Research Article

A moderated mediation model of AI acceptance in healthcare: Perceived AI usage competence, AI trust, and AI anxiety

Volume: 23 Number: 2026 July 3, 2026
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A moderated mediation model of AI acceptance in healthcare: Perceived AI usage competence, AI trust, and AI anxiety

Abstract

This study examined whether perceived AI usage competence is associated with AI acceptance in healthcare and whether this association is mediated by AI trust and moderated by AI anxiety. A cross-sectional, correlational survey design was used. Data were collected online from 422 adults in Türkiye who had used healthcare services within the previous six months. Perceived AI usage competence was modeled as the independent variable, AI trust as the mediating variable, AI acceptance in healthcare as the outcome variable, and AI anxiety as the moderating variable. Descriptive statistics, reliability analysis, confirmatory factor analysis, Pearson correlation analysis, and Hayes PROCESS Macro Model 8 were used to analyze the data. The findings indicated that perceived AI usage competence was positively associated with AI trust and AI acceptance in healthcare, and AI trust was positively associated with AI acceptance. The trust-mediated indirect association between perceived AI usage competence and AI acceptance was statistically significant. AI anxiety moderated both the competence–trust association and the direct competence–acceptance association, with weaker associations observed at higher levels of AI anxiety. Overall, the findings suggest that AI acceptance in healthcare is related not only to perceived technical competence but also to psychosocial factors such as trust and anxiety.

Keywords

AI acceptance, AI anxiety, AI trust, perceived AI usage competence, healthcare

Supporting Institution

The author declares that there is no financial support.

Ethical Statement

Ethics committee approval for the study was obtained from the Bayburt University Ethics Committee on March 18, 2026, with document number E-51694156-050.04-355402. It is hereby declared that scientific and ethical principles were observed throughout the preparation of this study and that all works utilized have been indicated in the references.

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APA
Kılınç, M. (2026). A moderated mediation model of AI acceptance in healthcare: Perceived AI usage competence, AI trust, and AI anxiety. OPUS Journal of Society Research, 23(2026), 1-18. https://doi.org/10.26466/opusjsr.1922808
AMA
1.Kılınç M. A moderated mediation model of AI acceptance in healthcare: Perceived AI usage competence, AI trust, and AI anxiety. OPUS JSR. 2026;23(2026):1-18. doi:10.26466/opusjsr.1922808
Chicago
Kılınç, Mehmet. 2026. “A Moderated Mediation Model of AI Acceptance in Healthcare: Perceived AI Usage Competence, AI Trust, and AI Anxiety”. OPUS Journal of Society Research 23 (2026): 1-18. https://doi.org/10.26466/opusjsr.1922808.
EndNote
Kılınç M (July 1, 2026) A moderated mediation model of AI acceptance in healthcare: Perceived AI usage competence, AI trust, and AI anxiety. OPUS Journal of Society Research 23 2026 1–18.
IEEE
[1]M. Kılınç, “A moderated mediation model of AI acceptance in healthcare: Perceived AI usage competence, AI trust, and AI anxiety”, OPUS JSR, vol. 23, no. 2026, pp. 1–18, July 2026, doi: 10.26466/opusjsr.1922808.
ISNAD
Kılınç, Mehmet. “A Moderated Mediation Model of AI Acceptance in Healthcare: Perceived AI Usage Competence, AI Trust, and AI Anxiety”. OPUS Journal of Society Research 23/2026 (July 1, 2026): 1-18. https://doi.org/10.26466/opusjsr.1922808.
JAMA
1.Kılınç M. A moderated mediation model of AI acceptance in healthcare: Perceived AI usage competence, AI trust, and AI anxiety. OPUS JSR. 2026;23:1–18.
MLA
Kılınç, Mehmet. “A Moderated Mediation Model of AI Acceptance in Healthcare: Perceived AI Usage Competence, AI Trust, and AI Anxiety”. OPUS Journal of Society Research, vol. 23, no. 2026, July 2026, pp. 1-18, doi:10.26466/opusjsr.1922808.
Vancouver
1.Mehmet Kılınç. A moderated mediation model of AI acceptance in healthcare: Perceived AI usage competence, AI trust, and AI anxiety. OPUS JSR. 2026 Jul. 1;23(2026):1-18. doi:10.26466/opusjsr.1922808