近年來，心理健康議題越加受到各界重視，因為健康不只是身體無病痛，更是心理、社會、靈性等多元面向健康的均衡。隨著智慧型手機和應用程式的日趨普及化，透過應用程式平臺讓社會大眾了解心理健康，將是一個研究趨勢。在此背景下，本研究以中年族群（30～60歲）為探討對象，這是人生中遭遇最多重大生活事件的時期，故此階段的心理健康不容忽視。因此，為了解中年族群對心理健康應用程式的使用意圖，本研究以「結合科技接受模式與計畫行為理論」（C-TAM-TPB）進行探討，其中的「科技接受模式」（TAM）是了解新科技或新技術的使用意圖，進一步整合「計畫行為理論」（TPB）的外在環境及自我控制能力影響之後，便能讓探討科技行為意圖有了更全面的考量。本研究邀請248位中年參與者進行線上問卷調查，並以結構方程模式（Structural Equation Model, SEM）進行分析，研究結果顯示，C-TAM-TPB中的「知覺有用性」、「知覺易用性」、「態度」、「主觀規範」及「知覺行為控制」皆對「行為意圖」有正向顯著影響，其中知覺易用性透過知覺有用性對態度產生正向顯著影響，而知覺有用性則透過態度對行為意圖產生正向顯著影響，兩者皆為部分中介效果。本文最後針對研究結果進行討論，提出研究限制及相關建議。

Being healthy is not only without injury or sickness but also included multiple aspects of health such as mental, social, spiritual health, etc. Furthermore, along with the popularization of smartphone and application, it is a tendency to promote mental health to the community through application platform. Base on the background mentioned above, the research focuses on middle-aged adults from 30 to 60 years old because their mental health can’t be ignored owing to many life events they encountered. To understand the behavior intention (BI) of mental health applications in middle age, the research applies the C-TAM-TPB model. TAM model is used especially to find out BI in new technology or technique, while further integrate with the influence of external environment and self-control ability from TPB theory, it sure gives comprehending user’s BI a more exhaustive consideration. The research invited 248 middle-age participants to fill out an online questionnaire and analyze the data with structural equation model, SEM. The research result shows ‘perceived usefulness (PU)’, ‘perceived ease of use (PEOU)’, ‘attitude (AT)’, ‘subjective norm (SN)’ and ‘perceived behavioral control (PBC)’ all have a significant positive effect to BI. Additionally, PEOU has a significant positive effect on AT through PU, and PU has a significant positive effect on BI through AT, both of them are partial mediation effects. Finally, this article discusses the research results and puts forward research limitations and related suggestions.

方偉達（2018）。人文社科研究方法：藝術、人文與社會學科，研究生完全達陣祕技。五南圖書出版。
行政院主計總處（2016年5月13日）。國情統計通報（第88號）。https://www.stat.gov.tw/public/Data/6513163838ECWGCXEJ.pdf
江文慈（2018）。情緒表達的性別差異：跨情境的分析。教育心理學報，49(3)，345-366。https://doi.org/10.6251/BEP.201803_49(3).0001
吳明隆、張毓仁（2010）。結構方程模式：實務應用秘笈。五南圖書出版。
宋世祥（2020年3月17日）。為什麼護理人員要喝珍珠奶茶？從「用途理論」思考產品的價值。經理人。https://www.managertoday.com.tw/columns/view/59380
