Skip to main content
Top
Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

A qualitative study of user perceptions of mobile health apps

Authors: Wei Peng, Shaheen Kanthawala, Shupei Yuan, Syed Ali Hussain

Published in: BMC Public Health | Issue 1/2016

Login to get access

Abstract

Background

Mobile apps for health exist in large numbers today, but oftentimes, consumers do not continue to use them after a brief period of initial usage, are averse toward using them at all, or are unaware that such apps even exist. The purpose of our study was to examine and qualitatively determine the design and content elements of health apps that facilitate or impede usage from the users’ perceptive.

Methods

In 2014, six focus groups and five individual interviews were conducted in the Midwest region of the U.S. with a mixture of 44 smartphone owners of various social economic status. The participants were asked about their general and health specific mobile app usage. They were then shown specific features of exemplar health apps and prompted to discuss their perceptions. The focus groups and interviews were audio recorded, transcribed verbatim, and coded using the software NVivo.

Results

Inductive thematic analysis was adopted to analyze the data and nine themes were identified: 1) barriers to adoption of health apps, 2) barriers to continued use of health apps, 3) motivators, 4) information and personalized guidance, 5) tracking for awareness and progress, 6) credibility, 7) goal setting, 8) reminders, and 9) sharing personal information. The themes were mapped to theories for interpretation of the results.

Conclusions

This qualitative research with a diverse pool of participants extended previous research on challenges and opportunities of health apps. The findings provide researchers, app designers, and health care providers insights on how to develop and evaluate health apps from the users’ perspective.
Appendix
Available only for authorised users
Literature
7.
go back to reference Turner-McGrievy GM, Beets MW, Moore JB, Kaczynski AT, Barr-Anderson DJ, Tate DF. Comparison of traditional versus mobile app self-monitoring of physical activity and dietary intake among overweight adults participating in an mHealth weight loss program. J Am Med Inform Assoc. 2013;20:513–8. doi:10.1136/amiajnl-2012-001510.CrossRefPubMedPubMedCentral Turner-McGrievy GM, Beets MW, Moore JB, Kaczynski AT, Barr-Anderson DJ, Tate DF. Comparison of traditional versus mobile app self-monitoring of physical activity and dietary intake among overweight adults participating in an mHealth weight loss program. J Am Med Inform Assoc. 2013;20:513–8. doi:10.​1136/​amiajnl-2012-001510.CrossRefPubMedPubMedCentral
10.
go back to reference Cowan LT, Van Wagenen SA, Brown BA, Hedin RJ, Seino-Stephan Y, Hall PC, et al. Apps of steel: Are exercise apps providing consumers with realistic expectations? A content analysis of exercise apps for presence of behavior change theory. Health Educ Behav. 2013;40(2):133–9. doi:10.1177/1090198112452126.CrossRefPubMed Cowan LT, Van Wagenen SA, Brown BA, Hedin RJ, Seino-Stephan Y, Hall PC, et al. Apps of steel: Are exercise apps providing consumers with realistic expectations? A content analysis of exercise apps for presence of behavior change theory. Health Educ Behav. 2013;40(2):133–9. doi:10.​1177/​1090198112452126​.CrossRefPubMed
20.
go back to reference Venkatesh V, Thong JY, Xu X. Consumer acceptance and use of information technology: Extending the unified theory of acceptance and use of technology. MIS Q. 2012;36(1):157–78. Venkatesh V, Thong JY, Xu X. Consumer acceptance and use of information technology: Extending the unified theory of acceptance and use of technology. MIS Q. 2012;36(1):157–78.
21.
go back to reference Bandura A. Social cognitive theory of self-regulation. Organ Behav Hum Decis Process. 1991;50(2):248–87.CrossRef Bandura A. Social cognitive theory of self-regulation. Organ Behav Hum Decis Process. 1991;50(2):248–87.CrossRef
22.
go back to reference Gould SJ. Health consciousness and health behavior: the application of a new health consciousness scale. Am J Prev Med. 1990;6(4):228–37.PubMed Gould SJ. Health consciousness and health behavior: the application of a new health consciousness scale. Am J Prev Med. 1990;6(4):228–37.PubMed
23.
go back to reference Spruijt-Metz D, Nilsen W. Dynamic models of behavior for just-in-time adaptive interventions. IEEE Pervasive Comput. 2014;3:13–7.CrossRef Spruijt-Metz D, Nilsen W. Dynamic models of behavior for just-in-time adaptive interventions. IEEE Pervasive Comput. 2014;3:13–7.CrossRef
24.
go back to reference Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef
26.
go back to reference Singhal A, Cody MJ, Rogers EM, Sabido M. Entertainment-education and social change: History, research, and practice. New York: Routledge; 2003. Singhal A, Cody MJ, Rogers EM, Sabido M. Entertainment-education and social change: History, research, and practice. New York: Routledge; 2003.
28.
go back to reference Kreuter MW, Oswald DL, Bull FC, Clark EM. Are tailored health education materials always more effective than non-tailored materials? Health Educ Res. 2000;15(3):305–15.CrossRefPubMed Kreuter MW, Oswald DL, Bull FC, Clark EM. Are tailored health education materials always more effective than non-tailored materials? Health Educ Res. 2000;15(3):305–15.CrossRefPubMed
29.
go back to reference Noar SM, Benac CN, Harris MS. Does tailoring matter? Meta-analytic review of tailored print health behavior change interventions. Psychol Bull. 2007;133(4):673–93.CrossRefPubMed Noar SM, Benac CN, Harris MS. Does tailoring matter? Meta-analytic review of tailored print health behavior change interventions. Psychol Bull. 2007;133(4):673–93.CrossRefPubMed
31.
go back to reference Davis V. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q. 1989;13(3):319–40.CrossRef Davis V. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q. 1989;13(3):319–40.CrossRef
32.
go back to reference Fishbein M, Ajzen I. Belief, attitude, intention, and behavior: An introduction to theory and research. Reading: Addison-Wesley; 1975. Fishbein M, Ajzen I. Belief, attitude, intention, and behavior: An introduction to theory and research. Reading: Addison-Wesley; 1975.
33.
go back to reference Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179–211.CrossRef Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179–211.CrossRef
34.
go back to reference Rogers EM. Diffusion of innovations. 4th ed. New York: Free Press; 1995. Rogers EM. Diffusion of innovations. 4th ed. New York: Free Press; 1995.
35.
go back to reference Baumeister RF, Vohs KD, Tice DM. The strength model of self-control. Curr Dir Psychol Sci. 2007;16(6):351–5.CrossRef Baumeister RF, Vohs KD, Tice DM. The strength model of self-control. Curr Dir Psychol Sci. 2007;16(6):351–5.CrossRef
36.
go back to reference Locke EA, Latham GP. A theory of goal setting and task performance. Upper Saddle River: Prentice Hall; 1990. Locke EA, Latham GP. A theory of goal setting and task performance. Upper Saddle River: Prentice Hall; 1990.
37.
go back to reference Becker MH, Radius SM, Rosenstock IM. Compliance with a medical regimen for asthma: A test of the health belief model. Public Health Rep. 1978;93:268–77.PubMedPubMedCentral Becker MH, Radius SM, Rosenstock IM. Compliance with a medical regimen for asthma: A test of the health belief model. Public Health Rep. 1978;93:268–77.PubMedPubMedCentral
Metadata
Title
A qualitative study of user perceptions of mobile health apps
Authors
Wei Peng
Shaheen Kanthawala
Shupei Yuan
Syed Ali Hussain
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3808-0

Other articles of this Issue 1/2016

BMC Public Health 1/2016 Go to the issue