Information Systems Faculty Publications
Document Type
Article
Publication Date
12-31-2025
Abstract
In recent years, smart healthcare systems (SHS) spurred by the Internet of things have revolutionized how people manage their health. Despite their numerous benefits, SHS still face many challenges worldwide, including limited user motivation. This study builds on the valence-instrumentality-expectancy theory to examine the motivational factors influencing the use of SHS, while also considering the moderating role of social support. We conducted two studies— one in the United States and the other in Qatar—to assess how well the proposed model applies across different cultural contexts. Our findings show that the model explains users’ motivations to use SHS and the interdependencies between the valence–instrumentality–expectancy theory and factors like social support, self-efficacy, and trust in the system. Moreover, we highlight the significance and implications of cultural differences in the model. This study is among the first to investigate the motivational factors behind SHS use through cross-cultural samples, offering valuable insights for global SHS providers.
Recommended Citation
Alshare, Khaled A., Murad Moqbel, Valerie Bartelt, and Maysoon Sewailem. "Smart Healthcare Systems Use: A Cross-cultural Empirical Study Using Valence–Instrumentality–Expectancy Theory." AIS Transactions on Human-Computer Interaction 17, no. 4 (2025): 550-580. https://doi.org/10.17705/1thci.00235
Publication Title
AIS Transactions on Human Computer Interaction
DOI
10.17705/1thci.00235

Comments
Copyright AIS. Authors may include a copy of their article on their Web page as long as it is clearly noted that AIS owns the copyright and that use for profit is not allowed. Such an author version must be identical to the final published version, and include a link to the AIS journal in which the paper appears.