{"id":"https://openalex.org/W7223475729","doi":"https://doi.org/10.1177/20552076261501420","title":"Smartphone-induced change resistance and smartphone-based health information acquisition among older adults in China: The roles of family and peers","display_name":"Smartphone-induced change resistance and smartphone-based health information acquisition among older adults in China: The roles of family and peers","publication_year":2026,"publication_date":"2026-02-01","ids":{"openalex":"https://openalex.org/W7223475729","doi":"https://doi.org/10.1177/20552076261501420"},"language":"en","primary_location":{"id":"doi:10.1177/20552076261501420","doi":"https://doi.org/10.1177/20552076261501420","is_oa":true,"landing_page_url":"https://doi.org/10.1177/20552076261501420","pdf_url":null,"source":{"id":"https://openalex.org/S4210188408","display_name":"Digital Health","issn_l":"2055-2076","issn":["2055-2076"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"DIGITAL HEALTH","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1177/20552076261501420","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5062213479","display_name":"Zian Fang","orcid":"https://orcid.org/0000-0002-4774-4918","observed_orcids":["https://orcid.org/0000-0002-4774-4918"]},"institutions":[{"id":"https://openalex.org/I139660479","display_name":"Central South University","ror":"https://ror.org/00f1zfq44","country_code":"CN","type":"education","lineage":["https://openalex.org/I139660479"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zian Fang","raw_affiliation_strings":["Central South University","MOE Philosophy and Social Science Laboratory of Intelligent Governance for Complex Social Systems"],"raw_orcid":"https://orcid.org/0000-0002-4774-4918","affiliations":[{"raw_affiliation_string":"Central South University","institution_ids":["https://openalex.org/I139660479"]},{"raw_affiliation_string":"MOE Philosophy and Social Science Laboratory of Intelligent Governance for Complex Social Systems","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159383123","display_name":"Bo Xiao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I117965899","display_name":"University of Hawai\u02bbi at M\u0101noa","ror":"https://ror.org/01wspgy28","country_code":"US","type":"education","lineage":["https://openalex.org/I117965899"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bo Xiao","raw_affiliation_strings":["University of Hawai\u2019i at M\u0101noa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Hawai\u2019i at M\u0101noa","institution_ids":["https://openalex.org/I117965899"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100541207","display_name":"Liu Yongmei","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I139660479","display_name":"Central South University","ror":"https://ror.org/00f1zfq44","country_code":"CN","type":"education","lineage":["https://openalex.org/I139660479"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Yongmei Liu","raw_affiliation_strings":["Central South University","MOE Philosophy and Social Science Laboratory of Intelligent Governance for Complex Social Systems","Urban Smart Governance Laboratory"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Central South University","institution_ids":["https://openalex.org/I139660479"]},{"raw_affiliation_string":"MOE Philosophy and Social Science Laboratory of Intelligent Governance for Complex Social Systems","institution_ids":[]},{"raw_affiliation_string":"Urban Smart Governance Laboratory","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5100541207"],"corresponding_institution_ids":["https://openalex.org/I139660479"],"apc_list":{"value":2000,"currency":"USD","value_usd":2000},"apc_paid":{"value":2000,"currency":"USD","value_usd":2000},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.79492584,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"12","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11977","display_name":"Technology Use by Older Adults","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11977","display_name":"Technology Use by Older Adults","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14416","display_name":"Health, Technology, Consumer Behavior","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.7350000143051147},{"id":"https://openalex.org/keywords/smartphones","display_name":"smartphones","score":0.7369999885559082},{"id":"https://openalex.org/keywords/health-information-acquisition","display_name":"health information acquisition","score":0.9110000133514404},{"id":"https://openalex.org/keywords/resistance-to-change","display_name":"resistance to change","score":0.8050000071525574},{"id":"https://openalex.org/keywords/peer-influence","display_name":"peer influence","score":0.9110000133514404},{"id":"https://openalex.org/keywords/family-support","display_name":"family