Self-determination theory and inertia in mHealth apps: drivers of continuous usage intentions

This study explores the drivers of continued use intentions for mobile health (mHealth) applications by examining the roles of self-determination theory (SDT) and status quo bias theory. Data was obtained from 253 respondents and analysed using SmartPLS. Data from mHealth app users indicate that autonomy need and competence need positively influence continuance usage intentions. The findings also suggest that inertia, the tendency to persist with existing behaviours even when superior alternatives exist, influences individuals’ continuance intention and serves as an indirect pathway through which autonomy need and competence need drive users’ persistence with mHealth apps. The results imply that developers should focus on enhancing user autonomy and competence through custom features, while emphasising the tangible benefits of mHealth apps. Managing user inertia through seamless transitions and incentives can prevent app abandonment.