The Role of Digital Technology Adoption in Strengthening Community Health Resilience: An Integrated TAM–TPB Model of Community Health Services in East Java
Autori:
Tuwanku Aria AULIANDRI, Dunga Dwi BARINTA, Nurul KHAIRA, Elsa Yustika PUTRI, Andhy SETYAWAN, Teungku Ailishafia AULIANDRI
Cod: ISSN: 1583-3410 (print), ISSN: 1584-5397 (electronic)
Dimensiuni: pp. 42-62
How to cite this article:Auliandri, T.A., Barinta, D.D., Khaira, N., Putri, E.Y., Setyawan, A., Auliandri, T.A. (2026). The Role of Digital Technology Adoption in Strengthening Community Health Resilience: An Integrated TAM–TPB Model of Community Health Services in East Java. Revista de Cercetare si Interventie Sociala, 92, 42-62, DOI: 10.33788/rcis.92.3 |
Abstract:
The role of digital technology in strengthening community-based health services has become increasingly critical for improving the quality and resilience of primary healthcare in the post-pandemic era. Grounded in the Technology Acceptance Model (TAM) and the Theory of Planned Behavior (TPB), this study extends the theoretical framework by incorporating Service Orientation and intrinsic and extrinsic motivation to explain digital technology adoption among POSYANDU cadres in East Java, Indonesia. A quantitative survey was conducted among 324 active cadres drawn from rural and island-based areas, and the data were analyzed using PLS-SEM. The results show that eight of the ten proposed hypotheses were supported, confirming the significant roles of perceived ease of use, extrinsic motivation, and behavioral intention in determining actual technology use in community health services. Service Orientation, reflecting service-user focus and responsiveness, was found to strongly shape digital behavioral norms, which in turn enhanced perceived ease of use. However, the effects of behavioral norms on extrinsic motivation and of intrinsic motivation on behavioral intention were not significant, indicating that POSYANDU cadres adoption decisions are driven more by functional and service-related benefits than by social pressure or enjoyment. The study contributes theoretically by contextualizing TAM and TPB in the domain of primary healthcare and by integrating strategic service orientation and motivational factors into the digital adoption model. Practically, the findings highlight the importance of policies and capacity-building programs that emphasize tangible service benefits, strengthen digital competence, and cultivate supportive digital norms among community health workers. These insights offer valuable guidance for accelerating digital transformation and enhancing the sustainability of grassroots health service delivery.
Keywords:
POSYANDU cadres; digital health adoption; Technology Acceptance Model (TAM); Theory of Planned Behavior (TPB); market orientation; community-based healthcare; Indonesia.
DOI: https://doi.org/10.33788/rcis.92.3
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