Significant Rs correlations between relevant variables (COPD patients, CWZ & ZU hospitals, Netherlands, 2024).
| Variable category | Variable | Intention | Use |
|---|---|---|---|
| Background factors | Digital literacy | 0.287** | 0.278** |
| Health literacy | 0.227** | 0.148* | |
| Facilitating conditions | Support | 0.329** | † |
| Self-efficacy | 0.561** | 0.460** | |
| Social influence | 0.237** | 0.281** | |
| Infrastructure | 0.178* | † | |
| App-related factors | Performance expectancy | 0.722** | 0.477** |
| Cosmopolitan system | 0.284** | 0.184* | |
| Confidentiality | 0.220** | 0.169* | |
| Norms and values | 0.396** | 0.319** | |
| Ease of use | 0.221** | † | |
| Easy language | 0.178* | † | |
| Login | 0.197** | † | |
| Different languages | 0.159* | † | |
| Scientific validity | 0.244** | 0.185* | |
| Dependent variable association | Intention to use | - | 0.556** |
† indicates no significance. * Correlation is significant at the 0.05 level. ** Correlation is significant at the 0.01 level.
The supplementary materials for this article are available at: https://www.explorationpub.com/uploads/Article/file/1011101_sup_1.pdf.
This study was registered in OSF (https://doi.org/10.17605/OSF.IO/SW6C4).
TH: Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Writing—original draft. LL: Conceptualization, Methodology, Supervision, Writing—review & editing. DD: Supervision, Writing—review & editing. PP: Resources, Data curation, Writing—review & editing. AvV: Resources, Data curation, Writing—review & editing. MdK: Resources, Data curation, Writing—review & editing. SO: Methodology, Writing—review & editing. CB: Conceptualization, Methodology, Project administration, Supervision, Writing—review & editing. All authors read and approved the submitted version.
TH, LL, DD, CB, PP, MdK, AvV and SO declare that there is no conflict of interest with respect to the research, authorship, and/or publication of this article. DD is one of the founders of Luscii Healthtech B.V. which develops and distributes the telemonitoring app Thuismeten. However, as this study focuses on the empirical factors that explain (intention to) use telemonitoring apps, DD was involved in this study as a professor at the faculty of Management Sciences at the Open Universiteit rather than as founder of LUSCII Healthtech B.V. Findings were honestly presented and were not influenced by DD’s interference.
Ethics approval was obtained on October 25th, 2023 from the Medical Ethics Committee of the Zuyderland Medical Center (METC-Z) in the Netherlands (METCZ20230088). All procedures were conducted in accordance with the ethical standards of the 2013 Declaration of Helsinki.
Informed consent to participate in the study was obtained from all participants.
Not applicable.
The participants of this study did not give written consent for their data to be shared publicly, so due to the sensitive nature of the research supporting data is not available.
No funding was received for this research.
© The Author(s) 2026.
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