李孟芬、潘立傑（2012）。淺談行動健康服務的應用。長期照護雜誌，16(3)，237-250。https://doi.org/10.6317/LTC.201212_16(3).0002
李蘭（1988）。健康促進。巨流圖書公司。
李蘭（1991）。健康行為的概念與研究。中華衛誌，10(5)，199-211。https://doi.org/10.6288/JNPHARC1991-10-05-01
周玉慧、黃朗文（2007）。中年生活感受與憂鬱之關係：以情緒支持爲中介。人文及社會科學集刊，19(4)，439-471。https://doi.org/10.6350/jssp.200712.0439
林佑霖（2019）。大學校園公共自行車系統潛在使用者之使用意圖〔未出版之碩士論文〕。國立成功大學。https://doi.org/10.6844/NCKU201900841
林芳珍、趙正敏（2015）。消費者採用行動商務之科技特徵：TPB與TAM之延伸研究。運動休閒管理學報，12(4)，1-17。https://doi.org/10.6214/JSRM.1204.001
林婉瑜、高千又、周沂樺（2014）。年輕女性使用 APP 需求與介面設計之研究-以瑜珈教學APP為例。圖文傳播藝術學報，445-473。https://doi.org/10.29886/NTUADGCA
邱皓政（2006）。量化研究與統計分析。五南圖書出版。
徐茂洲、吳兆欣、謝仁瑋（2017）。臺灣球迷線上收看中華職棒比賽行為意圖模式之研究-結合科技接受模式與計畫行為理論。運動研究，26(1)，1-20。https://doi.org/10.6167/JSR/2017.26(1)1
徐靖惠、蔣世寶（2015）。App互動介面設計探討-以行動應用程式上兒童遊戲為例。OSET 2015自由軟體與教育科技研討會發表之論文，銘傳大學。
許子凡、胡辰忠（2020）。視障生聽讀輔助之介面設計與使用性評估。設計學研究，23(1)，23-39。https://doi.org/10.30105/JDS
許家謙、凌家如、林清同（2016）。高齡者參與槌球運動行為模式之探討：計畫行為理論之應用。戶外遊憩研究，29(1)，79-111。https://doi.org/10.6130/JORS.2016.29(1)4
國家發展委員會（2019年8月）。108年持有手機民眾數位機會調查報告。https://ws.ndc.gov.tw/Download.ashx?u=LzAwMS9hZG1pbmlzdHJhdG9yLzEwL2NrZmlsZS8yMTFjZWQzMy0yNjM0LTQ0ZTctODEyMy00MDkwYjIxNTQ0ZmYucGRm&n=MTA45bm05omL5qmf5peP5pW45L2N5qmf5pyD6Kq%2f5p%2bl5aCx5ZGK77y%2f5YWs5ZGK54mILnBkZg%3d%3d&icon=.pdf
張志銘、陳南琦、林忠政（2012）。結合科技接受模式與計畫行為理論探討參與Wii運動型遊戲之行為意圖。運動與遊憩研究，7(1)，53-67。https://doi.org/10.29423/JSRR.201209_7(1).0004
張毓思（2020年2月12日）。不要再錯怪年輕人！調查發現，中年人才是低頭族重症者。天下雜誌。https://www.cw.com.tw/article/5098970
陳錫琦（1997）。坐禪與健康促進。華梵學報，4，45-54。
陶宏麟、鄭輝培（2019）。快樂在年齡上的變化：U型的爭辯與臺灣兩性的差異。人口學刊，59，35-88。https://doi.org/10.6191/jps.201912_(59).0002
曾月霞（2004）。中年人健康行為之探討。護理雜誌，51(1)，20-24。https://doi.org/10.6224/jn.51.1.20
潘寶霞、戎瑾如、吳書儀（2013）。中年人健康問題、健康行為自我效能對心理健康狀況之影響。精神衛生護理雜誌，8(1)，12-22。https://doi.org/10.6847/tjpmhn.201310_8(1).0003
鄭又禎（2019）。更年期與認知功能退化。台灣更年期醫學會會訊，60，10-14。https://doi.org/10.6651/tms.201911_(60).01
鄭怡君、蔡俊傑（2016）。Bootstrap中介效果結構方程模式分析。體育學系系刊，15，102-114。https://doi.org/10.29793/TYHHHK
薛筱樺、林承謙（2019）。適用於中高齡者智慧裝置之介面設計初探。2019亞洲基礎造形聯合學會台中大會論文集，147-156。https://doi.org/10.6904/TSBDA
謝碧容、曾馨慧、張芷綺、鍾秉宏、蔡承翰（2020）。探討中年人對於在地樂活老化策略的需求意圖：整合計畫行為理論及健康信念模型。商略學報，12(1)，17-32。https://doi.org/10.3966/207321472020031201002
簡瑋彤、鄭文華（2015）。佛寺彩繪主題學習館APP介面設計研究。中華民國設計學會研究論文，184-189。
顏碧瑩（2016）。臺灣民眾之健康概念：向度與層次〔未出版之碩士論文〕。國立臺灣大學。https://doi.org/10.6342/NTU201600909
Addis, M. E., & Mahalik, J. R. (2003). Men, masculinity, and the contexts of help seeking. American psychologist, 58(1), 5. https://doi.org/10.1037/0003-066x.58.1.5
Ajzen, I. (1988). Attitudes, personality, and behavior. Dorsey Press.
