
<tr>
<td align="left" valign="middle">I use technological products to search for information I need.</td>
</tr>
<tr>
<td align="left" valign="middle">I use technological products to manage my health issues.</td>
</tr>
<tr>
<td align="left" valign="middle">I use technological products to solve problems in my daily life.</td>
</tr>
<tr>
<td align="left" valign="middle">I use technological products to learn and develop myself.</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="5">Digital skill-receptive skill (RS)</td>
<td align="left" valign="middle">I am able to select useful information on the Internet</td>
<td align="left" valign="top" rowspan="5"><xref ref-type="bibr" rid="ref40">Van Deursen et al. (2014)</xref> and <xref ref-type="bibr" rid="ref51">Yang and Jang (2024)</xref></td>
</tr>
<tr>
<td align="left" valign="middle">I can assess how reliable the information I find on the Internet</td>
</tr>
<tr>
<td align="left" valign="middle">I carefully consider the information I find online</td>
</tr>
<tr>
<td align="left" valign="middle">I am confident in selecting search results</td>
</tr>
<tr>
<td align="left" valign="middle">I can correctly understand the information on the Internet</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="5">Digital skill-participatory skill (PS)</td>
<td align="left" valign="middle">I am able to upload photos and videos on the Internet</td>
<td align="left" valign="top" rowspan="5"><xref ref-type="bibr" rid="ref23">Koc and Barut (2016)</xref> and <xref ref-type="bibr" rid="ref51">Yang and Jang (2024)</xref></td>
</tr>
<tr>
<td align="left" valign="middle">I am able to participate in online discussions on social agendas</td>
</tr>
<tr>
<td align="left" valign="middle">I am good at sharing digital media contents and messages on the Internet</td>
</tr>
<tr>
<td align="left" valign="middle">I can make contribution or comments to media contents shared by others</td>
</tr>
<tr>
<td align="left" valign="middle">I can make new friends on the Internet</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec14">
<label>2.3</label>
<title>Procedure</title>
<p>To test the validity and appropriateness of the survey, a pre-test was conducted on a sample of 30 retired workers from a community in Shanxi Province, China before the formal survey. The backfeeding from this pre-test was used to review and adjust the questionnaire based on specific conditions. The sample had a balanced gender distribution, with an equal number of male and female participants, and ages ranged from 60 to 75&#x202F;years, with varying levels of education. Based on the feedback, the questionnaire was modified by simplifying complex wording while keeping the original items unchanged, and increasing the font size to enhance accessibility for older participants.</p>
<p>The questionnaire was presented in paper form, and participants were provided assistance from researchers and community volunteers when needed. For illiterate participants, volunteers offered full explanations and assistance to ensure the questionnaire was completed accurately.</p>
<p>The main study was conducted from January 20 to February 20, 2024. The survey was conducted in compliance with Chinese laws and ethical standards, and all participants signed informed consent forms. During the survey process, professional researchers and community volunteers were assigned to provide support to older participants. This support included assisting them in reading and completing the questionnaire and offering clarification and guidance on any questions they found confusing, ensuring that the responses were accurately completed and reflected their true intentions. They were also informed of their right to withdraw from the study at any time without any obligation. All sections were presented in the same order to maintain consistency and comparability across responses. Participants began with general demographic questions, followed by sections on questions related to different constructs proposed in the research model. This fixed order was chosen to ensure a logical flow and to help participants gradually engage with the survey content, starting with simpler and less sensitive questions before moving to more specific or reflective topics.</p>
<p>To further mitigate potential social desirability bias, several methodological measures were implemented. First, participants were assured of complete anonymity, and questionnaires were designed to exclude any identifiable information, reducing the likelihood of socially influenced responses. Second, the wording of questions was carefully crafted to maintain neutrality, avoiding language that might suggest a &#x201C;strongly agree&#x201D; or socially acceptable answer. Indirect questioning techniques were also employed for sensitive topics, framing questions in ways that allowed participants to express opinions without direct self-disclosure. Additionally, data collection personnel were trained to maintain a non-judgmental environment and avoid any verbal or non-verbal cues that could influence participants&#x2019; answers. These measures, combined with a standardized administration process, aimed to foster an atmosphere of trust and authenticity, ensuring that the data collected accurately reflected participants&#x2019; experiences and perspectives. A total of 482 valid questionnaires were collected and used for data analysis.</p>
</sec>
<sec id="sec15">
<label>2.4</label>
<title>Statistical procedures</title>
<p>Data analysis was conducted in two stages: (1) the reliability and validity of the measurement model were assessed using Cronbach&#x2019;s alpha, composite reliability (CR), and average variance extracted (AVE), with all values meeting recommended thresholds. Model fit indices, such as CFI, RMSEA, and SRMR, confirmed the adequacy of the measurement model and (2) structural equation modeling (SEM) with AMOS 26.0 was used to evaluate the structural model, testing direct and indirect relationships between variables. Mediating effects of perceived usefulness, ease of use, and technological anxiety were analyzed using SPSS Process macro v4.0 (Model 1, 4), while moderation analyses examined the role of digital skills.</p>
</sec>
</sec>
<sec sec-type="results" id="sec16">
<label>3</label>
<title>Results</title>
<sec id="sec17">
<label>3.1</label>
<title>Measurement model</title>
<p>This study first conducted a descriptive statistical analysis, with the means and standard deviations shown in <xref ref-type="table" rid="tab3">Table 3</xref>. Next, the measurement model was evaluated by examining internal reliability, convergent validity, and discriminant validity. The results showed that Cronbach&#x2019;s alpha ranged from 0.776 to 0.946, exceeding the recommended threshold of 0.7. Additionally, both the composite reliability (CR) and the average variance extracted (AVE) (see <xref ref-type="table" rid="tab4">Table 4</xref>) were higher than their suggested standard values of 0.7 and 0.5, respectively (<xref ref-type="bibr" rid="ref16">Hair et al., 2011</xref>), indicating that the model has satisfactory composite reliability and convergent validity. Moreover, the model fit was assessed using several indices, and the results showed satisfactory fit values. The Comparative Fit Index (CFI) was 0.92, the Root Mean Square Error of Approximation (RMSEA) was 0.05, and the Standardized Root Mean Square Residual (SRMR) was 0.04. These fit indices further support the adequacy of the measurement model and its ability to represent the underlying data structure accurately.</p>
<table-wrap position="float" id="tab3">
<label>Table 3</label>
<caption>
<p>Descriptive statistics.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th align="center" valign="top"><italic>M</italic></th>
<th align="center" valign="top">SD</th>
<th align="center" valign="top">Cronbach&#x2019;s alpha</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">TaC</td>
<td align="center" valign="middle">4.260</td>
<td align="center" valign="middle">0.702</td>
<td align="center" valign="middle">0.832</td>
</tr>
<tr>
<td align="left" valign="middle">TeC</td>
<td align="center" valign="middle">3.451</td>
<td align="center" valign="middle">0.635</td>
<td align="center" valign="middle">0.857</td>
</tr>
<tr>
<td align="left" valign="middle">SI</td>
<td align="center" valign="middle">4.186</td>
<td align="center" valign="middle">0.761</td>
<td align="center" valign="middle">0.814</td>
</tr>
<tr>
<td align="left" valign="middle">FC</td>
<td align="center" valign="middle">4.310</td>
<td align="center" valign="middle">0.662</td>
<td align="center" valign="middle">0.793</td>
</tr>
<tr>
<td align="left" valign="middle">PU</td>
<td align="center" valign="middle">4.256</td>
<td align="center" valign="middle">0.711</td>
<td align="center" valign="middle">0.877</td>
</tr>
<tr>
<td align="left" valign="middle">PEU</td>
<td align="center" valign="middle">4.302</td>
<td align="center" valign="middle">0.613</td>
<td align="center" valign="middle">0.832</td>
</tr>
<tr>
<td align="left" valign="middle">PTA</td>
<td align="center" valign="middle">4.193</td>
<td align="center" valign="middle">0.764</td>
<td align="center" valign="middle">0.776</td>
</tr>
<tr>
<td align="left" valign="middle">WU</td>
<td align="center" valign="middle">4.255</td>
<td align="center" valign="middle">0.713</td>
<td align="center" valign="middle">0.850</td>
</tr>
<tr>
<td align="left" valign="middle">UB</td>
<td align="center" valign="middle">4.299</td>
<td align="center" valign="middle">0.654</td>
<td align="center" valign="middle">0.870</td>
</tr>
<tr>
<td align="left" valign="middle">RS</td>
<td align="center" valign="middle">4.280</td>
<td align="center" valign="middle">0.762</td>
<td align="center" valign="middle">0.907</td>
</tr>
<tr>
<td align="left" valign="middle">PS</td>
<td align="center" valign="middle">4.286</td>
<td align="center" valign="middle">0.759</td>
<td align="center" valign="middle">0.946</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap position="float" id="tab4">
<label>Table 4</label>
<caption>
<p>The measurement model.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Variable</th>
<th align="left" valign="top">Items</th>
<th align="center" valign="top"><italic>B</italic></th>
<th align="center" valign="top">S.E</th>
<th align="center" valign="top">C.R.</th>
<th align="center" valign="top"><italic>p</italic></th>
<th align="center" valign="top">CR</th>
<th align="center" valign="top">AVE</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle" rowspan="4">TaC</td>
<td align="left" valign="middle">JXQW4</td>
<td align="center" valign="middle">1</td>
<td/>
<td/>
<td/>
<td align="center" valign="middle" rowspan="4">0.830</td>
<td align="center" valign="middle" rowspan="4">0.550</td>
</tr>
<tr>
<td align="left" valign="middle">JXQW3</td>
<td align="center" valign="middle">0.977</td>
<td align="center" valign="middle">0.066</td>
<td align="center" valign="middle">14.768</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle">JXQW2</td>
<td align="center" valign="middle">1.049</td>
<td align="center" valign="middle">0.068</td>
<td align="center" valign="middle">15.406</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle">JXQW1</td>
<td align="center" valign="middle">1.036</td>
<td align="center" valign="middle">0.069</td>
<td align="center" valign="middle">14.937</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="4">TeC</td>
<td align="left" valign="middle">NLQW4</td>
<td align="center" valign="middle">1</td>
<td/>
<td/>
<td/>
<td align="center" valign="middle" rowspan="4">0.858</td>
<td align="center" valign="middle" rowspan="4">0.602</td>
</tr>
<tr>
<td align="left" valign="middle">NLQW3</td>
<td align="center" valign="middle">0.965</td>
<td align="center" valign="middle">0.054</td>
<td align="center" valign="middle">17.788</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle">NLQW2</td>
<td align="center" valign="middle">0.892</td>
<td align="center" valign="middle">0.053</td>
<td align="center" valign="middle">16.69</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle">NLQW1</td>
<td align="center" valign="middle">0.9</td>
<td align="center" valign="middle">0.053</td>
<td align="center" valign="middle">16.897</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="3">SI</td>
