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The purpose of this paper is to investigate the factors influencing user adoption behavior in the context of conflicting health information, thereby contributing to the understanding of users' information decision-making and adoption processes within intricate information environments. Furthermore, this research endeavors to offer guidance for mitigating the adverse effects of contradictory health information on users' cognitive perceptions.

First, this study used literature coding to identify factors that influence user adoption behavior in the context of conflicting health information. Secondly, we utilized the Decision-Making Trial and Evaluation Laboratory (DEMATEL) method to unveil the key influencing factors based on centrality and causality. Lastly, utilizing the Interpretive Structural Model (ISM), we constructed the multilevel hierarchical structure model of influencing factors to delineate the relationships among factors across different levels.

The key causal factors influencing user adoption behavior in the context of conflicting health information include user basic characteristics, experience accumulation, and information type. The key result factors consist of psychological emotion, perceived trade-offs, and the source credibility. The significant elements include users' psychological emotions, perceived trade-offs, emotional support, source credibility, and informational support. Furthermore, user adoption behavior in the context of conflicting health information is a manifestation of the interplay among surface-level, mid-level, and deep-level factors.

Theoretically, this paper enriches the existing relevant theoretical framework and offers a novel perspective for further investigation into user adoption behavior concerning conflicting health information. Practically, this study extracts factors that can influence user adoption behavior in the context of conflicting health information which is an essential reference value for guiding and optimizing user adoption behavior.

This paper expands the system of factors influencing user adoption behavior in the context of conflicting health information from individual, information and social perspectives. Utilizing DEMATEL quantitative analysis and ISM multilevel hierarchical models, this research examines and illustrates the significance of the influencing factors and their interrelationships.

Online health question-and-answer (Q&A) forums have developed a new business model whereby listeners (peer patients) can pay to read health information derived from consultations between askers (focal patients) and answerers (physicians). However, research exploring the mechanism behind peer patients' purchase decisions and the specific nature of the information driving these decisions has remained limited. This study aims to develop a theoretical model for understanding how peer patients make such decisions based on limited information, i.e. the first question displayed in each focal patient-physician interaction record, considering argument quality (interrogative form and information details) and source credibility (patient experience of focal patients), including the contingent role of urgency.

The model was tested by text mining 1,960 consultation records from a popular Chinese online health Q&A forum on the Yilu App. These records involved interactions between focal patients and physicians and were purchased by 447,718 peer patients seeking health-related information until this research.

Patient experience embedded in focal patients' questions plays a significant role in inducing peer patients to purchase previous consultation records featuring exchanges between focal patients and physicians; in particular, increasingly detailed information is associated with a reduced probability of making a purchase. When focal patients demonstrate a high level of urgency, the effect of information details is weakened, while the interrogative form is strengthened.

The originality of this study lies in its exploration of the monetization mechanism forming the trilateral relationship between askers (focal patients), answerers (physicians) and listeners (peer patients) in the business model “paying to view others' answers” in the online health Q&A forum and the moderating role of urgency in explaining the mechanism of how first questions influence peer patients' purchasing behavior.

User engagement is critical for online health Q&A communities. Financial incentives, which vary across different communities and reward schemes, are expected to motivate such contribution behaviors. Even though financial incentives have been extensively examined in prior studies, the impact of newly designed contingent financial incentives of a new pay-for-answer reward scheme has not been empirically examined in any online health Q&A community. Given this research gap, our study aims to perform an exploratory investigation of the effects of contingent financial incentives on user engagement in terms of knowledge contribution and social interactions.

Based on expectancy-value theory and equity theory, a research model was developed to reflect the influences of contingent financial incentives on user engagement. A unique dataset was gathered from a large online health Q&A community utilizing this contingent financial incentive reward structure, and the Heckman selection model was applied using a two-step procedure to test these hypotheses. Possible endogeneity issues were also addressed in the robustness check.

Our results demonstrate that the effect of contingent financial incentives on answer quantity and quality is quadratic. Additionally, our study reveals that this contingent financial incentive enhances both comment and emotional interactions among users.

Our study enriches the literature on financial incentives, knowledge contribution and user engagement by revealing the nuanced effects of financial incentives within a novel pay-for-answer scheme. This study also offers significant implications for practitioners involved in online community incentive design.