Ajzen, I. (1991). The theory of planned behavior. Organizational behavior and human decision processes, 50(2), 179-211. https://doi.org/10.1016/0749-5978(91)90020-T
Ajzen, Icek & Fishbein, Martin. (1977). Attitude-Behavior Relations: A Theoretical Analysis and Review of Empirical Research. Psychological Bulletin, 84, 888-918. https://doi.org/10.1037/0033-2909.84.5.888.
Alonso, Y. (2004). The biopsychosocial model in medical research: the evolution of the health concept over the last two decades. Patient Education and Counseling, 53(2), 239-244. https://doi.org/10.1016/S0738-3991(03)00146-0
Anderson, K., Burford, O., & Emmerton, L. (2016). Mobile health apps to facilitate self-care: a qualitative study of user experiences. PLoS One, 11(5): e0156164. https://doi.org/10.1371/journal.pone.0156164
Bagozzi, R. P., & Yi, Y. (1988). On the evaluation of structural equation models. Journal of the academy of marketing science, 16(1), 74-94. https://doi.org/10.1007/BF02723327
Bakker, D., Kazantzis, N., Rickwood, D., & Rickard, N. (2016). Mental Health Smartphone Apps: Review and Evidence-Based Recommendations for Future Developments. JMIR Mental Health, 3(1): e7. https://doi.org/10.2196/mental.4984
Blanchflower, D. G. (2020). Is Happiness U-shaped Everywhere? Age and Subjective Well-being in 132 Countries. National Bureau of Economic Research. https://doi.org/10.3386/w26641
Bollen, K. A., & Long, J. S. (1993). Testing structural equation models (Vol. 154). Sage.
Bromwich, J. E. (2017). Generation X More Addicted to Social Media Than Millennials, Report Finds. The New York Times. https://nyti.ms/2kb7ylR
Byambasuren, O., Sanders, S., Beller, E., & Glasziou, P. (2018). Prescribable mHealth apps identified from an overview of systematic reviews. npj Digital Medicine, 1(1), 12. https://doi.org/10.1038/s41746-018-0021-9
Carr, D., Cornman, J. C., & Freedman, V. A. (2015). Marital Quality and Negative Experienced Well-Being: An Assessment of Actor and Partner Effects Among Older Married Persons. The Journals of Gerontology: Series B, 71(1), 177-187. https://doi.org/10.1093/geronb/gbv073
Christensen, C. M., Dillon, K., Hall, T., & Duncan, D. S. (2016). Competing Against Luck: The Story of Innovation and Customer Choice. Harper Business.
Cialdini, R. B. (1993). Influence : the psychology of persuasion. HarperCollins.
Comstock, J. (2020). HIMSS launches new definition of digital health. mobihealthnews. https://www.mobihealthnews.com/news/himss-launches-new-definition-digital-health
Constantine, L. L., & Lockwood, L. A. D. (1999). Software For Use : A Practical Guide to the Models and Methods of Usage-Centered Design. Addison-Wesley Professional.
Corrigan, P., Watson, A., & Barr, L. (2006). The self-stigma of mental illness: Implications for self-esteem and self-efficacy. Journal of Social and Clinical Psychology, 25(9), 875-884. https://doi.org/10.1521/jscp.2006.25.8.875
Curran, P. J., West, S. G., & Finch, J. F. (1996). The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis. Psychological methods, 1(1), 16-29. https://doi.org/10.1037/1082-989X.1.1.16
Davis, F. D. (1989). Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology. MIS Quarterly, 13(3), 319-340. https://doi.org/10.2307/249008
DeVellis, R. F. (2016). Scale development: Theory and applications (Vol. 26). Sage publications.