<td align="left" valign="middle">SQYX3</td>
<td align="center" valign="middle">1</td>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="middle">SQYX2</td>
<td align="center" valign="middle">0.986</td>
<td align="center" valign="middle">0.066</td>
<td align="center" valign="middle">14.938</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="center" valign="middle">0.798</td>
<td align="center" valign="middle">0.569</td>
</tr>
<tr>
<td align="left" valign="middle">SQYX1</td>
<td align="center" valign="middle">1.057</td>
<td align="center" valign="middle">0.069</td>
<td align="center" valign="middle">15.28</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="middle" rowspan="3">FC</td>
<td align="left" valign="middle">SHZC3</td>
<td align="center" valign="middle">1</td>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="middle">SHZC2</td>
<td align="center" valign="middle">0.819</td>
<td align="center" valign="middle">0.058</td>
<td align="center" valign="middle">14.221</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="center" valign="middle">0.793</td>
<td align="center" valign="middle">0.561</td>
</tr>
<tr>
<td align="left" valign="middle">SHZC1</td>
<td align="center" valign="middle">1.006</td>
<td align="center" valign="middle">0.066</td>
<td align="center" valign="middle">15.195</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="middle" rowspan="5">PU</td>
<td align="left" valign="middle">GZYYU1</td>
<td align="center" valign="middle">1</td>
<td/>
<td/>
<td/>
<td align="center" valign="middle" rowspan="5">0.877</td>
<td align="center" valign="middle" rowspan="5">0.587</td>
</tr>
<tr>
<td align="left" valign="middle">GZYYU2</td>
<td align="center" valign="middle">0.894</td>
<td align="center" valign="middle">0.052</td>
<td align="center" valign="middle">17.126</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle">GZYYU3</td>
<td align="center" valign="middle">0.968</td>
<td align="center" valign="middle">0.053</td>
<td align="center" valign="middle">18.382</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle">GZYYU4</td>
<td align="center" valign="middle">0.861</td>
<td align="center" valign="middle">0.052</td>
<td align="center" valign="middle">16.543</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle">GZYYU5</td>
<td align="center" valign="middle">0.957</td>
<td align="center" valign="middle">0.053</td>
<td align="center" valign="middle">18.128</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="5">PEU</td>
<td align="left" valign="middle">GZYYX1</td>
<td align="center" valign="middle">1</td>
<td/>
<td/>
<td/>
<td align="center" valign="middle" rowspan="5">0.831</td>
<td align="center" valign="middle" rowspan="5">0.496</td>
</tr>
<tr>
<td align="left" valign="middle">GZYYX2</td>
<td align="center" valign="middle">0.912</td>
<td align="center" valign="middle">0.068</td>
<td align="center" valign="middle">13.41</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle">GZYYX3</td>
<td align="center" valign="middle">1.069</td>
<td align="center" valign="middle">0.075</td>
<td align="center" valign="middle">14.257</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle">GZYYX4</td>
<td align="center" valign="middle">0.958</td>
<td align="center" valign="middle">0.07</td>
<td align="center" valign="middle">13.604</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle">GZYYX5</td>
<td align="center" valign="middle">0.966</td>
<td align="center" valign="middle">0.071</td>
<td align="center" valign="middle">13.626</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="3">PTA</td>
<td align="left" valign="middle">QTYL1</td>
<td align="center" valign="middle">1</td>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="middle">QTYL2</td>
<td align="center" valign="middle">0.954</td>
<td align="center" valign="middle">0.07</td>
<td align="center" valign="middle">13.679</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="center" valign="middle">0.779</td>
<td align="center" valign="middle">0.541</td>
</tr>
<tr>
<td align="left" valign="middle">QTYL3</td>
<td align="center" valign="middle">0.906</td>
<td align="center" valign="middle">0.07</td>
<td align="center" valign="middle">12.913</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="middle" rowspan="4">WU</td>
<td align="left" valign="middle">SYYY1</td>
<td align="center" valign="middle">1</td>
<td/>
<td/>
<td/>
<td align="center" valign="middle" rowspan="4">0.832</td>
<td align="center" valign="middle" rowspan="4">0.554</td>
</tr>
<tr>
<td align="left" valign="middle">SYYY2</td>
<td align="center" valign="middle">1.094</td>
<td align="center" valign="middle">0.067</td>
<td align="center" valign="middle">16.414</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle">SYYY3</td>
<td align="center" valign="middle">0.947</td>
<td align="center" valign="middle">0.065</td>
<td align="center" valign="middle">14.604</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle">SYYY4</td>
<td align="center" valign="middle">1.018</td>
<td align="center" valign="middle">0.068</td>
<td align="center" valign="middle">15.014</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="5">UB</td>
<td align="left" valign="middle">SYXW1</td>
<td align="center" valign="middle">1</td>
<td/>
<td/>
<td/>
<td align="center" valign="middle" rowspan="5">0.866</td>
<td align="center" valign="middle" rowspan="5">0.564</td>
</tr>
<tr>
<td align="left" valign="middle">SYXW2</td>
<td align="center" valign="middle">0.873</td>
<td align="center" valign="middle">0.054</td>
<td align="center" valign="middle">16.165</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle">SYXW3</td>
<td align="center" valign="middle">0.917</td>
<td align="center" valign="middle">0.057</td>
<td align="center" valign="middle">16.225</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle">SYXW4</td>
<td align="center" valign="middle">0.919</td>
<td align="center" valign="middle">0.056</td>
<td align="center" valign="middle">16.347</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="left" valign="middle">SYXW5</td>
<td align="center" valign="middle">0.973</td>
<td align="center" valign="middle">0.057</td>
<td align="center" valign="middle">17.03</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>In addition, discriminant validity is assessed by the square root of the AVE and the cross-loading matrix. The square root of the AVE of a construct should be greater than its correlation with other constructs in order to achieve satisfactory discriminant validity (<xref ref-type="bibr" rid="ref29">Mustafa et al., 2020</xref>). Diagonal elements must be greater than the entries in the corresponding columns and rows for discriminant validity to be satisfied. The results shown in <xref ref-type="table" rid="tab5">Table 5</xref> indicate that all the constructs in this study confirm the discriminant validity of the data.</p>
<table-wrap position="float" id="tab5">
<label>Table 5</label>
<caption>
<p>Correlation matrix and square root of the AVE.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th align="center" valign="top">AVE</th>
<th align="center" valign="top">FC</th>
<th align="center" valign="top">SI</th>
<th align="center" valign="top">TeC</th>
<th align="center" valign="top">TaC</th>
<th align="center" valign="top">PTA</th>
<th align="center" valign="top">PEU</th>
<th align="center" valign="top">PU</th>
<th align="center" valign="top">WU</th>
<th align="center" valign="top">UB</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">FC</td>
<td align="center" valign="middle">0.561</td>
<td align="center" valign="middle"><bold>0.749</bold></td>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="middle">SI</td>
<td align="center" valign="middle">0.569</td>
<td align="center" valign="middle">0.606</td>
<td align="center" valign="middle"><bold>0.754</bold></td>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="middle">TeC</td>
<td align="center" valign="middle">0.602</td>
<td align="center" valign="middle">&#x2212;0.160</td>
<td align="center" valign="middle">&#x2212;0.161</td>
<td align="center" valign="middle"><bold>0.776</bold></td>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="middle">TaC</td>
<td align="center" valign="middle">0.550</td>
<td align="center" valign="middle">0.565</td>
<td align="center" valign="middle">0.459</td>
<td align="center" valign="middle">&#x2212;0.106</td>
<td align="center" valign="middle"><bold>0.742</bold></td>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="middle">PTA</td>
<td align="center" valign="middle">0.541</td>
<td align="center" valign="middle">0.326</td>
<td align="center" valign="middle">0.538</td>
<td align="center" valign="middle">&#x2212;0.087</td>
<td align="center" valign="middle">0.247</td>
<td align="center" valign="middle"><bold>0.736</bold></td>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="middle">PEU</td>
<td align="center" valign="middle">0.496</td>
<td align="center" valign="middle">0.610</td>
<td align="center" valign="middle">0.427</td>
<td align="center" valign="middle">&#x2212;0.303</td>
<td align="center" valign="middle">0.607</td>
<td align="center" valign="middle">0.230</td>
<td align="center" valign="middle"><bold>0.704</bold></td>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="middle">PU</td>
<td align="center" valign="middle">0.587</td>
<td align="center" valign="middle">0.445</td>
<td align="center" valign="middle">0.587</td>
<td align="center" valign="middle">&#x2212;0.105</td>
<td align="center" valign="middle">0.514</td>
<td align="center" valign="middle">0.316</td>
<td align="center" valign="middle">0.378</td>
<td align="center" valign="middle"><bold>0.766</bold></td>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="middle">WU</td>
<td align="center" valign="middle">0.554</td>
<td align="center" valign="middle">0.464</td>
<td align="center" valign="middle">0.502</td>
<td align="center" valign="middle">&#x2212;0.172</td>
<td align="center" valign="middle">0.463</td>
<td align="center" valign="middle">0.469</td>
<td align="center" valign="middle">0.560</td>
<td align="center" valign="middle">0.557</td>
<td align="center" valign="middle"><bold>0.744</bold></td>
<td/>
</tr>
<tr>
<td align="left" valign="middle">UB</td>
<td align="center" valign="middle">0.564</td>
<td align="center" valign="middle">0.270</td>
<td align="center" valign="middle">0.292</td>
<td align="center" valign="middle">&#x2212;0.100</td>
<td align="center" valign="middle">0.270</td>
<td align="center" valign="middle">0.273</td>
<td align="center" valign="middle">0.326</td>
<td align="center" valign="middle">0.324</td>
<td align="center" valign="middle">0.582</td>
<td align="center" valign="middle"><bold>0.751</bold></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>Note: Bold diagonal values are the square root of AVE, showing reliability. Off-diagonal values are correlations; AVE values should exceed correlations for discriminant validity.</p>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="sec18">
<label>3.2</label>
<title>Hypothesis testing</title>
<p>To validate the hypotheses of this study, structural equation modeling (SEM) was conducted, and the standardized path coefficients between the structural variables were examined. Firstly, task characteristics had a significant positive effect on willingness to participate in digital backfeeding (<italic>&#x03B2;</italic> =&#x202F;0.466, se&#x202F;=&#x202F;0.041, <italic>p</italic> =&#x202F;0.000) and technology product usage behavior (B&#x202F;=&#x202F;0.257, se&#x202F;=&#x202F;0.057, <italic>p</italic> =&#x202F;0.000). This indicates that an increase in task characteristics can significantly enhance individuals&#x2019; willingness to participate in digital backfeeding and increase their use of technology products. Therefore, Hypothesis 1 is supported.</p>
