Health-promoting lifestyle mediates the relationship between mHealth technology acceptance and cognitive function in older adults with chronic diseases

This study used a cross-sectional design to investigate the mediating role of a health-promoting lifestyle on mobile health technology acceptance and cognitive function. A total of 219 older adults, age 65 years or older, with diagnosed chronic diseases, were recruited from a northern Taiwan community. Participants completed questionnaires including demographic characteristics, the Senior Technology Acceptance Scale, the Health Promoting Lifestyle Profile Scale, and the Montreal Cognitive Assessment. Mediation analysis was conducted using the PROCESS macro. After controlling for demographic factors, health-promoting lifestyle proved to be a full mediator of mobile health technology acceptance and cognitive function. The results indicate that interventions to maintain or improve cognitive function in older adults with chronic diseases who are living in the community should also encourage the acceptance of mobile health technology and adoption of health-promoting lifestyle.