Engel, G. L. (1977). The Need for a New Medical Model: A Challenge for Biomedicine. Science, 196(4286), 129-136. https://doi.org/10.1126/science.847460
Engel, J. F., Kollat, D. T., & Blackwell, R. D. (1968). Consumer behavior. Holt, Rinehart and Winston.
Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention and behaviour: An introduction to theory and research (Vol. 27). Reading, MA: Addison-Wesley.
Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of marketing research, 18(1), 39-50. https://doi.org/10.1177/002224378101800104
Freund, A., & Ritter, J. (2009). Midlife Crisis: A Debate. Gerontology, 55(5). 582-91. https://doi.org/10.1159/000227322
Gloria, A. M., Castellanos, J., Park, Y. S., & Kim, D. (2008). Adherence to Asian cultural values and cultural fit in Korean American undergraduates' help-seeking attitudes. Journal of Counseling & Development, 86(4), 419–428. https://doi.org/https://doi.org/10.1002/j.1556-6678.2008.tb00530.x
Gollwitzer, P. M. (2012). Mindset theory of action phases (Vol. 1). Sage Publications Ltd. https://doi.org/10.4135/9781446249215.n26
Gorsuch, R. L. (1983). Factor analysis. Lawrence Erlbaum Associates.
Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (1998). Multivariate data analysis (Vol. 5). Prentice hall Upper Saddle River, NJ.
Hancock, T., & Perkins, F. (1985). The Mandala of Health: A Model of the Human Ecosystem. Family & community health, 8, 1-10. https://doi.org/10.1097/00003727-198511000-00002
Husaini, B. A., Moore, S. T., & Cain, V. A. (1994). Psychiatric symptoms and help-seeking behavior among the elderly: An analysis of racial and gender differences. Journal of Gerontological Social Work, 21(3-4), 177–195. https://doi.org/10.1300/J083V21N03_12
Jorm, A. F. (2012). Mental health literacy: empowering the community to take action for better mental health. American psychologist, 67(3), 231. https://doi.org/10.1037/a0025957
Jorm, A. F., Korten, A. E., Jacomb, P. A., Christensen, H., Rodgers, B., & Pollitt, P. (1997). “Mental health literacy”: a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical Journal of Australia, 166(4), 182-186. https://doi.org/10.5694/j.1326-5377.1997.tb140071.x
Joseph, A. W., DV, J. S., Saluja, K. P. S., Mukhopadhyay, A., Murugesh, R., & Biswas, P. (2021). Eye Tracking to Understand Impact of Aging on Mobile Phone Applications. arXiv preprint arXiv:2101.00792.
Kelley, C. L., & Charness, N. (1995). Issues in training older adults to use computers. Behaviour & Information Technology, 14(2), 107-120. https://doi.org/10.1080/01449299508914630
Keyes, C. L. (2005). Mental Illness and/or Mental Health? Investigating Axioms of the Complete State Model of Health. Journal of consulting and clinical psychology, 73(3), 539-548. https://doi.org/10.1037/0022-006X.73.3.539
Liu, C., Zhu, Q., Holroyd, K. A., & Seng, E. K. (2011). Status and trends of mobile-health applications for iOS devices: A developer's perspective. Journal of Systems and Software, 84(11), 2022-2033. https://doi.org/10.1016/j.jss.2011.06.049
Meier, B. J. (1988, October). ACE: a color expert system for user interface design. In Mark Green (Chair), Proceedings of the 1st annual ACM SIGGRAPH symposium on User Interface Software. Symposium conducted at Alberta, Canada. https://doi.org/10.1145/62402.62424
Moon, J. W., & Kim, Y. G. (2001). Extending the TAM for a World-Wide-Web Context. Information and Management, 38, 217-230. https://doi.org/http://dx.doi.org/10.1016/S0378-7206(00)00061-6
Nielsen, J. (1989). Coordinating user interfaces for consistency. Boston: Academic Press.