<p>Next, technological characteristics had a significant negative effect on willingness to participate in digital backfeeding (B&#x202F;=&#x202F;&#x2212;0.140, se&#x202F;=&#x202F;0.073, <italic>p</italic> =&#x202F;0.000) and technology product usage behavior (B&#x202F;=&#x202F;&#x2212;0.058, se&#x202F;=&#x202F;0.042, <italic>p</italic> =&#x202F;0.000), thus supporting Hypothesis 2. Additionally, social influence had a significant positive effect on willingness to participate in digital backfeeding (B&#x202F;=&#x202F;0.334, se&#x202F;=&#x202F;0.066, <italic>p</italic> =&#x202F;0.000) and technology product usage behavior (B&#x202F;=&#x202F;0.238, se&#x202F;=&#x202F;0.050, <italic>p</italic> =&#x202F;0.000), and facilitating conditions had a significant positive effect on willingness to participate in digital backfeeding (B&#x202F;=&#x202F;0.488, se&#x202F;=&#x202F;0.064, <italic>p</italic> =&#x202F;0.000) and technology product usage behavior (B&#x202F;=&#x202F;0.231, se&#x202F;=&#x202F;0.063, <italic>p</italic> =&#x202F;0.000). Therefore, Hypotheses 3 and 4 are also supported (see <xref ref-type="table" rid="tab6">Table 6</xref>).</p>
<table-wrap position="float" id="tab6">
<label>Table 6</label>
<caption>
<p>Structural model.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Path</th>
<th align="center" valign="top"><italic>B</italic></th>
<th align="center" valign="top">S.E.</th>
<th align="center" valign="top">C.R.</th>
<th align="center" valign="top"><italic>p</italic></th>
<th align="left" valign="top">Comments</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">WU &#x003C;&#x2212;-- TaC</td>
<td align="center" valign="top">0.466</td>
<td align="center" valign="top">0.041</td>
<td align="center" valign="top">5.662</td>
<td align="center" valign="top">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="top">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">WU &#x003C;&#x2212;-- TeC</td>
<td align="center" valign="middle">&#x2212;0.140</td>
<td align="center" valign="middle">0.073</td>
<td align="center" valign="middle">&#x2212;4.574</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">WU &#x003C;&#x2212;-- SI</td>
<td align="center" valign="middle">0.334</td>
<td align="center" valign="middle">0.066</td>
<td align="center" valign="middle">9.075</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">WU &#x003C;&#x2212;-- FC</td>
<td align="center" valign="middle">0.488</td>
<td align="center" valign="middle">0.064</td>
<td align="center" valign="middle">5.79</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">UB &#x003C;&#x2212;-- TaC</td>
<td align="center" valign="middle">0.257</td>
<td align="center" valign="middle">0.057</td>
<td align="center" valign="middle">5.973</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">UB &#x003C;&#x2212;-- TeC</td>
<td align="center" valign="middle">&#x2212;0.058</td>
<td align="center" valign="middle">0.042</td>
<td align="center" valign="middle">&#x2212;4.857</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">UB &#x003C;&#x2212;-- SI</td>
<td align="center" valign="middle">0.238</td>
<td align="center" valign="middle">0.050</td>
<td align="center" valign="middle">5.731</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">UB &#x003C;&#x2212;-- FC</td>
<td align="center" valign="middle">0.231</td>
<td align="center" valign="middle">0.063</td>
<td align="center" valign="middle">8.324</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">PU &#x003C;&#x2212;-- TaC</td>
<td align="center" valign="middle">0.347</td>
<td align="center" valign="middle">0.061</td>
<td align="center" valign="middle">5.662</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">PEU &#x003C;&#x2212;-- TeC</td>
<td align="center" valign="middle">0.344</td>
<td align="center" valign="middle">0.056</td>
<td align="center" valign="middle">6.151</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">PTA &#x003C;&#x2212;-- SI</td>
<td align="center" valign="middle">0.538</td>
<td align="center" valign="middle">0.059</td>
<td align="center" valign="middle">9.075</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">PU &#x003C;&#x2212;-- SI</td>
<td align="center" valign="middle">0.439</td>
<td align="center" valign="middle">0.057</td>
<td align="center" valign="middle">7.723</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">PEU &#x003C;&#x2212;-- FC</td>
<td align="center" valign="middle">0.328</td>
<td align="center" valign="middle">0.057</td>
<td align="center" valign="middle">5.79</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">WU &#x003C;&#x2212;-- PU</td>
<td align="center" valign="middle">0.284</td>
<td align="center" valign="middle">0.044</td>
<td align="center" valign="middle">6.482</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">WU &#x003C;&#x2212;-- PEU</td>
<td align="center" valign="middle">0.399</td>
<td align="center" valign="middle">0.056</td>
<td align="center" valign="middle">7.112</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">WU &#x003C;&#x2212;-- PTA</td>
<td align="center" valign="middle">0.241</td>
<td align="center" valign="middle">0.043</td>
<td align="center" valign="middle">5.592</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
<tr>
<td align="left" valign="middle">UB &#x003C;&#x2212;-- WU</td>
<td align="center" valign="middle">0.611</td>
<td align="center" valign="middle">0.059</td>
<td align="center" valign="middle">10.414</td>
<td align="center" valign="middle">&#x002A;&#x002A;&#x002A;</td>
<td align="left" valign="middle">Supported</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>&#x002A;<italic>p</italic> &#x003C;&#x202F;0.05, &#x002A;&#x002A;<italic>p</italic> &#x003C;&#x202F;0.01, &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C;&#x202F;0.001.</p>
</table-wrap-foot>
</table-wrap>
<p>Additionally, to test Hypothesis 5, 6, 7, the SPSS Process macro Model 4 was used to analyze the mediating effects proposed in the hypotheses. The analysis results showed that perceived usefulness significantly mediated the effect of task characteristics (<italic>B</italic> =&#x202F;0.098, se&#x202F;=&#x202F;0.045, <italic>p</italic> =&#x202F;0.000), technological characteristics (<italic>B</italic> =&#x202F;0.137, se&#x202F;=&#x202F;0.057, <italic>p</italic> =&#x202F;0.000), and social influence (<italic>B</italic> =&#x202F;0.125, se&#x202F;=&#x202F;0.048, <italic>p</italic> =&#x202F;0.000) on the willingness of older adults to participate in digital backfeeding. Therefore, Hypotheses H5(a), H5(b), and H5(c) were all supported.</p>
<p>Secondly, perceived ease of use significantly mediated the effect of technological characteristics (<italic>B</italic> =&#x202F;&#x2013;0.074, se&#x202F;=&#x202F;0.027, <italic>p</italic> =&#x202F;0.000) and facilitating conditions (<italic>B</italic> =&#x202F;0.131, se&#x202F;=&#x202F;0.056, <italic>p</italic> =&#x202F;0.000) on the willingness of older adults to participate in digital backfeeding. Hence, Hypotheses H6(a) and H6(b) were supported.</p>
<p>Lastly, the mediating effect of perceived technological anxiety on the influence of community impact on the willingness of older adults to participate in digital backfeeding (<italic>B</italic> =&#x202F;0.129, se&#x202F;=&#x202F;0.050, <italic>p</italic> =&#x202F;0.000) was also significant. Therefore, Hypothesis 7 was supported (see <xref ref-type="table" rid="tab7">Table 7</xref>).</p>
<table-wrap position="float" id="tab7">
<label>Table 7</label>
<caption>
<p>Mediating effect.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Path</th>
<th align="center" valign="top"><italic>B</italic></th>
<th align="center" valign="top">SE</th>
<th align="center" valign="top">Lower</th>
<th align="center" valign="top">Upper</th>
<th align="center" valign="top"><italic>p</italic></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">ind1:TaC--PU--WU</td>
<td align="center" valign="middle">0.098</td>
<td align="center" valign="middle">0.045</td>
<td align="center" valign="middle">0.045</td>
<td align="center" valign="middle">0.203</td>
<td align="center" valign="middle">0.002</td>
</tr>
<tr>
<td align="left" valign="middle">Ind2:TeC--PU--WU</td>
<td align="center" valign="middle">0.137</td>
<td align="center" valign="middle">0.057</td>
<td align="center" valign="middle">0.069</td>
<td align="center" valign="middle">0.263</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle">Ind3:SI--PU--WU</td>
<td align="center" valign="middle">0.125</td>
<td align="center" valign="middle">0.048</td>
<td align="center" valign="middle">0.069</td>
<td align="center" valign="middle">0.231</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle">ind4:TeC--PEU--WU</td>
<td align="center" valign="middle">&#x2212;0.074</td>
<td align="center" valign="middle">0.027</td>
<td align="center" valign="middle">&#x2212;0.134</td>
<td align="center" valign="middle">&#x2212;0.04</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle">ind5:FC--PEU--WU</td>
<td align="center" valign="middle">0.131</td>
<td align="center" valign="middle">0.056</td>
<td align="center" valign="middle">0.065</td>
<td align="center" valign="middle">0.253</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle">ind6:SI--PTA--WU</td>
<td align="center" valign="middle">0.129</td>
<td align="center" valign="middle">0.050</td>
<td align="center" valign="middle">0.072</td>
<td align="center" valign="middle">0.237</td>
<td align="center" valign="middle">0.000</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Finally, to verify Hypothesis 8, this study utilized SPSS Process Macro Model 1 to examine the moderating role of digital skills (receptive vs. participatory skills). Firstly, when digital skills (receptive and participatory) were considered as moderating variables between perceived usefulness and willingness to use, the analysis results indicated that participatory skills exhibited a significant interaction effect (<italic>B</italic> =&#x202F;0.100, SE&#x202F;=&#x202F;0.030, <italic>p</italic> =&#x202F;0.001), whereas receptive skills did not show a significant moderating effect (<italic>B</italic> =&#x202F;0.031, SE&#x202F;=&#x202F;0.037, <italic>p</italic> =&#x202F;0.396). Secondly, when digital skills (receptive and participatory) were considered as moderating variables between perceived ease of use and willingness to use, both receptive skills (<italic>B</italic> =&#x202F;0.104, SE&#x202F;=&#x202F;0.043, <italic>p</italic> =&#x202F;0.015) and participatory skills (<italic>B</italic> =&#x202F;0.118, SE&#x202F;=&#x202F;0.031, <italic>p</italic> =&#x202F;0.000) showed significant interaction effects. Next, when digital skills (receptive and participatory) were considered as moderating variables between perceived technology anxiety and willingness to use, participatory skills exhibited a significant interaction effect (<italic>B</italic> =&#x202F;0.139, SE&#x202F;=&#x202F;0.032, <italic>p</italic> =&#x202F;0.000), while receptive skills did not show a significant moderating effect (<italic>B</italic> =&#x202F;0.001, SE&#x202F;=&#x202F;0.035, <italic>p</italic> =&#x202F;0.975).</p>
<p>Lastly, when digital skills (receptive and participatory) were considered as moderating variables between willingness to use and actual usage behavior, both receptive skills (<italic>B</italic> =&#x202F;0.106, SE&#x202F;=&#x202F;0.031, <italic>p</italic> =&#x202F;0.001) and participatory skills (<italic>B</italic> =&#x202F;0.192, SE&#x202F;=&#x202F;0.031, <italic>p</italic> =&#x202F;0.000) demonstrated significant interaction effects. Therefore, Hypothesis 8 was partially supported (see <xref ref-type="table" rid="tab8">Table 8</xref>).</p>
<table-wrap position="float" id="tab8">
<label>Table 8</label>
<caption>
<p>Moderating effect.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th align="center" valign="top">coeff</th>
<th align="center" valign="top">se</th>
<th align="center" valign="top"><italic>t</italic></th>
<th align="center" valign="top"><italic>p</italic></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">PU</td>
<td align="center" valign="middle">0.336</td>
<td align="center" valign="middle">0.040</td>
<td align="center" valign="middle">8.351</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle">RS</td>
<td align="center" valign="middle">0.222</td>
<td align="center" valign="middle">0.036</td>
<td align="center" valign="middle">6.228</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle">PU&#x002A;RS</td>
<td align="center" valign="middle">0.031</td>
<td align="center" valign="middle">0.037</td>
<td align="center" valign="middle">0.850</td>
<td align="center" valign="middle">0.396</td>
</tr>
<tr>
<td align="left" valign="middle">PS</td>
<td align="center" valign="middle">0.351</td>
<td align="center" valign="middle">0.038</td>
<td align="center" valign="middle">9.132</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle">PU&#x002A;PS</td>
