Abstract
The adoption of a personal health record (PHR) is a crucial element in quality healthcare, allowing patients to permit the storage of their health information to create a more inclusive, reliable health record. However, the embracing of PHRs has been slow compared to other healthcare-related systems due to the poor design and behavioral aspects. The objective of this research is to study user acceptance factors to identify a better design for PHR systems and to promote healthy behaviors that support individuals' performance. The study proposes an integrative adoption model for PHRs that integrates theoretical factors from the health belief model with the user acceptance determinants from the technology acceptance model and innovation diffusion theory. Using structural equation modeling with the R “Lavaan” package, the study tested the hypothesis relationships of the constructs. The data were captured from individuals through Amazon’s MTurk. Among the nine relationships studied, the research revealed six significant relationships that inform the final PHR integrative adoption model. The research provides great insights into the factors that influence individuals’ PHR adoption. The results introduce a novel integration model to the current body of knowledge. This model will contribute to a better theoretical understanding of the actual use of healthcare-related technologies and bring greater estimates of patient engagement in healthy activities.