Factors that influence trust and willingness to use generative
AI for health information : A cross-sectional study

J 2025

Factors that influence trust and willingness to use generative AI for health information : A cross-sectional study

ŠVESTKOVÁ, Adéla; Yi HUANG a David ŠMAHEL

Základní údaje

Originální název

Factors that influence trust and willingness to use generative AI for health information : A cross-sectional study

Autoři

ŠVESTKOVÁ, Adéla ; Yi HUANG a David ŠMAHEL

Vydání

Digital Health, London, SAGE Publications, 2025, 2055-2076

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30304 Public and environmental health

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

article - open access

Impakt faktor

Impact factor: 3.300 v roce 2024

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14230/25:00141680

Organizační jednotka

Fakulta sociálních studií

Klíčová slova anglicky

Online health information seeking (OHIS); trust in technology; generative AI; health anxiety; health status; eHealth literacy; technology acceptance model (TAM); artificial intelligence adoption

Štítky

EV_FSS25, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 4. 2. 2026 15:01, Mgr. Blanka Farkašová

Anotace

V originále

Objective Generative AI is increasingly used to provide health-related information in addition to online health information seeking (OHIS). Users’ willingness to adopt it is crucial. This study investigates individual factors associated with more frequent OHIS: health status, health anxiety, and eHealth literacy. Using the Technology Acceptance Model (TAM), we examined whether these factors are related to more trust in generative AI for health-related purposes and the willingness to use it. Methods Using SEM, we analyzed cross-sectional survey data (N = 4775) that is representative of adult Czech internet users (50% female; aged 18–95 years). Results Trust in AI was strongly associated with willingness to use AI. Health status and health anxiety were related to willingness to use AI only indirectly through trust. Higher eHealth literacy was associated with more trust only marginally and had no direct relationship with willingness to use AI. Wellness-related OHIS was positively associated with willingness to use AI for wellness purposes, and illness-related OHIS was associated with willingness to use AI for illness purposes. Conclusion Although not emphasized in TAM and its health-related extensions, trust seems to be a critical mediator in the adoption of generative AI for health purposes. Other factors related to OHIS were not associated with willingness to use AI, except for their relationship with trust. eHealth literacy is practically unrelated to trust and willingness to use AI, which is noteworthy given that health anxiety and health status related to higher acceptance are associated with more risky or high-stake use of online health information.

Návaznosti

LX22NPO5101, projekt VaV

Název: Národní institut pro výzkum socioekonomických dopadů nemocí a systémových rizik (Akronym: SYRI)

Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Národní institut pro výzkum socioekonomických dopadů nemocí a systémových rizik, 5.1 EXCELES

MUNI/A/1529/2024, interní kód MU

Název: Souvislosti používání digitálních technologií

Investor: Masarykova univerzita, Souvislosti používání digitálních technologií

Přiložené soubory

factors-that-influence-trust-and-willingness-to-use-generative-ai-for-health-information.pdf

Citovat

ŠVESTKOVÁ, Adéla; Yi HUANG a David ŠMAHEL. Factors that influence trust and willingness to use generative AI for health information : A cross-sectional study. Digital Health. London: SAGE Publications, 2025, roč. 11, July, s. 1-13. ISSN 2055-2076. Dostupné z: https://doi.org/10.1177/20552076251360973.

@article{2510277,
   author = {Švestková, Adéla and Huang, Yi and Šmahel, David},
   article_location = {London},
   article_number = {July},
   doi = {https://doi.org/10.1177/20552076251360973},
   keywords = {Online health information seeking (OHIS); trust in technology; generative AI; health anxiety; health status; eHealth literacy; technology acceptance model (TAM); artificial intelligence adoption},
   language = {eng},
   issn = {2055-2076},
   journal = {Digital Health},
   title = {Factors that influence trust and willingness to use generative AI for health information : A cross-sectional study},
   url = {https://journals.sagepub.com/doi/10.1177/20552076251360973},
   volume = {11},
   year = {2025}
}

TY  - JOUR
ID  - 2510277
AU  - Švestková, Adéla - Huang, Yi - Šmahel, David
PY  - 2025
TI  - Factors that influence trust and willingness to use generative AI for health information : A cross-sectional study
JF  - Digital Health
VL  - 11
IS  - July
SP  - 1-13
EP  - 1-13
PB  - SAGE Publications
SN  - 20552076
KW  - Online health information seeking (OHIS)
KW  - trust in technology
KW  - generative AI
KW  - health anxiety
KW  - health status
KW  - eHealth literacy
KW  - technology acceptance model (TAM)
KW  - artificial intelligence adoption
UR  - https://journals.sagepub.com/doi/10.1177/20552076251360973
N2  - Objective Generative AI is increasingly used to provide health-related information in addition to online health information seeking (OHIS). Users’ willingness to adopt it is crucial. This study investigates individual factors associated with more frequent OHIS: health status, health anxiety, and eHealth literacy. Using the Technology Acceptance Model (TAM), we examined whether these factors are related to more trust in generative AI for health-related purposes and the willingness to use it. Methods Using SEM, we analyzed cross-sectional survey data (N = 4775) that is representative of adult Czech internet users (50% female; aged 18–95 years). Results Trust in AI was strongly associated with willingness to use AI. Health status and health anxiety were related to willingness to use AI only indirectly through trust. Higher eHealth literacy was associated with more trust only marginally and had no direct relationship with willingness to use AI. Wellness-related OHIS was positively associated with willingness to use AI for wellness purposes, and illness-related OHIS was associated with willingness to use AI for illness purposes. Conclusion Although not emphasized in TAM and its health-related extensions, trust seems to be a critical mediator in the adoption of generative AI for health purposes. Other factors related to OHIS were not associated with willingness to use AI, except for their relationship with trust. eHealth literacy is practically unrelated to trust and willingness to use AI, which is noteworthy given that health anxiety and health status related to higher acceptance are associated with more risky or high-stake use of online health information.
ER  -

ŠVESTKOVÁ, Adéla; Yi HUANG a David ŠMAHEL. Factors that influence trust and willingness to use generative AI for health information : A cross-sectional study. \textit{Digital Health}. London: SAGE Publications, 2025, roč.~11, July, s.~1-13. ISSN~2055-2076. Dostupné z: https://doi.org/10.1177/20552076251360973.

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