support","score":0.9990000128746033},{"id":"https://openalex.org/keywords/social-influence-theory","display_name":"social influence theory","score":0.8679999709129333},{"id":"https://openalex.org/keywords/social-cognitive-theory","display_name":"social cognitive theory","score":0.9860000014305115},{"id":"https://openalex.org/keywords/digital-health-inequities","display_name":"digital health inequities","score":0.8799999952316284},{"id":"https://openalex.org/keywords/china","display_name":"China","score":0.3529999852180481}],"concepts":[{"id":"https://openalex.org/C93225998","wikidata":"https://www.wikidata.org/wiki/Q1941972","display_name":"Moderation","level":2,"score":0.7699000239372253},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.6395999789237976},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5231000185012817},{"id":"https://openalex.org/C57473165","wikidata":"https://www.wikidata.org/wiki/Q7315604","display_name":"Resistance (ecology)","level":2,"score":0.4945000112056732},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.4668999910354614},{"id":"https://openalex.org/C2982795734","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health information","level":3,"score":0.4196000099182129},{"id":"https://openalex.org/C14564219","wikidata":"https://www.wikidata.org/wiki/Q383646","display_name":"Social cognitive theory","level":2,"score":0.40299999713897705},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.37720000743865967},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.3767000138759613},{"id":"https://openalex.org/C128593788","wikidata":"https://www.wikidata.org/wiki/Q1194193","display_name":"Peer group","level":2,"score":0.36800000071525574},{"id":"https://openalex.org/C2780176501","wikidata":"https://www.wikidata.org/wiki/Q5690755","display_name":"Health and Retirement Study","level":2,"score":0.3549000024795532},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.3328000009059906},{"id":"https://openalex.org/C2776154706","wikidata":"https://www.wikidata.org/wiki/Q5690559","display_name":"Health Information National Trends Survey","level":4,"score":0.3312999904155731},{"id":"https://openalex.org/C2781094116","wikidata":"https://www.wikidata.org/wiki/Q1569083","display_name":"Peer support","level":2,"score":0.2937999963760376},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.29339998960494995},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.27889999747276306},{"id":"https://openalex.org/C24614281","wikidata":"https://www.wikidata.org/wiki/Q17086331","display_name":"Moderated mediation","level":2,"score":0.27799999713897705},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.27300000190734863},{"id":"https://openalex.org/C9701087","wikidata":"https://www.wikidata.org/wiki/Q1283504","display_name":"Social engagement","level":2,"score":0.259799987077713},{"id":"https://openalex.org/C113807197","wikidata":"https://www.wikidata.org/wiki/Q60894","display_name":"Health education","level":3,"score":0.25920000672340393},{"id":"https://openalex.org/C14262774","wikidata":"https://www.wikidata.org/wiki/Q4880695","display_name":"Behavior change","level":2,"score":0.2590000033378601}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1177/20552076261501420","doi":"https://doi.org/10.1177/20552076261501420","is_oa":true,"landing_page_url":"https://doi.org/10.1177/20552076261501420","pdf_url":null,"source":{"id":"https://openalex.org/S4210188408","display_name":"Digital Health","issn_l":"2055-2076","issn":["2055-2076"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"DIGITAL HEALTH","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:5c43f850d4b2455d8b9a5b8fad197e30","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/5c43f850d4b2455d8b9a5b8fad197e30","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Digital Health, Vol 12 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1177/20552076261501420","doi":"https://doi.org/10.1177/20552076261501420","is_oa":true,"landing_page_url":"https://doi.org/10.1177/20552076261501420","pdf_url":null,"source":{"id":"https://openalex.org/S4210188408","display_name":"Digital Health","issn_l":"2055-2076","issn":["2055-2076"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"DIGITAL HEALTH","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320321001","display_name":"National Natural Science Foundation of