<td align="center" valign="middle">0.100</td>
<td align="center" valign="middle">0.030</td>
<td align="center" valign="middle">3.320</td>
<td align="center" valign="middle">0.001</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>R<sup>2</sup></italic></td>
<td align="center" valign="middle" colspan="4">0.438</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>F</italic></td>
<td align="center" valign="middle" colspan="4">74.175</td>
</tr>
<tr>
<td align="left" valign="middle">PEU</td>
<td align="center" valign="middle">0.417</td>
<td align="center" valign="middle">0.048</td>
<td align="center" valign="middle">8.622</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle">RS</td>
<td align="center" valign="middle">0.214</td>
<td align="center" valign="middle">0.036</td>
<td align="center" valign="middle">6.027</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle">PEU&#x002A;RS</td>
<td align="center" valign="middle">0.104</td>
<td align="center" valign="middle">0.043</td>
<td align="center" valign="middle">2.442</td>
<td align="center" valign="middle">0.015</td>
</tr>
<tr>
<td align="left" valign="middle">PS</td>
<td align="center" valign="middle">0.359</td>
<td align="center" valign="middle">0.037</td>
<td align="center" valign="middle">9.805</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle">PEU&#x002A;PS</td>
<td align="center" valign="middle">0.118</td>
<td align="center" valign="middle">0.031</td>
<td align="center" valign="middle">3.842</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>R<sup>2</sup></italic></td>
<td align="center" valign="middle" colspan="4">0.446</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>F</italic></td>
<td align="center" valign="middle" colspan="4">76.623</td>
</tr>
<tr>
<td align="left" valign="middle">PTA</td>
<td align="center" valign="middle">0.273</td>
<td align="center" valign="middle">0.037</td>
<td align="center" valign="middle">7.315</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle">RS</td>
<td align="center" valign="middle">0.221</td>
<td align="center" valign="middle">0.036</td>
<td align="center" valign="middle">6.048</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle">PTA&#x002A;RS</td>
<td align="center" valign="middle">0.001</td>
<td align="center" valign="middle">0.035</td>
<td align="center" valign="middle">0.031</td>
<td align="center" valign="middle">0.975</td>
</tr>
<tr>
<td align="left" valign="middle">PS</td>
<td align="center" valign="middle">0.384</td>
<td align="center" valign="middle">0.039</td>
<td align="center" valign="middle">9.790</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle">PTA&#x002A;PS</td>
<td align="center" valign="middle">0.139</td>
<td align="center" valign="middle">0.032</td>
<td align="center" valign="middle">4.402</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>R<sup>2</sup></italic></td>
<td align="center" valign="middle" colspan="4">0.432</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>F</italic></td>
<td align="center" valign="middle" colspan="4">72.392</td>
</tr>
<tr>
<td align="left" valign="middle">WU</td>
<td align="center" valign="middle">0.422</td>
<td align="center" valign="middle">0.044</td>
<td align="center" valign="middle">9.567</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle">RS</td>
<td align="center" valign="middle">0.092</td>
<td align="center" valign="middle">0.040</td>
<td align="center" valign="middle">2.296</td>
<td align="center" valign="middle">0.022</td>
</tr>
<tr>
<td align="left" valign="middle">WU&#x002A;RS</td>
<td align="center" valign="middle">0.106</td>
<td align="center" valign="middle">0.031</td>
<td align="center" valign="middle">3.431</td>
<td align="center" valign="middle">0.001</td>
</tr>
<tr>
<td align="left" valign="middle">PS</td>
<td align="center" valign="middle">0.232</td>
<td align="center" valign="middle">0.044</td>
<td align="center" valign="middle">5.274</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle">WU&#x002A;PS</td>
<td align="center" valign="middle">0.192</td>
<td align="center" valign="middle">0.031</td>
<td align="center" valign="middle">6.269</td>
<td align="center" valign="middle">0.000</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>R<sup>2</sup></italic></td>
<td align="center" valign="middle" colspan="4">0.320</td>
</tr>
<tr>
<td align="left" valign="middle"><italic>F</italic></td>
<td align="center" valign="middle" colspan="4">44.726</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
<sec sec-type="discussion" id="sec19">
<label>4</label>
<title>Discussion</title>
<sec id="sec20">
<label>4.1</label>
<title>General discussion</title>
<p>This study, set in elderly communities, employs an integrated model combining the Unified Theory of Acceptance and Use of Technology (UTAUT), Task-Technology Fit (TTF), and Technology Acceptance Model (TAM) to explore how community education influences elderly individuals&#x2019; willingness to engage in digital backfeeding and their actual use of technological products. The findings reveal several noteworthy insights that align with or diverge from existing literature and offer novel contributions to the field.</p>
<p>First, the positive impact of task characteristics on willingness underscores the practical value of technology in managing daily tasks. This finding is consistent with prior research demonstrating the importance of perceived task-technology alignment in influencing adoption behaviors (<xref ref-type="bibr" rid="ref14">Goodhue and Thompson, 1995</xref>; <xref ref-type="bibr" rid="ref49">Wu and Chen, 2017</xref>). However, this study extends the understanding by highlighting the mediating role of perceived usefulness, showing that when older adults perceive technology as practically beneficial, they are more likely to engage with it through structured support provided in community education settings.</p>
<p>Second, the negative effect of technological characteristics on willingness highlights the persistent challenges older adults face in adopting complex digital systems. This result aligns with studies identifying technological complexity as a barrier to adoption (<xref ref-type="bibr" rid="ref10">Damant et al., 2017</xref>; <xref ref-type="bibr" rid="ref15">Guner and Acarturk, 2020</xref>). However, this study advances the literature by demonstrating that perceived ease of use mediates this relationship, suggesting that efforts to simplify technology interfaces, combined with training within community education, can alleviate perceived difficulties and enhance willingness to engage.</p>
<p>Third, the study identifies mediating roles for perceived usefulness, ease of use, and technological anxiety. These findings reaffirm the central tenets of TAM (<xref ref-type="bibr" rid="ref11">Davis, 1989</xref>) while extending them to the specific context of community education. For example, while moderate technological anxiety has been linked to motivation in prior research (<xref ref-type="bibr" rid="ref24">Lee et al., 2021</xref>), this study provides new evidence that tailored support in community education can transform anxiety into a facilitator for engagement, emphasizing the importance of emotional support in technology adoption.</p>
<p>Finally, the moderating role of digital skills provides a distinctive contribution by differentiating between receptive and participatory skills. Previous research has primarily focused on general digital literacy (<xref ref-type="bibr" rid="ref19">Helsper and Eynon, 2013</xref>), but this study shows that participatory skills exert a stronger influence on willingness and actual behavior. This highlights the importance of fostering participatory skills in community education programs to empower older adults to actively engage with technology, providing a novel perspective on digital inclusion strategies.</p>
</sec>
<sec id="sec21">
<label>4.2</label>
<title>Implications</title>
<sec id="sec22">
<label>4.2.1</label>
<title>Theoretical implications</title>
<p>This study makes significant theoretical contributions by advancing the understanding of digital backfeeding within the elderly population. By integrating UTAUT, TTF, and TAM into a unified framework, it not only validates existing constructs but also extends them to a novel context. Unlike previous studies that focus on younger or general populations (<xref ref-type="bibr" rid="ref44">Venkatesh et al., 2003</xref>; <xref ref-type="bibr" rid="ref47">Wang et al., 2020</xref>), this research uniquely applies these models to explore the intersection of aging, technology adoption, and community education.</p>
<p>The concept of &#x201C;digital backfeeding,&#x201D; emphasized in this study, enriches the literature by conceptualizing it as both an intergenerational learning process and a pathway to digital inclusion. This builds on the work of <xref ref-type="bibr" rid="ref10">Damant et al. (2017)</xref>, who highlighted the importance of intergenerational interactions, and extends it by providing a systematic analysis of how community education structures influence this process. Furthermore, by focusing on culturally localized settings, the study contributes to understanding how community-driven approaches can address challenges specific to older adults, complementing studies that prioritize individualistic learning frameworks (<xref ref-type="bibr" rid="ref8">Chen and Chan, 2014</xref>).</p>
<p>Additionally, the differentiation between receptive and participatory digital skills introduces a novel theoretical perspective. Previous research often treats digital literacy as a homogeneous construct (<xref ref-type="bibr" rid="ref40">van Deursen et al., 2014</xref>), while this study demonstrates that participatory skills have a disproportionately greater influence on technology acceptance and usage behaviors. This insight opens new avenues for future research to explore skill-specific interventions, particularly those aimed at empowering older adults to actively use technology.</p>
<p>Finally, this study bridges theoretical models with practical implications for age-friendly design. While earlier studies advocate for simplifying user interfaces (<xref ref-type="bibr" rid="ref4">Barnard et al., 2013</xref>), this research empirically links these design elements to enhanced engagement and reduced anxiety, mediated through community education. By integrating theoretical insights with actionable recommendations, this study provides a robust foundation for advancing gerontechnology and promoting digital inclusion for aging populations.</p>
</sec>
<sec id="sec23">
<label>4.2.2</label>
<title>Practical implications</title>
<p>At the practical level, the findings of this study offer significant guidance for advancing age-friendly design and promoting digital inclusion among older adults. The positive impact of task characteristics on digital technology adoption underscores the necessity of embedding practical, task-oriented applications into digital education programs for older adults. Addressing specific needs, such as combating loneliness or managing health, through AI-powered voice assistants and smart devices can provide tangible benefits, enhancing perceived usefulness and motivating sustained engagement. For instance, AI systems designed to facilitate meaningful interactions or provide real-time health monitoring not only address practical concerns but also foster emotional connection and trust in technology (<xref ref-type="bibr" rid="ref12">Dikken et al., 2020</xref>; <xref ref-type="bibr" rid="ref17">Handler, 2018</xref>).</p>
<p>This study further highlights the negative influence of technological complexity, emphasizing the critical role of usability in technology design. Simplifying user interfaces is imperative; features such as larger, high-contrast buttons, voice navigation, and intuitive workflows can significantly reduce cognitive barriers for older adults. These design considerations should align with principles of universal design, ensuring that technological products accommodate the sensory and motor limitations commonly experienced in aging populations. Integrating step-by-step visual prompts and adaptive interfaces that adjust to individual user capabilities can further enhance accessibility and engagement.</p>