Nielsen, J. (1994). 10 Usability Heuristics for User Interface Design. Nielsen Norman Group. https://www.nngroup.com/articles/ten-usability-heuristics/
Proudfoot, J. G., Parker, G. B., Pavlovic, D. H., Manicavasagar, V., Adler, E., & Whitton, A. E. (2010). Community attitudes to the appropriation of mobile phones for monitoring and managing depression, anxiety, and stress. Journal of medical Internet research, 12(5): e64. https://doi.org/10.2196/jmir.1475
Rams, D. (1976). Ten principles for good design. Vitsoe. https://www.vitsoe.com/gb/about/good-design
Randall, W. M., & Rickard, N. S. (2013). Development and Trial of a Mobile Experience Sampling Method (m-ESM) for Personal Music Listening. Music Perception, 31(2), 157-170. https://doi.org/10.1525/mp.2013.31.2.157
Reisinger, Y., & Turner, L. (1999). Structural equation modeling with Lisrel: application in tourism. Tourism Management, 20(1), 71-88. https://doi.org/10.1016/S0261-5177(98)00104-6
Rise, J., Thompson, M., & Verplanken, B. (2003). Measuring implementation intentions in the context of the theory of planned behavior. Scandinavian Journal of Psychology, 44(2), 87−95. https://doi.org/10.1111/1467-9450.00325
Robbins, C. (1989). Sex differences in psychosocial consequences of alcohol and drug abuse. Journal of Health and Social Behavior, 30(1), 117-130. https://doi.org/10.2307/2136917
Schaefer, M. (2018). How to make the Content Marketing Hierarchy of Needs work for your business. Linkedin. https://www.linkedin.com/pulse/how-make-content-marketing-hierarchy-needs-work-your-mark-schaefer/
Schumacker, R. E., & Lomax, R. G. (2004). A beginner's guide to structural equation modeling. psychology press.
Shiffman, S., Stone, A. A., & Hufford, M. R. (2008). Ecological Momentary Assessment. Annual Review of Clinical Psychology, 4(1), 1-32. https://doi.org/10.1146/annurev.clinpsy.3.022806.091415
Shneiderman, B. (2016). The Eight Golden Rules of Interface Design. University of Maryland. https://www.cs.umd.edu/users/ben/goldenrules.html
Smith, J. A. (1981). The idea of health: a philosophical inquiry. Advances in Nursing Science, 3(3), 43-50. https://doi.org/10.1097/00012272-198104000-00005
Sydow, L. (2019). The State of Mobile 2019. App Annie. https://www.thedmti.com/wp-content/uploads/2019/01/State_of_Mobile_Main_2019.pdf
Sydow, L. (2021). The State of Mobile in 2021: New Records Beckon. App Annie.
https://www.appannie.com/en/insights/market-data/mobile-2021-new-records-beckon/
Taylor, S., & Todd, P. (1995). Assessing IT Usage: The Role of Prior Experience. MIS Quarterly, 19(4), 561-570. https://doi.org/10.2307/249633
Tognazzini, B. (2014). First Principles of Interaction Design. Nielsen Norman Group. https://www.nngroup.com/articles/first-principles-interaction-design/
Top Platforms - Share of Smartphone Subscribers 3 Month Avg. Ending Mar. 2021 vs. 3 Month Avg. Ending Jan. 2021. Comscore. https://www.comscore.com/Insights/Rankings#tab_mobile_smartphone_platforms/
Ulwick, A. W. (2016). Jobs to be Done: Theory to Practice. IDEA BITE PRESS.
Venkatesh, V., & Agarwal, R. (2006). Turning Visitors into Customers: A Usability-Centric Perspective on Purchase Behavior in Electronic Channels. Management Science, 52(3), 367-382. https://doi.org/10.1287/mnsc.1050.0442
World Health Organization (1946). Constitution of the World Health Organization.
http://apps.who.int/gb/bd/PDF/bd47/EN/constitution-en.pdf?ua=1
World Health Organization (1986). The Ottawa Charter for Health Promotion.
https://www.who.int/healthpromotion/conferences/previous/ottawa/en/
Wu, L., & Chen, J. L. (2005). An extension of trust and TAM model with TPB in the initial adoption of on-line tax: an empirical study. International Journal of Human-Computer Studies, 62(6), 784-808. https://doi.org/10.1016/j.ijhcs.2005.03.003
Wylie, C. M. (1970). The definition and measurement of health and disease. Public health reports, 85(2), 100–104. http://dx.doi.org/10.2307/4593800