Abstract
Preconception counseling helps prospective couples identify and reduce health risks before pregnancy, yet its use among engaged couples in Indonesia remains limited. Digital counseling services may widen access, but their adoption depends on user perceptions and the surrounding context. This study analyzes the factors that influence the interest of prospective brides and grooms in using digital preconception counseling services in Medan City. A quantitative cross-sectional design was applied to prospective couples recruited from community health centers and religious affairs offices, using a structured online questionnaire. The research model extends the Unified Theory of Acceptance and Use of Technology 2 (UTAUT2) with trust and privacy, electronic health literacy, and perceived health benefit. Performance expectancy, effort expectancy, social influence, facilitating conditions, price value, trust and privacy, electronic health literacy, and perceived health benefit were tested as predictors of interest in service use with partial least squares structural equation modeling. Data from 109 respondents indicated that performance expectancy, social influence, and price value significantly influenced interest in use, and the model explained 47.0 percent of its variance. The findings are expected to guide midwives, public health practitioners, and service managers in designing digital preconception counseling that is useful, easy to use, affordable, trustworthy, and socially supported. This collaboration among midwifery, public health, and management perspectives strengthens the practical relevance of the study.
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