<p>The findings also underscore the importance of social influence and facilitating conditions in fostering digital participation. Community-driven support structures, such as age-friendly technology centers and specialized training programs, serve as vital enablers, equipping older adults with the resources and confidence to adopt new technologies (<xref ref-type="bibr" rid="ref38">Sun et al., 2022</xref>). Beyond formal training, community-based initiatives&#x2014;such as mutual assistance programs&#x2014;can facilitate intergenerational collaboration, leveraging the technical proficiency of younger individuals to assist older adults in navigating digital environments. These initiatives not only bridge the digital divide but also strengthen intergenerational bonds, fostering a more inclusive technological ecosystem.</p>
<p>Finally, the moderating effect of participatory digital skills reveals a critical avenue for intervention. Older adults with stronger participatory skills exhibit higher levels of willingness and engagement, indicating the need for educational programs that go beyond basic digital literacy. Intergenerational activities, such as co-designed digital backfeeding games, can serve as an innovative tool to foster participatory competencies while enhancing social interaction. Game designs should be informed by gerontological principles, incorporating features such as adjustable difficulty levels, culturally relevant content, and cooperative gameplay modes to ensure sustained motivation and enjoyment (<xref ref-type="bibr" rid="ref26">Loos et al., 2019</xref>). Such interventions not only promote active technology use but also position older adults as contributors to digital ecosystems, transforming their role from passive recipients to active participants (<xref ref-type="bibr" rid="ref52">Zhang et al., 2024</xref>).</p>
</sec>
</sec>
<sec id="sec24">
<label>4.3</label>
<title>Limitations and future directions</title>
<p>While this study provides valuable insights into the digital engagement of older adults in a specific community, its geographical limitation significantly affects the generalizability of the findings. The sample was drawn from two communities in Taiyuan, Shanxi Province, China, which may not fully represent the diverse socio-economic, cultural, and regional backgrounds of the broader elderly population across China. As a result, the findings may be particularly relevant to similar communities in the region but may not apply to other areas with distinct cultural or economic conditions.</p>
<p>The specific characteristics of this community&#x2014;such as access to technology, levels of education, and social support structures&#x2014;could influence how older adults interact with digital tools. Therefore, the results may be skewed by regional factors that do not necessarily reflect the experiences of older adults in urban or rural areas outside of Shanxi, or in different cultural settings. For instance, elderly individuals in more urbanized regions may have greater access to technology and higher digital literacy, potentially leading to more positive attitudes toward technology adoption compared to those in less developed or rural areas.</p>
<p>Additionally, the study did not consider the experiences of illiterate participants, who may encounter unique barriers to digital engagement due to their inability to read or write. Their reliance on external assistance may have introduced variability in the responses, as comprehension and interpretation could differ based on the helper&#x2019;s input. Illiteracy can significantly hinder individuals&#x2019; ability to navigate digital tools and understand written instructions, potentially resulting in an underrepresentation of their challenges and perspectives in the findings.</p>
<p>To address these limitations, future research should strive to expand the sample to include elderly individuals from a broader range of geographical regions, socio-economic backgrounds, cultural contexts, and literacy levels. This would help ensure the findings are more representative and uncover potential differences in digital technology adoption among older adults from diverse settings. Additionally, future studies should examine how cultural factors, societal norms, and literacy challenges influence the willingness and ability of elderly individuals to engage in digital activities. Special attention should also be given to the inclusion of illiterate participants and the &#x201C;super-aged&#x201D; elderly population, as their unique barriers and needs in adopting digital technologies remain underexplored. Such efforts could provide a more comprehensive understanding of the challenges and opportunities for achieving digital inclusion across diverse elderly populations.</p>
</sec>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec25">
<title>Data availability statement</title>
<p>The dataset supporting the conclusions of this article is available in the figshare repository: Sun, Sijie (2025). Question - Unlocking Engagement: Exploring the Drivers of Elderly Participation in Digital Backfeeding through Community Education. figshare. Dataset. <ext-link xlink:href="https://doi.org/10.6084/m9.figshare.28295246.v2" ext-link-type="uri">https://doi.org/10.6084/m9.figshare.28295246.v2</ext-link>.</p>
</sec>
<sec sec-type="ethics-statement" id="sec26">
<title>Ethics statement</title>
<p>The studies involving humans were approved by Research Ethics Committee (CERec) of the Autonomous University of Barcelona (CER/IT/0001-01-EN). The studies were conducted in accordance with the local legislation and institutional requirements. Written informed consent for participation in this study was provided by the participants&#x2019; legal guardians/next of kin.</p>
</sec>
<sec sec-type="author-contributions" id="sec27">
<title>Author contributions</title>
<p>SS: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing.</p>
</sec>
<sec sec-type="funding-information" id="sec28">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This research was funded by the China Scholarship Council (File No. 202208390037).</p>
</sec>
<ack>
<p>I sincerely thank Elena Bartomeu Maga&#x00F1;a, and PhD Candidates Haoran Li and Ruijie Zhang for their guidance and support during the data analysis process. Their insights and resources were invaluable in helping me face this challenge and ultimately complete the work independently. I would also like to thank all participants for their support.</p>
</ack>
<sec sec-type="COI-statement" id="sec29">
<title>Conflict of interest</title>
<p>The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="sec30">
<title>Generative AI statement</title>
<p>The authors declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec sec-type="disclaimer" id="sec31">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="ref1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Abdekhoda</surname> <given-names>M.</given-names></name> <name><surname>Dehnad</surname> <given-names>A.</given-names></name> <name><surname>Zarei</surname> <given-names>J.</given-names></name></person-group> (<year>2022</year>). <article-title>Factors influencing adoption of e-learning in healthcare: integration of UTAUT and TTF model</article-title>. <source>BMC Med. Inform. Decis. Mak.</source> <volume>22</volume>:<fpage>327</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12911-022-02060-9</pub-id>, PMID: <pub-id pub-id-type="pmid">36494800</pub-id></citation></ref>
<ref id="ref9002"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Abd Ghani</surname> <given-names>M.</given-names></name> <name><surname>Rahi</surname> <given-names>S.</given-names></name> <name><surname>Yasin</surname> <given-names>N. M.</given-names></name> <name><surname>Alnaser</surname> <given-names>F. M.</given-names></name></person-group> (<year>2017</year>). <article-title>Adoption of internet banking: extending the role of technology acceptance model (TAM) with e-customer service and customer satisfaction</article-title>. <source>World Appl. Sci. J.</source> <volume>35</volume>, <fpage>1918</fpage>&#x2013;<lpage>1929</lpage>.</citation></ref>
<ref id="ref2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Abdullah</surname> <given-names>F.</given-names></name> <name><surname>Ward</surname> <given-names>R.</given-names></name> <name><surname>Ahmed</surname> <given-names>E.</given-names></name></person-group> (<year>2016</year>). <article-title>Investigating the influence of the most commonly used external variables of TAM on students' perceived ease of use (PEOU) and perceived usefulness (PU) of e-portfolios</article-title>. <source>Comput. Hum. Behav.</source> <volume>63</volume>, <fpage>75</fpage>&#x2013;<lpage>90</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.chb.2016.05.014</pub-id></citation></ref>
<ref id="ref3"><citation citation-type="book"><person-group person-group-type="author"><name><surname>Asch</surname> <given-names>S. E.</given-names></name></person-group> (<year>2016</year>). &#x201C;<article-title>Effects of group pressure upon the modification and distortion of judgments</article-title>,&#x201D; in <source>Organizational influence processes</source>. <publisher-name>Routledge</publisher-name>, <fpage>295</fpage>&#x2013;<lpage>303</lpage>.</citation></ref>
<ref id="ref9003"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bailey</surname> <given-names>A.</given-names></name> <name><surname>Ngwenyama</surname> <given-names>O.</given-names></name></person-group> (<year>2010</year>). <article-title>Bridging the generation gap in ICT use: Interrogating identity, technology and interactions in community telecenters</article-title>. <source>Inf. Technol. Dev.</source> <volume>16</volume>, <fpage>62</fpage>&#x2013;<lpage>82</lpage>.</citation></ref>
<ref id="ref4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Barnard</surname> <given-names>Y.</given-names></name> <name><surname>Bradley</surname> <given-names>M. D.</given-names></name> <name><surname>Hodgson</surname> <given-names>F.</given-names></name> <name><surname>Lloyd</surname> <given-names>A. D.</given-names></name></person-group> (<year>2013</year>). <article-title>Learning to use new technologies by older adults: perceived difficulties, experimentation behaviour and usability</article-title>. <source>Comput. Hum. Behav.</source> <volume>29</volume>, <fpage>1715</fpage>&#x2013;<lpage>1724</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.chb.2013.02.006</pub-id></citation></ref>
<ref id="ref5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bartomeu</surname> <given-names>E.</given-names></name> <name><surname>Ventura</surname> <given-names>O.</given-names></name></person-group> (<year>2021</year>). <article-title>Participatory practices for co-designing a multipurpose family space in a children's hospital</article-title>. <source>Des. Health</source> <volume>5</volume>, <fpage>26</fpage>&#x2013;<lpage>38</lpage>. doi: <pub-id pub-id-type="doi">10.1080/24735132.2021.1908654</pub-id></citation></ref>
<ref id="ref6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Campens</surname> <given-names>J.</given-names></name> <name><surname>Vercruyssen</surname> <given-names>A.</given-names></name> <name><surname>De Keyzer</surname> <given-names>W.</given-names></name> <name><surname>De Witte</surname> <given-names>N.</given-names></name></person-group> (<year>2024</year>). <article-title>Using two-step cluster analysis and latent class analysis to construct a typology of internet users among community-dwelling older people</article-title>. <source>J. Gerontol. Soc. Work.</source> <volume>67</volume>, <fpage>803</fpage>&#x2013;<lpage>824</lpage>. doi: <pub-id pub-id-type="doi">10.1080/01634372.2024.2346661</pub-id>, PMID: <pub-id pub-id-type="pmid">38671575</pub-id></citation></ref>
<ref id="ref7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Carroll</surname> <given-names>S.</given-names></name> <name><surname>Jespersen</surname> <given-names>A. P.</given-names></name> <name><surname>Troelsen</surname> <given-names>J.</given-names></name></person-group> (<year>2020</year>). <article-title>Going along with older people: exploring age-friendly neighbourhood design through their lens</article-title>. <source>J. Housing Built Environ.</source> <volume>35</volume>, <fpage>555</fpage>&#x2013;<lpage>572</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s10901-019-09700-z</pub-id></citation></ref>