The purpose of this study is to explore the impact of online reviews on answer adoption in virtual Q&A communities, with an eye toward extending knowledge exchange and community management.

Online reviews contain rich cognitive and emotional information about community members regarding the provided answers. As feedback information on answers, it is crucial to explore how online reviews affect answer adoption. Based on signaling theory, a research model reflecting the influence of online reviews on answer adoption is established and empirically examined by using secondary data with 69,597 Q&A data and user data collected from Zhihu. Meanwhile, the moderating effects of the informational and emotional consistency of reviews and answers are examined.

The negative binomial regression results show that both answer-related signals (informational support and emotional support) and answerers-related signals (answerers’ reputations and expertise) positively impact answer adoption. The informational consistency of reviews and answers negatively moderates the relationships among information support, emotional support and answer adoption but positively moderates the effect of answerers’ expertise on answer adoption. Furthermore, the emotional consistency of reviews and answers positively moderates the effect of information support and answerers’ reputations on answer adoption.

Although previous studies have investigated the impacts of answer content, answer source credibility and personal characteristics of knowledge seekers on answer adoption in virtual Q&A communities, few have examined the impact of online reviews on answer adoption. This study explores the impacts of informational and emotional feedback in online reviews on answer adoption from a signaling theory perspective. The results not only provide unique ideas for community managers to optimize community design and operation but also inspire community users to provide or utilize knowledge, thereby reducing knowledge search costs and improving knowledge exchange efficiency.

This study aims to explore and address critical aspects of IoT adoption within supply chains by identifying the key enablers and barriers, examining the drivers and challenges, and assessing the benefits and drawbacks associated with IoT implementation. Additionally, the study aims to provide insights into how organizations can leverage IoT to enhance supply chain performance across economic, operational, social, and environmental dimensions.

This study employed a systematic literature review strategy to identify relevant research published between 2009 and 2024. Using the Scopus database, an initial search yielded 369 publications. Preliminary selection criteria were then applied to narrow down the articles for further detailed evaluation. This process led to an in-depth review of 123 publications, from which data were meticulously extracted, organized into tables and analyzed. Finally, the authors developed a categorization system based on the scope and temporal aspects of IoT implementation.

This study developed a comprehensive model that identified six themes influencing IoT implementation in supply chains: pre-implementation enablers and barriers, drivers and challenges during implementation, and post-implementation benefits and drawbacks. Recommendations were mapped into four performance dimensions: environmental, social, operational, and economic. The analysis showed that IoT can enhance supply chain risk management, process integration, sustainability, collaboration, resilience, and performance measurement. Key technologies aiding IoT implementation include blockchain, radio frequency identification (RFID), enterprise resource planning (ERP), and cloud computing.

This study is one of the few to conduct a comprehensive review of widely cited papers on IoT adoption in supply chains. It systematically summarizes the enablers, barriers, drivers, challenges, benefits, and drawbacks associated with such adoption. Furthermore, it proposes a distinctive model designed to assist organizations in successfully implementing IoT technologies, thereby filling a critical gap in the existing literature.

As the new frontier in online healthcare innovation, mobile health consultation (MHC) is transforming how traditional healthcare is delivered. Despite being known on a large scale for its benefits, MHC still faces consumer resistance. MHC is a technology-enabled service, so an in-depth analysis of consumer resistance from the perspective of technology is crucial to enhance service adoption. This study sought to determine the mechanism by which two information technology (IT)-specific traits – IT affordance and IT identity – influence consumer resistance to MHC during consumer–platform interactions.

We used the Credamo platform to gather data from 786 users with medical consulting experience to validate the resulting relationships.

Based on partial least squares structural equation modeling, three of the six IT affordances (visibility, searching and guidance shopping) exerted a significant positive influence on IT identity, while trigger attending and association affordance had no significant effect on IT identity. Persistence affordance was negatively associated with IT identity, and IT identity negatively influenced consumer resistance to MHC.

Academically, this empirical paper primarily contributes to the MHC literature and the theory of IT affordance and IT identity. Practically, several valuable guidance for MHC platforms is provided.

This study aims to explore whether seeking recommendations for doctors from offline word-of-mouth or online reviews influences patient satisfaction after treatment, and how the source of recommendation affects this effect.

Using a unique dataset of more than three million reviews from a popular Chinese online health community, this study used the coarsened exact matching method and built fixed-effect models to conduct empirical analysis.