China","ror":"https://ror.org/01h0zpd94"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":55,"referenced_works":["https://openalex.org/W397204004","https://openalex.org/W1564333414","https://openalex.org/W1969578582","https://openalex.org/W1971765404","https://openalex.org/W1972303567","https://openalex.org/W1985813320","https://openalex.org/W1988677924","https://openalex.org/W2011064952","https://openalex.org/W2022166711","https://openalex.org/W2067875401","https://openalex.org/W2082223960","https://openalex.org/W2106722749","https://openalex.org/W2108644943","https://openalex.org/W2108803992","https://openalex.org/W2115981184","https://openalex.org/W2117357528","https://openalex.org/W2126512988","https://openalex.org/W2128102743","https://openalex.org/W2134049139","https://openalex.org/W2150238850","https://openalex.org/W2150533102","https://openalex.org/W2163544552","https://openalex.org/W2166886466","https://openalex.org/W2509615524","https://openalex.org/W2524597629","https://openalex.org/W2555544877","https://openalex.org/W2559803104","https://openalex.org/W2586873575","https://openalex.org/W2754799758","https://openalex.org/W2766071937","https://openalex.org/W2801387997","https://openalex.org/W2893244533","https://openalex.org/W2905811773","https://openalex.org/W2917538734","https://openalex.org/W2948977576","https://openalex.org/W2949794055","https://openalex.org/W2964044844","https://openalex.org/W2986300837","https://openalex.org/W3031417599","https://openalex.org/W3117903966","https://openalex.org/W3194449744","https://openalex.org/W3210383951","https://openalex.org/W3214080302","https://openalex.org/W4213128633","https://openalex.org/W4285495548","https://openalex.org/W4314937963","https://openalex.org/W4323045787","https://openalex.org/W4365511688","https://openalex.org/W4377288850","https://openalex.org/W4380142849","https://openalex.org/W4387427216","https://openalex.org/W4402496873","https://openalex.org/W4403425411","https://openalex.org/W4405794653","https://openalex.org/W7214204920"],"related_works":["https://openalex.org/W7166721138","https://openalex.org/W284338845","https://openalex.org/W4404190572","https://openalex.org/W2899724450","https://openalex.org/W2938248736","https://openalex.org/W4304893308","https://openalex.org/W4393622145","https://openalex.org/W2209837817","https://openalex.org/W4402686511","https://openalex.org/W2898449460"],"abstract_inverted_index":{"Background":[0],"Smartphones":[1],"have":[2],"become":[3],"a":[4,69,77,150],"primary":[5],"channel":[6],"through":[7],"which":[8],"older":[9,49,81,89,201],"adults":[10,82],"obtain":[11],"health":[12,26,52,103,109,120,134,156,172,203,216,236,262,297],"information,":[13],"yet":[14],"technology-induced":[15],"resistance":[16,47,114,169,210,260],"to":[17,61,213,228],"change":[18,46,113,168,209,259],"may":[19,292],"be":[20],"associated":[21,100,117,127,143],"with":[22,87,101,118,128,144,154],"lower":[23],"engagement":[24],"in":[25,93,211],"information":[27,53,104,121,173,204,217,263],"acquisition.":[28,122,218],"Objective":[29],"Drawing":[30],"on":[31,200],"social":[32,36],"influence":[33,124,223,270],"theory":[34],"and":[35,48,55,64,83,132,147,170,261,291],"cognitive":[37],"theory,":[38],"this":[39,57,74,184],"study":[40,75,197],"examines":[41],"the":[42,160,163,239,249,279,285],"association":[43,58,153,165,185],"between":[44,166,258],"smartphone-induced":[45,167,208],"adults\u2019":[50,202],"smartphone-based":[51,102,119,171,215],"acquisition":[54,174,205,264],"whether":[56],"varies":[59],"according":[60],"family":[62,138,193,232,274],"support":[63,139,275],"peer":[65,181,222,269,289],"influence.":[66],"Method":[67],"Using":[68],"sequential":[70],"explanatory":[71],"mixed-methods":[72],"approach,":[73],"combines":[76],"survey":[78],"of":[79,180,192,288],"218":[80],"follow-up":[84],"in-depth":[85],"interviews":[86],"19":[88],"adults,":[90],"all":[91],"residing":[92],"China.":[94],"Results":[95],"Smartphone":[96],"self-efficacy":[97,131,146,230],"was":[98,115,125,140,175,224,242,252,265,271],"positively":[99,126],"acquisition,":[105],"as":[106],"were":[107],"smartphone":[108,130,133,145,155,229,235],"outcome":[110,135,157,237],"expectations.":[111,158],"Smartphone-induced":[112],"negatively":[116],"Peer":[123],"both":[129],"expectations,":[136,238],"whereas":[137,183,273],"not":[141,187,253,277],"significantly":[142,189],"showed":[148],"only":[149],"marginal":[151],"positive":[152],"In":[159],"moderation":[161],"analysis,":[162],"negative":[164,256],"weaker":[176,267],"at":[177],"higher":[178],"levels":[179,191],"influence,":[182],"did":[186,276],"vary":[188],"across":[190],"support.":[194,233],"Conclusion":[195],"This":[196],"advances":[198],"research":[199],"by":[206],"examining":[207],"relation":[212],"everyday":[214],"It":[219],"shows":[220],"that":[221],"more":[225],"strongly":[226],"related":[227],"than":[231],"For":[234],"peer-influence":[240],"coefficient":[241,251],"numerically":[243],"larger,":[244],"but":[245],"its":[246],"difference":[247],"from":[248],"family-support":[250],"significant.":[254],"The":[255],"relationship":[257],"also":[266],"when":[268],"higher,":[272],"show":[278],"same":[280],"pattern.":[281],"These":[282],"findings":[283],"highlight":[284],"distinctive":[286],"role":[287],"networks":[290],"offer":[293],"insights":[294],"into":[295],"digital":[296],"inequities.":[298]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-25T00:00:00"}