<ref id="ref8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname> <given-names>K.</given-names></name> <name><surname>Chan</surname> <given-names>A. H. S.</given-names></name></person-group> (<year>2014</year>). <article-title>Gerontechnology acceptance by elderly Hong Kong Chinese: a senior technology acceptance model (STAM)</article-title>. <source>Ergonomics</source> <volume>57</volume>, <fpage>635</fpage>&#x2013;<lpage>652</lpage>. doi: <pub-id pub-id-type="doi">10.1080/00140139.2014.895855</pub-id>, PMID: <pub-id pub-id-type="pmid">24655221</pub-id></citation></ref>
<ref id="ref9006"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname> <given-names>L.</given-names></name> <name><surname>Jia</surname> <given-names>J.</given-names></name> <name><surname>Wu</surname> <given-names>C.</given-names></name></person-group> (<year>2023</year>). <article-title>Factors influencing the behavioral intention to use contactless financial services in the banking industry: An application and extension of UTAUT model</article-title>. <source>Front. Psychol.</source> <volume>14</volume>:<fpage>1096709</fpage>.</citation></ref>
<ref id="ref9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Choudhury</surname> <given-names>A.</given-names></name> <name><surname>Asan</surname> <given-names>O.</given-names></name> <name><surname>Medow</surname> <given-names>J. E.</given-names></name></person-group> (<year>2022</year>). <article-title>Effect of risk, expectancy, and trust on clinicians&#x2019; intent to use an artificial intelligence system -- blood utilization calculator</article-title>. <source>Appl. Ergon.</source> <volume>101</volume>:<fpage>103708</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.apergo.2022.103708</pub-id>, PMID: <pub-id pub-id-type="pmid">35149301</pub-id></citation></ref>
<ref id="ref10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Damant</surname> <given-names>J.</given-names></name> <name><surname>Knapp</surname> <given-names>M.</given-names></name> <name><surname>Freddolino</surname> <given-names>P.</given-names></name> <name><surname>Lombard</surname> <given-names>D.</given-names></name></person-group> (<year>2017</year>). <article-title>Effects of digital engagement on the quality of life of older people</article-title>. <source>Health Soc. Care Community</source> <volume>25</volume>, <fpage>1679</fpage>&#x2013;<lpage>1703</lpage>. doi: <pub-id pub-id-type="doi">10.1111/hsc.12335</pub-id>, PMID: <pub-id pub-id-type="pmid">26919220</pub-id></citation></ref>
<ref id="ref11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Davis</surname> <given-names>F. D.</given-names></name></person-group> (<year>1989</year>). <article-title>Perceived usefulness, perceived ease of use, and user acceptance of information technology</article-title>. <source>MIS Q.</source> <volume>13</volume>, <fpage>319</fpage>&#x2013;<lpage>340</lpage>. doi: <pub-id pub-id-type="doi">10.2307/249008</pub-id></citation></ref>
<ref id="ref12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dikken</surname> <given-names>J.</given-names></name> <name><surname>van den Hoven</surname> <given-names>R. F.</given-names></name> <name><surname>van Staalduinen</surname> <given-names>W. H.</given-names></name> <name><surname>Hulsebosch-Janssen</surname> <given-names>L. M.</given-names></name> <name><surname>Van Hoof</surname> <given-names>J.</given-names></name></person-group> (<year>2020</year>). <article-title>How older people experience the age-friendliness of their city: development of the age-friendly cities and communities questionnaire</article-title>. <source>Int. J. Environ. Res. Public Health</source> <volume>17</volume>:<fpage>6867</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijerph17186867</pub-id>, PMID: <pub-id pub-id-type="pmid">32962226</pub-id></citation></ref>
<ref id="ref9001"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Emmert-Streib</surname> <given-names>F.</given-names></name></person-group> (<year>2021</year>). <article-title>From the digital data revolution toward a digital society: Pervasiveness of artificial intelligence</article-title>. <source>Mach. Learn. Knowl. Extr.</source> <volume>3</volume>, <fpage>284</fpage>&#x2013;<lpage>298</lpage>.</citation></ref>
<ref id="ref13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Garbrah</surname> <given-names>W.</given-names></name> <name><surname>Kankkunen</surname> <given-names>P.</given-names></name> <name><surname>V&#x00E4;lim&#x00E4;ki</surname> <given-names>T.</given-names></name></person-group> (<year>2020</year>). <article-title>Gerontological nurse teachers' abilities and influence on students' willingness in older people nursing: a cross-sectional, correlational survey</article-title>. <source>Nurse Educ. Today</source> <volume>90</volume>:<fpage>104461</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.nedt.2020.104461</pub-id>, PMID: <pub-id pub-id-type="pmid">32408244</pub-id></citation></ref>
<ref id="ref14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Goodhue</surname> <given-names>D. L.</given-names></name> <name><surname>Thompson</surname> <given-names>R. L.</given-names></name></person-group> (<year>1995</year>). <article-title>Task-technology fit and individual performance</article-title>. <source>MIS Q.</source> <volume>19</volume>, <fpage>213</fpage>&#x2013;<lpage>236</lpage>. doi: <pub-id pub-id-type="doi">10.2307/249689</pub-id></citation></ref>
<ref id="ref15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Guner</surname> <given-names>H.</given-names></name> <name><surname>Acarturk</surname> <given-names>C.</given-names></name></person-group> (<year>2020</year>). <article-title>The use and acceptance of ICT by senior citizens: a comparison of technology acceptance model (TAM) for elderly and young adults</article-title>. <source>Univ. Access Inf. Soc.</source> <volume>19</volume>, <fpage>311</fpage>&#x2013;<lpage>330</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s10209-018-0642-4</pub-id></citation></ref>
<ref id="ref16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hair</surname> <given-names>J. F.</given-names></name> <name><surname>Ringle</surname> <given-names>C. M.</given-names></name> <name><surname>Sarstedt</surname> <given-names>M.</given-names></name></person-group> (<year>2011</year>). <article-title>PLS-SEM: indeed a silver bullet</article-title>. <source>J. Mark. Theory Pract.</source> <volume>19</volume>, <fpage>139</fpage>&#x2013;<lpage>152</lpage>. doi: <pub-id pub-id-type="doi">10.2753/MTP1069-6679190202</pub-id></citation></ref>
<ref id="ref17"><citation citation-type="book"><person-group person-group-type="author"><name><surname>Handler</surname> <given-names>S.</given-names></name></person-group> (<year>2018</year>). <article-title>Centre and periphery: How to understand a network.</article-title> <source>Current perspectives on communication and media research</source>, <fpage>247</fpage>.</citation></ref>
<ref id="ref18"><citation citation-type="book"><person-group person-group-type="author"><name><surname>Harfitt</surname> <given-names>G.</given-names></name></person-group> (<year>2018</year>). &#x201C;<article-title>The role of the community in teacher preparation: exploring a different pathway to becoming a teacher</article-title>,&#x201D; in <source>Frontiers in education</source>. <publisher-name>Frontiers Media SA</publisher-name>, <volume>3</volume>:<fpage>64</fpage>.</citation></ref>
<ref id="ref19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Helsper</surname> <given-names>E. J.</given-names></name> <name><surname>Eynon</surname> <given-names>R.</given-names></name></person-group> (<year>2013</year>). <article-title>Distinct skill pathways to digital engagement</article-title>. <source>Eur. J. Commun.</source> <volume>28</volume>, <fpage>696</fpage>&#x2013;<lpage>713</lpage>. doi: <pub-id pub-id-type="doi">10.1177/0267323113499113</pub-id></citation></ref>
<ref id="ref9004"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hodge</surname> <given-names>C. J.</given-names></name> <name><surname>Duerden</surname> <given-names>M. D.</given-names></name> <name><surname>Layland</surname> <given-names>E. K.</given-names></name> <name><surname>Lacanienta</surname> <given-names>A.</given-names></name> <name><surname>Goates</surname> <given-names>M. C.</given-names></name> <name><surname>Niu</surname> <given-names>X. M.</given-names></name></person-group> (<year>2017</year>). <article-title>The association between family leisure and family quality of life: A meta&#x2010;analysis of data from parents and adolescents</article-title>. <source>J. Fam. Theory Rev.</source> <volume>9</volume>, <fpage>328</fpage>&#x2013;<lpage>346</lpage>.</citation></ref>
<ref id="ref20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hsu</surname> <given-names>C. W.</given-names></name> <name><surname>Peng</surname> <given-names>C. C.</given-names></name></person-group> (<year>2022</year>). <article-title>What drives older adults' use of mobile registration apps in Taiwan? An investigation using the extended UTAUT model</article-title>. <source>Inform. Health Soc. Care</source> <volume>47</volume>, <fpage>258</fpage>&#x2013;<lpage>273</lpage>. doi: <pub-id pub-id-type="doi">10.1080/17538157.2021.1990299</pub-id>, PMID: <pub-id pub-id-type="pmid">34672853</pub-id></citation></ref>
<ref id="ref9005"><citation citation-type="other"><person-group person-group-type="author"><name><surname>Junxun</surname> <given-names>C</given-names></name></person-group>. (<year>2024</year>). <article-title>A study on the influencing factors of older adults&#x2019; use of short play under the &#x201C;Digital Feedback&#x201D; perspective</article-title>. <comment>Available at SSRN 4705382</comment>.</citation></ref>
<ref id="ref22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kalayou</surname> <given-names>M. H.</given-names></name> <name><surname>Endehabtu</surname> <given-names>B. F.</given-names></name> <name><surname>Tilahun</surname> <given-names>B.</given-names></name></person-group> (<year>2020</year>). <article-title>The applicability of the modified technology acceptance model (TAM) on the sustainable adoption of eHealth systems in resource-limited settings</article-title>. <source>J. Multidiscip. Healthc.</source> <volume>13</volume>, <fpage>1827</fpage>&#x2013;<lpage>1837</lpage>. doi: <pub-id pub-id-type="doi">10.2147/JMDH.S284973</pub-id>, PMID: <pub-id pub-id-type="pmid">33299320</pub-id></citation></ref>
<ref id="ref23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Koc</surname> <given-names>M.</given-names></name> <name><surname>Barut</surname> <given-names>E.</given-names></name></person-group> (<year>2016</year>). <article-title>Development and validation of new media literacy scale (NMLS) for university students</article-title>. <source>Comput. Hum. Behav.</source> <volume>63</volume>, <fpage>834</fpage>&#x2013;<lpage>843</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.chb.2016.06.035</pub-id></citation></ref>
<ref id="ref90001"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname> <given-names>J.</given-names></name> <name><surname>Kim</surname> <given-names>H. J.</given-names></name> <name><surname>Ahn</surname> <given-names>M. J.</given-names></name></person-group> (<year>2011</year>). <article-title>The willingness of e-Government service adoption by business users: The role of offline service quality and trust in technology</article-title>. <source>Gov. Inf. Q.</source> <volume>28</volume>, <fpage>222</fpage>&#x2013;<lpage>230</lpage>.</citation></ref>
<ref id="ref24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname> <given-names>K. Y.</given-names></name> <name><surname>Sheehan</surname> <given-names>L.</given-names></name> <name><surname>Lee</surname> <given-names>K.</given-names></name> <name><surname>Chang</surname> <given-names>Y.</given-names></name></person-group> (<year>2021</year>). <article-title>The continuation and recommendation intention of artificial intelligence-based voice assistant systems (AIVAS): the influence of personal traits</article-title>. <source>Internet Res.</source> <volume>31</volume>, <fpage>1899</fpage>&#x2013;<lpage>1939</lpage>. doi: <pub-id pub-id-type="doi">10.1108/INTR-06-2020-0327</pub-id></citation></ref>
