The use of mobile health (mHealth) is providing value to the elderly, but their acceptance of it is lower than in other age groups. Thus, this study aims to explore the factors influencing their intention to use mHealth and identify barriers and suggested solutions among elderly people aged 50+ years in Saudi Arabia, guided by the Healthcare Technology Acceptance Model (H-TAM). In this qualitative study, 14 elderly people (six females and eight males) were recruited. Participants were included if they were Saudi, aged 50+ years, and used smartphones. Participants were engaged in semi-structured interviews, which were transcribed verbatim and thematically analyzed. Peer review was conducted and saturation was reached to maintain rigor. Three major themes emerged: (1) factors affecting intention to use, (2) concerns and barriers, and (3) solutions and recommendations. Influenced factors were identified as perceived usefulness, perceived need, perceived ease of use, perceived benefits, familiarity, trust in technology, advice acceptance, facilitating conditions (family support), and compatibility. Older participants, particularly those with lower educational attainment, displayed less familiarity with mHealth. Lack of digital literacy, health and aging issues, worry about making mistakes, and social issues emerged as central barriers. Addressing these factors in the design and promotion of mHealth can enhance its successful adoption among the elderly.
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