Mobile Health Apps to Facilitate Self-Care: A Qualitative Study of User Experiences

Consumers are living longer, creating more pressure on the health system and increasing their requirement for self-care of chronic conditions. Despite rapidly-increasing numbers of mobile health applications ('apps') for consumers' self-care, there is a paucity of research into consum...

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Veröffentlicht in:PloS one 2016-05, Vol.11 (5), p.e0156164-e0156164
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Emmerton, Lynne
description Consumers are living longer, creating more pressure on the health system and increasing their requirement for self-care of chronic conditions. Despite rapidly-increasing numbers of mobile health applications ('apps') for consumers' self-care, there is a paucity of research into consumer engagement with electronic self-monitoring. This paper presents a qualitative exploration of how health consumers use apps for health monitoring, their perceived benefits from use of health apps, and suggestions for improvement of health apps. 'Health app' was defined as any commercially-available health or fitness app with capacity for self-monitoring. English-speaking consumers aged 18 years and older using any health app for self-monitoring were recruited for interview from the metropolitan area of Perth, Australia. The semi-structured interview guide comprised questions based on the Technology Acceptance Model, Health Information Technology Acceptance Model, and the Mobile Application Rating Scale, and is the only study to do so. These models also facilitated deductive thematic analysis of interview transcripts. Implicit and explicit responses not aligned to these models were analyzed inductively. Twenty-two consumers (15 female, seven male) participated, 13 of whom were aged 26-35 years. Eighteen participants reported on apps used on iPhones. Apps were used to monitor diabetes, asthma, depression, celiac disease, blood pressure, chronic migraine, pain management, menstrual cycle irregularity, and fitness. Most were used approximately weekly for several minutes per session, and prior to meeting initial milestones, with significantly decreased usage thereafter. Deductive and inductive thematic analysis reduced the data to four dominant themes: engagement in use of the app; technical functionality of the app; ease of use and design features; and management of consumers' data. The semi-structured interviews provided insight into usage, benefits and challenges of health monitoring using apps. Understanding the range of consumer experiences and expectations can inform design of health apps to encourage persistence in self-monitoring.
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Despite rapidly-increasing numbers of mobile health applications ('apps') for consumers' self-care, there is a paucity of research into consumer engagement with electronic self-monitoring. This paper presents a qualitative exploration of how health consumers use apps for health monitoring, their perceived benefits from use of health apps, and suggestions for improvement of health apps. 'Health app' was defined as any commercially-available health or fitness app with capacity for self-monitoring. English-speaking consumers aged 18 years and older using any health app for self-monitoring were recruited for interview from the metropolitan area of Perth, Australia. The semi-structured interview guide comprised questions based on the Technology Acceptance Model, Health Information Technology Acceptance Model, and the Mobile Application Rating Scale, and is the only study to do so. These models also facilitated deductive thematic analysis of interview transcripts. Implicit and explicit responses not aligned to these models were analyzed inductively. Twenty-two consumers (15 female, seven male) participated, 13 of whom were aged 26-35 years. Eighteen participants reported on apps used on iPhones. Apps were used to monitor diabetes, asthma, depression, celiac disease, blood pressure, chronic migraine, pain management, menstrual cycle irregularity, and fitness. Most were used approximately weekly for several minutes per session, and prior to meeting initial milestones, with significantly decreased usage thereafter. Deductive and inductive thematic analysis reduced the data to four dominant themes: engagement in use of the app; technical functionality of the app; ease of use and design features; and management of consumers' data. The semi-structured interviews provided insight into usage, benefits and challenges of health monitoring using apps. Understanding the range of consumer experiences and expectations can inform design of health apps to encourage persistence in self-monitoring.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27214203</pmid><doi>10.1371/journal.pone.0156164</doi><oa>free_for_read</oa></addata></record>
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subjects Activities of daily living
Adolescent
Adult
Applications programs
Asthma
Autoimmune diseases
Biology and Life Sciences
Blood pressure
Celiac disease
Cell Phone
Chronic conditions
Chronic Disease - therapy
Chronic illnesses
Chronic pain
Computer and Information Sciences
Consumer Behavior
Consumers
Data processing
Design
Diabetes
Diabetes mellitus
Disease control
Engineering and Technology
Feasibility studies
Female
Fitness
Headache
Health
Humans
Information technology
Internet
Intervention
Interviews as Topic
Male
Medicine and Health Sciences
Menstrual cycle
Mental depression
Methods
Metropolitan areas
Middle Aged
Migraine
Mobile Applications
Mobile computing
Monitoring
Monitoring, Physiologic - instrumentation
Monitoring, Physiologic - methods
Pain
Patient Satisfaction - statistics & numerical data
Pharmacy
Physical fitness
Qualitative research
Researchers
Self care (Health)
Self Care - instrumentation
Self Care - methods
Smartphones
Technology
Technology Acceptance Model
Technology utilization
Telemedicine - instrumentation
Telemedicine - methods
Usability
User-Computer Interface
Weight control
Young Adult
title Mobile Health Apps to Facilitate Self-Care: A Qualitative Study of User Experiences
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