The results suggest that selecting doctors according to recommendations can improve patient satisfaction and mitigate their dissatisfaction when encountering service failures. However, online recommendations were found to be less effective than offline sources in improving patient satisfaction.

This study provides important insights into patient satisfaction and doctor-patient relationships by revealing the antecedents of satisfaction and the potential for improving this relationship. It also contributes to the understanding of how recommendations in the healthcare context can improve patient satisfaction and alleviate the negative impact of service failures.

Online patient reviews are of considerable importance on online health platforms. However, there is limited understanding of how these reviews are generated and their impact on patients' choices of physicians. Therefore, this study aims to investigate the antecedents and consequences of online patient reviews on online health platforms.

This study introduced an online interaction model with multiple stages aimed at examining how physicians' service quality affects patients' review behavior and, consequently, influences patients' choices of physicians.

The results revealed that technical quality and emotional care significantly influenced the effort that patients exert and their use of positive emotional words when writing reviews, which, in turn, positively influenced patients' selection of physicians. Moreover, it was found that the voice channel had a significant moderating effect on the relationship between physician service quality and patient review behavior.

The study’s findings can help online health platform managers improve the platform system by optimizing the integrated text and voice interaction functions. The findings can also support physicians in improving service quality, managing online reviews and attracting patients’ choices.

This study enriches the literature on physician service quality, patient online reviews and choices in online health platforms. Furthermore, this study offers a novel perspective on the social exchange process in online healthcare settings by highlighting the role of media in shaping physician–patient interactions.

The purpose of this paper is to explore the impact of multidimensional perceived value and perceived pressure on physicians’ continuous intention to use (CIU) online health communities (OHCs) based on perceived value (PV) theory and conservation of resources (COR) theory.

This study developed a research model to test the proposed hypotheses, and the proposed model was tested using partial least squares structural equation modelling (PLS-SEM) for which data were collected from 481 physicians with OHC experience using an online survey.

The empirical results show the following: (1) Physicians’ CIU is influenced by perceived value and perceived pressure, with attitude towards OHCs using (ATU) playing a crucial role in the pathways. (2) Additional value, work pressure, peer pressure and social pressure have a positive impact on CIU, with consultation value, relationship value, work pressure and peer pressure positively influencing CIU through ATU as a mediator. (3) Reputation value has a positive effect on CIU moderated by seniority (online seniority and offline seniority).

This study emphasises the importance of different dimensions of perceived value and perceived pressure in CIU. Meanwhile, we broaden the research scope of PV theory and COR theory and provide inspiration to OHC managers and healthcare institution managers.

The purpose of this study is to enhance the understanding of the drivers of participation in online business forums (OBFs). Specifically, it examines how reciprocity and three distinct types of needs (functional, psychological and hedonic) shape the participation behaviour of members in OBFs.

This study employs a multilevel analysis, integrating Social Exchange Theory and Uses and Gratification Theory to develop and validate a research framework. Data were collected via online questionnaires (N = 596) from 48 business forums on LinkedIn. The data analysis was carried out using PLS-SEM in stages. A confirmatory factor analysis was carried out to assess the measurement model, including validating the reliability and validity of the measurement items. The direct hypotheses were tested, followed by a post ad-hoc analysis to test the mediation and moderation hypotheses.

This study shows the impact of three need factors – functional, psychological and hedonic – and reciprocity on community members' participation behaviour in OBFs. The findings indicate that fulfiling functional, psychological and hedonic needs are key determinants driving active participation. The study further highlights the coexistence of two types of reciprocity: direct and indirect. However, the data analysis results show that only indirect reciprocity motivates participation in OBFs. Furthermore, the study reveals that indirect reciprocity not only precedes participation but also acts as a pivotal factor interacting with the interrelationship between the need factors and participation levels in OBFs.

This research advances theoretical understanding of participation in OBFs by offering novel insights into its complex, multi-faceted nature. Unlike some previous simplistic models, this study employs innovative multilevel analysis, uniquely demonstrating the synergistic impact of need factors and reciprocity on participation. It offers a nuanced perspective previously unexplored by addressing reciprocity’s paradoxical role and uncovering interconnections between various factors. This approach provides groundbreaking insights into OBF dynamics, advancing theoretical understanding while offering actionable strategies for enhancing member engagement and community development.