<ref id="ref25"><citation citation-type="book"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>H.</given-names></name> <name><surname>Sun</surname> <given-names>S.</given-names></name></person-group> (<year>2024</year>). &#x201C;<article-title>Exploration of the European agrivoltaics landscape in the context of global climate change</article-title>,&#x201D; in <source>E3S web of conferences</source>. EDP Sciences, 520:02013.</citation></ref>
<ref id="ref26"><citation citation-type="book"><person-group person-group-type="author"><name><surname>Loos</surname> <given-names>E.</given-names></name> <name><surname>de la Hera</surname> <given-names>T.</given-names></name> <name><surname>Simons</surname> <given-names>M.</given-names></name> <name><surname>Gevers</surname> <given-names>D.</given-names></name></person-group> (<year>2019</year>). <source>Setting up and conducting the co-design of an intergenerational digital game: A state-of-the-art literature review. In human aspects of IT for the aged population. Design for the Elderly and Technology Acceptance: 5th international conference, ITAP 2019, held as part of the 21st HCI international conference, HCII 2019</source>. <publisher-loc>Orlando, FL, USA</publisher-loc>: <publisher-name>Springer International Publishing</publisher-name>, <fpage>56</fpage>&#x2013;<lpage>69</lpage>.</citation></ref>
<ref id="ref27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lu</surname> <given-names>C. C.</given-names></name> <name><surname>Tsai-Lin</surname> <given-names>T. F.</given-names></name></person-group> (<year>2024</year>). <article-title>Are older adults special in adopting public eHealth service initiatives? The modified model of UTAUT</article-title>. <source>SAGE Open</source> <volume>14</volume>:<fpage>21582440241228639</fpage>. doi: <pub-id pub-id-type="doi">10.1177/21582440241228639</pub-id></citation></ref>
<ref id="ref90003"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lu</surname> <given-names>Z. A.</given-names></name> <name><surname>Shi</surname> <given-names>L.</given-names></name> <name><surname>Que</surname> <given-names>J. Y.</given-names></name> <name><surname>Zheng</surname> <given-names>Y. B.</given-names></name> <name><surname>Wang</surname> <given-names>Q. W.</given-names></name> <name><surname>Liu</surname> <given-names>W. J.</given-names></name> <etal/></person-group> (<year>2022</year>). <article-title>Accessibility to digital mental health services among the general public throughout COVID-19: trajectories, influencing factors and association with long-term mental health symptoms</article-title>.  <source>Int. J. Environ. Res. Public Health</source> <volume>19</volume>:<fpage>3593</fpage>.</citation></ref>
<ref id="ref28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Maduku</surname> <given-names>D. K.</given-names></name> <name><surname>Mpinganjira</surname> <given-names>M.</given-names></name> <name><surname>Rana</surname> <given-names>N. P.</given-names></name> <name><surname>Thusi</surname> <given-names>P.</given-names></name> <name><surname>Ledikwe</surname> <given-names>A.</given-names></name> <name><surname>Mkhize</surname> <given-names>N. H. B.</given-names></name></person-group> (<year>2023</year>). <article-title>Assessing customer passion, commitment, and word-of-mouth intentions in digital assistant usage: the moderating role of technology anxiety</article-title>. <source>J. Retail. Consum. Serv.</source> <volume>71</volume>:<fpage>103208</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jretconser.2022.103208</pub-id></citation></ref>
<ref id="ref90004"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mannheim</surname> <given-names>I.</given-names></name> <name><surname>Schwartz</surname> <given-names>E.</given-names></name> <name><surname>Xi</surname> <given-names>W.</given-names></name> <name><surname>Buttigieg</surname> <given-names>S. C.</given-names></name> <name><surname>McDonnell-Naughton</surname> <given-names>M.</given-names></name> <name><surname>Wouters</surname> <given-names>E. J.</given-names></name> <etal/></person-group>. (<year>2019</year>). <article-title>Inclusion of older adults in the research and design of digital technology</article-title>. <source>Int. J. Environ. Res. Public Health.</source> <volume>16</volume>:<fpage>3718</fpage>.</citation></ref>
<ref id="ref41"><citation citation-type="book"><person-group person-group-type="author"><name><surname>Marston</surname> <given-names>H. R.</given-names></name> <name><surname>Van Hoof</surname> <given-names>J.</given-names></name></person-group> (<year>2019</year>). <article-title>&#x201C;Who doesn&#x2019;t think about technology when designing urban environments for older people?&#x201D; A case study approach to a proposed extension of the WHO&#x2019;s age-friendly cities model</article-title>. <source>Int. J. Environ. Res. Public Health.</source> <volume>16</volume>:<fpage>3525</fpage>.</citation></ref>
<ref id="ref90005"><citation citation-type="book"><person-group person-group-type="author"><name><surname>Mossberger</surname> <given-names>K.</given-names></name> <name><surname>Tolbert</surname> <given-names>C. J.</given-names></name> <name><surname>McNeal</surname> <given-names>R. S.</given-names></name></person-group> (<year>2007</year>). <source>Digital citizenship: The Internet, society, and participation</source>. <publisher-name>MIT Press</publisher-name>.</citation></ref>
<ref id="ref29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mustafa</surname> <given-names>M. B.</given-names></name> <name><surname>Nordin</surname> <given-names>M. B.</given-names></name> <name><surname>Razzaq</surname> <given-names>A. B. A.</given-names></name></person-group> (<year>2020</year>). <article-title>Structural equation modelling using AMOS: confirmatory factor analysis for taskload of special education integration program teachers</article-title>. <source>Univ. J. Educ. Res.</source> <volume>8</volume>, <fpage>127</fpage>&#x2013;<lpage>133</lpage>. doi: <pub-id pub-id-type="doi">10.13189/ujer.2020.080115</pub-id></citation></ref>
<ref id="ref90006"><citation citation-type="journal"><person-group person-group-type="author"><collab>National Bureau of Statistics of China</collab></person-group>. (<year>2023</year>). <source>China statistical yearbook 2023</source>. <comment>Retrieved from</comment> <uri>http://www.stats.gov.cn/tjsj/ndsj/2023/indexeh.htm</uri> </citation></ref>
<ref id="ref30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ng</surname> <given-names>L.</given-names></name> <name><surname>Osborne</surname> <given-names>S.</given-names></name> <name><surname>Eley</surname> <given-names>R.</given-names></name> <name><surname>Tuckett</surname> <given-names>A.</given-names></name> <name><surname>Walker</surname> <given-names>J.</given-names></name></person-group> (<year>2024</year>). <article-title>Exploring nursing students' perceptions on usefulness, ease of use, and acceptability of using a simulated electronic medical record: a descriptive study</article-title>. <source>Collegian</source> <volume>31</volume>, <fpage>120</fpage>&#x2013;<lpage>127</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.colegn.2023.12.006</pub-id></citation></ref>
<ref id="ref31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nissinen</surname> <given-names>S.</given-names></name> <name><surname>Pesonen</surname> <given-names>S.</given-names></name> <name><surname>Toivio</surname> <given-names>P.</given-names></name> <name><surname>Sormunen</surname> <given-names>E.</given-names></name></person-group> (<year>2024</year>). <article-title>Exploring the use, usefulness and ease of use of digital occupational health services: a descriptive correlational study of customer experiences</article-title>. <source>Digital Health</source> <volume>10</volume>:<fpage>20552076241242668</fpage>. doi: <pub-id pub-id-type="doi">10.1177/20552076241242668</pub-id>, PMID: <pub-id pub-id-type="pmid">38601187</pub-id></citation></ref>
<ref id="ref32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Oliveira</surname> <given-names>T.</given-names></name> <name><surname>Thomas</surname> <given-names>M.</given-names></name> <name><surname>Espadanal</surname> <given-names>M.</given-names></name></person-group> (<year>2014</year>). <article-title>Assessing the determinants of cloud computing adoption: an analysis of the manufacturing and services sectors</article-title>. <source>Inf. Manag.</source> <volume>51</volume>, <fpage>497</fpage>&#x2013;<lpage>510</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.im.2014.03.006</pub-id></citation></ref>
<ref id="ref33"><citation citation-type="other"><person-group person-group-type="author"><name><surname>Philips</surname> <given-names>S. U.</given-names></name> <name><surname>Cazden</surname> <given-names>C. B.</given-names></name> <name><surname>John</surname> <given-names>V. T.</given-names></name> <name><surname>Hymes</surname> <given-names>D.</given-names></name></person-group> (<year>2001</year>). <source>Participant structures and communicative competence: Warm springs children in community and classroom</source>.</citation></ref>
<ref id="ref34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pigeon</surname> <given-names>C.</given-names></name> <name><surname>Alauzet</surname> <given-names>A.</given-names></name> <name><surname>Paire-Ficout</surname> <given-names>L.</given-names></name></person-group> (<year>2021</year>). <article-title>Factors of acceptability, acceptance and usage for non-rail autonomous public transport vehicles: a systematic literature review</article-title>. <source>Transport. Res. F: Traffic Psychol. Behav.</source> <volume>81</volume>, <fpage>251</fpage>&#x2013;<lpage>270</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.trf.2021.06.008</pub-id></citation></ref>
<ref id="ref9019"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Punchoojit</surname> <given-names>L.</given-names></name> <name><surname>Hongwarittorrn</surname> <given-names>N.</given-names></name></person-group> (<volume>2017</volume>). <article-title>Usability studies on mobile user interface design patterns: a systematic literature review</article-title>. <source>Adv. Hum. Comput. Interact.</source> <year>2017</year>:<fpage>6787504</fpage>.</citation></ref>
<ref id="ref35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rahi</surname> <given-names>S.</given-names></name> <name><surname>Khan</surname> <given-names>M. M.</given-names></name> <name><surname>Alghizzawi</surname> <given-names>M.</given-names></name></person-group> (<year>2021</year>). <article-title>Extension of technology continuance theory (TCT) with task technology fit (TTF) in the context of internet banking user continuance intention</article-title>. <source>Int. J. Qual. Reliabil. Manag.</source> <volume>38</volume>, <fpage>986</fpage>&#x2013;<lpage>1004</lpage>. doi: <pub-id pub-id-type="doi">10.1108/IJQRM-03-2020-0074</pub-id>, PMID: <pub-id pub-id-type="pmid">35579975</pub-id></citation></ref>
<ref id="ref9020"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rahi</surname> <given-names>S.</given-names></name> <name><surname>Othman Mansour</surname> <given-names>M. M.</given-names></name> <name><surname>Alghizzawi</surname> <given-names>M.</given-names></name> <name><surname>Alnaser</surname> <given-names>F. M.</given-names></name></person-group> (<year>2019</year>). <article-title>Integration of UTAUT model in internet banking adoption context: The mediating role of performance expectancy and effort expectancy</article-title>. <source>J. Res. Interact. Mark.</source> <volume>13</volume>, <fpage>411</fpage>&#x2013;<lpage>435</lpage>.</citation></ref>
<ref id="ref9021"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Samar</surname> <given-names>S.</given-names></name> <name><surname>Ghani</surname> <given-names>M.</given-names></name> <name><surname>Alnaser</surname> <given-names>F.</given-names></name></person-group> (<year>2017</year>). <article-title>Predicting customer&#x2019;s intentions to use internet banking: the role of technology acceptance model (TAM) in e-banking</article-title>. <source>Manag. Sci. Lett.</source> <volume>7</volume>, <fpage>513</fpage>&#x2013;<lpage>524</lpage>.</citation></ref>
