An Evaluation of Mobile Health Application Tools
Open accessAbstract
BACKGROUND: The rapid growth in the number of mobile health applications could have profound significance in the prevention of disease or in the treatment of patients with chronic disease such as diabetes. OBJECTIVE: The objective of this study was to describe the characteristics of the most common mobile health care applications available in the Apple iTunes marketplace. METHODS: We undertook a descriptive analysis of a sample of applications in the "health and wellness" category of the Apple iTunes Store. We characterized each application in terms of its health factor and primary method of user engagement. The main outcome measures of the analysis were price, health factors, and methods of user engagement. RESULTS: Among the 400 applications that met the inclusion criteria, the mean price of the most frequently downloaded paid applications was US $2.24 (SD $1.30), and the mean price of the most currently available paid applications was US $2.27 (SD $1.60). Fitness/training applications were the most popular (43.5%, 174/400). The next two most common categories were health resource (15.0%, 60/400) and diet/caloric intake (14.3%, 57/400). Applications in the health resource category constituted 5.5% (22/400) of the applications reviewed. Self-monitoring was the most common primary user engagement method (74.8%, 299/400). A total of 20.8% (83/400) of the applications used two or more user engagement approaches, with self-monitoring and progress tracking being the most frequent. CONCLUSIONS: Most of the popular mobile health applications focus on fitness and self-monitoring. The approaches to user engagement utilized by these applications are limited and present an opportunity to improve the effectiveness of the technology.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Changing a person's personal environment directly enables people to engage in the desired behavior or a behavior that affects the desired health outcome.
“Changing a person’s personal environment directly enables people to engage in the desired behavior or a behavior that affects the desired health outcome (eg, soothing sounds for meditating, which may help with stress) [18].”
From The Comparative Effectiveness of Mobile Phone Interventions in Improving Health Outcomes: Meta-Analytic Review (2019) · cites this paper as [18]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Nudge: improving decisions about health, wealth, and happiness
(2008) · Choice Reviews Online · doi:10.5860/choice.46-0977 · Cited by 11,614 · see citing works
In search of how people change: Applications to addictive behaviors.
Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992) · American Psychologist · doi:10.1037/0003-066x.47.9.1102 · Cited by 8,596 · see citing works
The Transtheoretical Model of Health Behavior Change.
Prochaska, J. O., & Velicer, W. F. (1997) · American Journal of Health Promotion · doi:10.4278/0890-1171-12.1.38 · Cited by 7,782 · see citing works
Nudge: Improving Decisions About Health, Wealth and Happiness
Adkisson, R. V. (2008) · The Social Science Journal · doi:10.1016/j.soscij.2008.09.003 · Cited by 5,680 · see citing works
Stages of change and decisional balance for 12 problem behaviors.
Prochaska, J., Velicer, W., Rossi, J., Goldstein, M., Marcus, B., Rakowski, W., Fiore, C., Harlow, L., Redding, C. A., & Rosenbloom, D. (1994) · Health Psychology · doi:10.1037/0278-6133.13.1.39 · Cited by 2,579 · see citing works
Dennison, L., Morrison, L., Conway, G., & Yardley, L. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2583 · Cited by 895 · see citing works
Physical activity behavior change: Issues in adoption and maintenance.
