Mobile Phone Apps Targeting Medication Adherence: Quality Assessment and Content Analysis of User Reviews
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Abstract
BACKGROUND: With the accessibility and widespread use of mobile phones, mobile phone apps targeting medication adherence may be useful tools to help patients take medications as prescribed. OBJECTIVE: Our objectives were to (1) characterize and assess mobile phone medication adherence apps guided by a conceptual framework on the focus of adherence interventions and (2) conduct a content analysis of Web-based reviews to explore users' perspectives and experiences with mobile phone medication adherence apps. METHODS: We searched for mobile phone medication adherence apps using keyword searches in Apple and Android operating systems. We characterized all apps in terms of number of downloads, ratings, languages, cost, and disease target. We categorized apps according to 4 key features of (1) alerting to take medication, (2) tracking medication taking, (3) reminding to refill or indicating amount of medication left, and (4) storing medication information. We then selected representative apps from each operating system for detailed quality assessment and user testing. We also downloaded Web-based reviews for these selected apps and conducted a qualitative content analysis using an inductive approach involving steps of initial open coding, construction of categories, and abstraction into themes. RESULTS: We identified 704 apps (443 from Apple and 261 from Android). The majority of apps across both operating systems had 1 or 2 features-specifically, 37.2% (165/443) and 38.1% (169/443) of Apple apps, respectively, and 41.4% (108/261) and 31.4% (108/261) of Android apps, respectively. Quality assessment and user testing of 20 selected apps revealed apps varied in quality and commonly focused on behavioral strategies to enhance medication adherence through alerts, reminders, and logs. A total of 1323 eligible Web-based reviews from these 20 selected apps were analyzed, and the following themes emerged: (1) features and functions appreciated by users, which included the ability to set up customized medication regimen details and reminders, monitor other health information (eg, vitals, supplements, and manage multiple people or pets), support health care visits (eg, having a list of medications and necessary health information in 1 app); (2) negative user experiences that captured technical difficulties (glitches, confusing app navigation, and poor interoperability), dosage schedule, and reminder setup inflexibility; and (3) desired functions and features related to optimization of information input, improvement of reminders, and upgrading app performance (better synchronization or backup of data and interoperability). CONCLUSIONS: A large number of mobile phone medication adherence apps are currently available. The majority of apps have features representing a behavioral approach to intervention. Findings of the content analysis offer mostly positive feedback as well as insights into current limitations and improvements that could be addressed in current and future medication adherence apps.
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A recent review identified 704 apps on the app store utilizing behavioral strategies to enhance medication adherence through alerts, reminders, and logs.
“A recent review identified 704 apps on the app store utilizing behavioral strategies to enhance medication adherence through alerts, reminders, and logs.”
From What is the clinical value of mHealth for patients? (2020) · cites this paper as [14]
There was positive feedback from patients on features such as customized medication regimen details and reminders; however, there were frequent technical difficulties experienced through glitches, confusing app navigation and dosage scheduling, and reminder setup inflexibility.
“There was positive feedback from patients on features such as customized medication regimen details and reminders; however, there were frequent technical difficulties experienced through glitches, confusing app navigation and dosage scheduling, and reminder setup inflexibility.”
From What is the clinical value of mHealth for patients? (2020) · cites this paper as [14]
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Reimagining Reminders to Increase Medication Adherence in Older Adults
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Utilizing technology to enhance compliance and oral health.
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The long-term user experience of an m-Health application
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Teaching the Person with Asthma
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- Authors
- Park, J. Y. E., Li, J., Howren, A., Tsao, N. W., & De Vera, M.
- Affiliations
- University of British Columbia (CA)
- Venue
- JMIR mHealth and uHealth
- Publisher
- JMIR Publications Inc.
- Published
- 2019-01-31
- Volume
- 7
- Issue
- 1
- Pages
- e11919
- ISSN
- 2291-5222 (ISSN-L)
- PMC
- PMC6374723
- OpenAlex
- W2895821558
- Cited by
- 106
- References
- 19
- Citations by year
- 2026: 2 · 2025: 16 · 2024: 18 · 2023: 12 · 2022: 11 · 2021: 23 · 2020: 15 · 2019: 9
- FWCI
- 17.95
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR mhealth and uhealth (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Arthritis Society
- Michael Smith Health Research BC
- Canadian Arthritis Network
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Health Professions › Health Information Management › Health, Technology, Consumer Behavior
- Keywords
- mobile phone app, medication adherence, medication reminders, medication tracking, online reviews, app quality assessment, user experience, interoperability, behavioral interventions, Android application, health information technology, prescription refills, technical challenges, data synchronization, medication adherence support
- MeSH terms
- Assessment of Medication Adherence, Behavior Therapy, Humans, Drug Monitoring, Reminder Systems, Disease Management, Cell Phone, Medication Adherence, Mobile Applications
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