<ref id="ref36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Santor</surname> <given-names>D. A.</given-names></name> <name><surname>Messervey</surname> <given-names>D.</given-names></name> <name><surname>Kusumakar</surname> <given-names>V.</given-names></name></person-group> (<year>2000</year>). <article-title>Measuring peer pressure, popularity, and conformity in adolescent boys and girls: predicting school performance, sexual attitudes, and substance abuse</article-title>. <source>J. Youth Adolesc.</source> <volume>29</volume>, <fpage>163</fpage>&#x2013;<lpage>182</lpage>. doi: <pub-id pub-id-type="doi">10.1023/A:1005152515264</pub-id></citation></ref>
<ref id="ref37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sims</surname> <given-names>T.</given-names></name> <name><surname>Reed</surname> <given-names>A. E.</given-names></name> <name><surname>Carr</surname> <given-names>D. C.</given-names></name></person-group> (<year>2017</year>). <article-title>Information and communication technology use is related to higher well-being among the oldest-old</article-title>. <source>J. Gerontol. B Psychol. Sci. Soc. Sci.</source> <volume>72</volume>, <fpage>761</fpage>&#x2013;<lpage>770</lpage>. doi: <pub-id pub-id-type="doi">10.1093/geronb/gbw130</pub-id>, PMID: <pub-id pub-id-type="pmid">27702839</pub-id></citation></ref>
<ref id="ref38"><citation citation-type="confproc"><person-group person-group-type="author"><name><surname>Sun</surname> <given-names>S.</given-names></name> <name><surname>Li</surname> <given-names>H.</given-names></name> <name><surname>Wei</surname> <given-names>X.</given-names></name></person-group> (<year>2022</year>). <article-title>Creative mutual aid Community in the Context of" internet+"</article-title>. In <conf-name>Proceedings of the 8th international conference on E-society, e-learning and e-technologies</conf-name> (pp. <fpage>1</fpage>&#x2013;<lpage>6</lpage>).</citation></ref>
<ref id="ref39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Thongsri</surname> <given-names>N.</given-names></name> <name><surname>Shen</surname> <given-names>L.</given-names></name> <name><surname>Bao</surname> <given-names>Y.</given-names></name> <name><surname>Alharbi</surname> <given-names>I. M.</given-names></name></person-group> (<year>2018</year>). <article-title>Integrating UTAUT and UGT to explain behavioural intention to use M-learning: a developing country's perspective</article-title>. <source>J. Syst. Inf. Technol.</source> <volume>20</volume>, <fpage>278</fpage>&#x2013;<lpage>297</lpage>. doi: <pub-id pub-id-type="doi">10.1108/JSIT-11-2017-0107</pub-id></citation></ref>
<ref id="ref90002"><citation citation-type="other"><person-group person-group-type="author"><collab id="coll890">UNPD</collab></person-group>. (<year>2024</year>). <article-title>World population prospects: The 2024 revision. United Nations</article-title>. <comment>Available at: https://population.un.org/wpp/(open in a new window)</comment>.</citation></ref>
<ref id="ref40"><citation citation-type="other"><person-group person-group-type="author"><name><surname>Van Deursen</surname> <given-names>A. J. A. M.</given-names></name> <name><surname>Helsper</surname> <given-names>E.</given-names></name> <name><surname>Eynon</surname> <given-names>R.</given-names></name></person-group> (<year>2014</year>). <source>Measuring digital skills: From digital skills to tangible outcomes project report</source>.</citation></ref>
<ref id="ref42"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vanduhe</surname> <given-names>V. Z.</given-names></name> <name><surname>Nat</surname> <given-names>M.</given-names></name> <name><surname>Hasan</surname> <given-names>H. F.</given-names></name></person-group> (<year>2020</year>). <article-title>Continuance intentions to use gamification for training in higher education: integrating the technology acceptance model (TAM), social motivation, and task technology fit (TTF)</article-title>. <source>IEEE Access</source> <volume>8</volume>, <fpage>21473</fpage>&#x2013;<lpage>21484</lpage>. doi: <pub-id pub-id-type="doi">10.1109/ACCESS.2020.2966179</pub-id></citation></ref>
<ref id="ref43"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Venkatesh</surname> <given-names>V.</given-names></name> <name><surname>Brown</surname> <given-names>S. A.</given-names></name> <name><surname>Maruping</surname> <given-names>L. M.</given-names></name> <name><surname>Bala</surname> <given-names>H.</given-names></name></person-group> (<year>2008</year>). <article-title>Predicting different conceptualizations of system use: the competing roles of behavioral intention, facilitating conditions, and behavioral expectation</article-title>. <source>MIS Q.</source> <volume>32</volume>, <fpage>483</fpage>&#x2013;<lpage>502</lpage>. doi: <pub-id pub-id-type="doi">10.2307/25148853</pub-id></citation></ref>
<ref id="ref44"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Venkatesh</surname> <given-names>V.</given-names></name> <name><surname>Morris</surname> <given-names>M. G.</given-names></name> <name><surname>Davis</surname> <given-names>G. B.</given-names></name> <name><surname>Davis</surname> <given-names>F. D.</given-names></name></person-group> (<year>2003</year>). <article-title>User acceptance of information technology: toward a unified view 1</article-title>. <source>MIS Q.</source> <volume>27</volume>:<fpage>425</fpage>. doi: <pub-id pub-id-type="doi">10.2307/30036540</pub-id></citation></ref>
<ref id="ref45"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Venkatesh</surname> <given-names>V.</given-names></name> <name><surname>Thong</surname> <given-names>J. Y.</given-names></name> <name><surname>Chan</surname> <given-names>F. K.</given-names></name> <name><surname>Hu</surname> <given-names>P. J. H.</given-names></name> <name><surname>Brown</surname> <given-names>S. A.</given-names></name></person-group> (<year>2011</year>). <article-title>Extending the two-stage information systems continuance model: incorporating UTAUT predictors and the role of context</article-title>. <source>Inf. Syst. J.</source> <volume>21</volume>, <fpage>527</fpage>&#x2013;<lpage>555</lpage>. doi: <pub-id pub-id-type="doi">10.1111/j.1365-2575.2011.00373.x</pub-id></citation></ref>
<ref id="ref47"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>H.</given-names></name> <name><surname>Tao</surname> <given-names>D.</given-names></name> <name><surname>Yu</surname> <given-names>N.</given-names></name> <name><surname>Qu</surname> <given-names>X.</given-names></name></person-group> (<year>2020</year>). <article-title>Understanding consumer acceptance of healthcare wearable devices: an integrated model of UTAUT and TTF</article-title>. <source>Int. J. Med. Inform.</source> <volume>139</volume>:<fpage>104156</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ijmedinf.2020.104156</pub-id>, PMID: <pub-id pub-id-type="pmid">32387819</pub-id></citation></ref>
<ref id="ref90007"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>S.</given-names></name> <name><surname>Zhang</surname> <given-names>H.</given-names></name></person-group> (<year>2024</year>). <article-title>Inter-organizational cooperation in digital green supply chains: A catalyst for eco-innovations and sustainable business practices</article-title>. <source>J. Clean. Prod.</source> <volume>472</volume>:<fpage>143383</fpage>.</citation></ref>
<ref id="ref46"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wan</surname> <given-names>L.</given-names></name> <name><surname>Xie</surname> <given-names>S.</given-names></name> <name><surname>Shu</surname> <given-names>A.</given-names></name></person-group> (<year>2020</year>). <article-title>Toward an understanding of university students' continued intention to use MOOCs: when UTAUT model meets TTF model</article-title>. <source>SAGE Open</source> <volume>10</volume>:<fpage>2158244020941858</fpage>. doi: <pub-id pub-id-type="doi">10.1177/2158244020941858</pub-id></citation></ref>
<ref id="ref48"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wilson</surname> <given-names>G.</given-names></name> <name><surname>Gates</surname> <given-names>J. R.</given-names></name> <name><surname>Vijaykumar</surname> <given-names>S.</given-names></name> <name><surname>Morgan</surname> <given-names>D. J.</given-names></name></person-group> (<year>2023</year>). <article-title>Understanding older adults' use of social technology and the factors influencing use</article-title>. <source>Ageing Soc.</source> <volume>43</volume>, <fpage>222</fpage>&#x2013;<lpage>245</lpage>. doi: <pub-id pub-id-type="doi">10.1017/S0144686X21000490</pub-id></citation></ref>
<ref id="ref49"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname> <given-names>B.</given-names></name> <name><surname>Chen</surname> <given-names>X.</given-names></name></person-group> (<year>2017</year>). <article-title>Continuance intention to use MOOCs: integrating the technology acceptance model (TAM) and task technology fit (TTF) model</article-title>. <source>Comput. Hum. Behav.</source> <volume>67</volume>, <fpage>221</fpage>&#x2013;<lpage>232</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.chb.2016.10.028</pub-id></citation></ref>
<ref id="ref50"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname> <given-names>R. Z.</given-names></name> <name><surname>Lee</surname> <given-names>J. H.</given-names></name> <name><surname>Tian</surname> <given-names>X. F.</given-names></name></person-group> (<year>2021</year>). <article-title>Determinants of the intention to use cross-border mobile payments in Korea among Chinese tourists: an integrated perspective of UTAUT2 with TTF and ITM</article-title>. <source>J. Theor. Appl. Electron. Commer. Res.</source> <volume>16</volume>, <fpage>1537</fpage>&#x2013;<lpage>1556</lpage>. doi: <pub-id pub-id-type="doi">10.3390/jtaer16050086</pub-id></citation></ref>
<ref id="ref9018"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xia</surname> <given-names>H.</given-names></name> <name><surname>Yu</surname> <given-names>H.</given-names></name> <name><surname>Wang</surname> <given-names>S.</given-names></name> <name><surname>Yang</surname> <given-names>H.</given-names></name></person-group> (<year>2024</year>). <article-title>Digital economy and the urban -rural income gap: Impact, mechanisms, and spatial heterogeneity</article-title>. <source>J. Innov. Knowl.</source> <volume>9</volume>:<fpage>100505</fpage>.</citation></ref>
<ref id="ref51"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname> <given-names>S.</given-names></name> <name><surname>Jang</surname> <given-names>J. W.</given-names></name></person-group> (<year>2024</year>). <article-title>Understanding older adults' internet use and psychological benefits: the moderating role of digital skills</article-title>. <source>Behav. Inform. Technol.</source> <volume>43</volume>, <fpage>60</fpage>&#x2013;<lpage>71</lpage>. doi: <pub-id pub-id-type="doi">10.1080/0144929X.2022.2153082</pub-id></citation></ref>
<ref id="ref52"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>R.</given-names></name> <name><surname>Mart&#x00ED; Casanovas</surname> <given-names>M.</given-names></name> <name><surname>Bosch Gonz&#x00E1;lez</surname> <given-names>M.</given-names></name> <name><surname>Sun</surname> <given-names>S.</given-names></name></person-group> (<year>2024</year>). <article-title>Revitalizing heritage: the role of urban morphology in creating public value in China&#x2019;s historic districts</article-title>. <source>Land</source> <volume>13</volume>:<fpage>1919</fpage>. doi: <pub-id pub-id-type="doi">10.3390/land13111919</pub-id></citation></ref>
<ref id="ref53"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname> <given-names>T.</given-names></name> <name><surname>Lu</surname> <given-names>Y.</given-names></name> <name><surname>Wang</surname> <given-names>B.</given-names></name></person-group> (<year>2010</year>). <article-title>Integrating TTF and UTAUT to explain mobile banking user adoption</article-title>. <source>Comput. Hum. Behav.</source> <volume>26</volume>, <fpage>760</fpage>&#x2013;<lpage>767</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.chb.2010.01.013</pub-id></citation></ref>
</ref-list>
</back>
</article>