Marcus, B. H., Forsyth, L. H., Stone, E. J., Dubbert, P. M., McKenzie, T. L., Dunn, A. L., & Blair, S. N. (2000) · Health Psychology · doi:10.1037/0278-6133.19.suppl1.32 · Cited by 570 · see citing works
Mobile Applications for Weight Management
Azar, K. M. J., Lesser, L. I., Laing, B. Y., Stephens, J., Aurora, M. S., Burke, L. E., & Palaniappan, L. P. (2013) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2013.07.005 · Cited by 334 · see citing works
Ory, M. G. (2002) · Health Education Research · doi:10.1093/her/17.5.500 · Cited by 267 · see citing works
Cowan, L. T., Van Wagenen, S. A., Brown, B. A., Hedin, R. J., Seino-Stephan, Y., Hall, P. C., & West, J. H. (2013) · Health Education & Behavior · doi:10.1177/1090198112452126 · Cited by 264 · see citing works
Perz, C. A., DiClemente, C. C., & Carbonari, J. P. (1996) · Health Psychology · doi:10.1037//0278-6133.15.6.462 · Cited by 145 · see citing works
Perz, C. A., DiClemente, C. C., & Carbonari, J. P. (1996) · Health Psychology · doi:10.1037/0278-6133.15.6.462 · Cited by 106 · see citing works
Changing Addictive Behaviors: A Process Perspective
DiClemente, C. C. (1993) · Current Directions in Psychological Science · doi:10.1111/1467-8721.ep10772571 · Cited by 99 · see citing works
Managing Overweight in Older Children and Adolescents
Schwimmer, J. B. (2004) · Pediatric Annals · doi:10.3928/0090-4481-20040101-11 · Cited by 16 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Prevalence of health misinformation on social media: systematic review
Suarez-Lledo, V., & Alvarez-Galvez, J. (2021) · Journal of Medical Internet Research · doi:10.2196/17187 · Cited by 1,564 · see citing works
Finding a Depression App: A Review and Content Analysis of the Depression App Marketplace
Shen, N., Levitan, M.-J., Johnson, A., Bender, J. L., Hamilton-Page, M., Jadad, A. (. R., & Wiljer, D. (2015) · JMIR mHealth and uHealth · doi:10.2196/mhealth.3713 · Cited by 282 · see citing works
The impact of sugar consumption on stress driven, emotional and addictive behaviors
Jacques, A., Chaaya, N., Beecher, K., Ali, S. A., Belmer, A., & Bartlett, S. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.05.021 · Cited by 271 · see citing works
Maximizing Engagement in Mobile Health Studies
Druce, K. L., Dixon, W. G., & McBeth, J. (2019) · Rheumatic Disease Clinics of North America · doi:10.1016/j.rdc.2019.01.004 · Cited by 158 · see citing works
Yang, Q., & Van Stee, S. K. (2019) · JMIR mHealth and uHealth · doi:10.2196/11244 · Cited by 113 · see citing works
Forman, E. M., Goldstein, S. P., Crochiere, R. J., Butryn, M. L., Juarascio, A. S., Zhang, F., & Foster, G. D. (2019) · Translational Behavioral Medicine · doi:10.1093/tbm/ibz137 · Cited by 94 · see citing works
Describing the Process of Adopting Nutrition and Fitness Apps: Behavior Stage Model Approach
König, L. M., Sproesser, G., Schupp, H. T., & Renner, B. (2018) · JMIR mHealth and uHealth · doi:10.2196/mhealth.8261 · Cited by 98 · see citing works
The Top Chinese Mobile Health Apps: A Systematic Investigation
Hsu, J., Liu, D., Yu, Y. M., Zhao, H. T., Chen, Z. R., Li, J., & Chen, W. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5955 · Cited by 84 · see citing works
Characterizing user engagement with health app data: a data mining approach
Serrano, K. J., Coa, K. I., Yu, M., Wolff-Hughes, D. L., & Atienza, A. A. (2017) · Translational Behavioral Medicine · doi:10.1007/s13142-017-0508-y · Cited by 67 · see citing works
Health and Fitness Apps for Hands-Free Voice-Activated Assistants: Content Analysis
Chung, A. E., Griffin, A. C., Selezneva, D., & Gotz, D. (2018) · JMIR mHealth and uHealth · doi:10.2196/mhealth.9705 · Cited by 70 · see citing works
Maycock, B. R., Scott, J. A., Hauck, Y. L., Burns, S. K., Robinson, S., Giglia, R., Jorgensen, A., White, B., Harries, A., Dhaliwal, S., et al. (2015) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-015-0601-5 · Cited by 35 · see citing works
Angelini, S., Alicastro, G. M., Dionisi, S., & Di Muzio, M. (2019) · CIN: Computers, Informatics, Nursing · doi:10.1097/cin.0000000000000526 · Cited by 13 · see citing works
- Authors
- Sama, P. R., Eapen, Z. J., Weinfurt, K. P., Shah, B. R., & Schulman, K. A.
- Affiliations
- Duke University (US)
- Corresponding author
- Schulman, Kevin A
- Venue
- JMIR mHealth and uHealth
- Publisher
- JMIR Publications Inc.
- Published
- 2014-05-01
- Volume
- 2
- Issue
- 2
- Pages
- e19
- ISSN
- 2291-5222 (ISSN-L)
- PMC
- PMC4114419
- OpenAlex
- W2134542779
- Cited by
- 230
- References
- 14
- Citations by year
- 2026: 2 · 2025: 11 · 2024: 15 · 2023: 13 · 2022: 15 · 2021: 23 · 2020: 21 · 2019: 28 · 2018: 35 · 2017: 26 · 2016: 25 · 2015: 15 · 2014: 1
- FWCI
- 40.43
- 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
- Verizon
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › Health Information Management › Health, Technology, Consumer Behavior
- Keywords
- mobile health apps, app pricing, self-monitoring, progress monitoring, chronic disease management
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review