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Development and Validation of the User Version of the Mobile Application Rating Scale (uMARS)
Open accessAbstract
BACKGROUND: The Mobile Application Rating Scale (MARS) provides a reliable method to assess the quality of mobile health (mHealth) apps. However, training and expertise in mHealth and the relevant health field is required to administer it. OBJECTIVE: This study describes the development and reliability testing of an end-user version of the MARS (uMARS). METHODS: The MARS was simplified and piloted with 13 young people to create the uMARS. The internal consistency and test-retest reliability of the uMARS was then examined in a second sample of 164 young people participating in a randomized controlled trial of a mHealth app. App ratings were collected using the uMARS at 1-, 3,- and 6-month follow up. RESULTS: The uMARS had excellent internal consistency (alpha = .90), with high individual alphas for all subscales. The total score and subscales had good test-retest reliability over both 1-2 months and 3 months. CONCLUSIONS: The uMARS is a simple tool that can be reliably used by end-users to assess the quality of mHealth apps.
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“The internal consistency and test–retest reliability of the uMARS total score and subscales were shown as excellent in the RCT (Cronbach’s alpha = 0.90) (46).”
From Improving mental well-being in psychocardiology—a feasibility trial for a non-blended web application as a brief metacognitive-based intervention in cardiovascular disease patients (2023) · cites this paper as [46]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Overall, the uMARS demonstrates good internal reliability (α = 0.90), and the subscales demonstrate moderate reliability (α = 0.71 and 0.80) (Stoyanov et al., 2016).”
From Pilot study of a well-being app to support New Zealand young people during the COVID-19 pandemic (2021) · cites this paper as Stoyanov et al., 2016
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“The usability and acceptability of the technology were assessed using qualitative methods and standard measures, such as the survey based on the Unified Theory of Acceptance and Use of Technology [27], the Mobile Application Rating Scale [28], and the System Usability and After-Scenario Questionnaire [29].”
From Barriers to and facilitators of user engagement with digital mental health interventions: Systematic review (2021) · cites this paper as [28]
In the citing paper
“Both MARS and uMARS included some usability components such as engagement, functionality, and information quality; however, they were not specifically designed to study usability with end users.”
From The mHealth App Usability Questionnaire (MAUQ): Development and Validation Study (2019) · cites this paper as [37]
In the citing paper
“Shortly thereafter, a simpler user version of MARS (uMARS) was created for the general population for the same purpose [37].”
From The mHealth App Usability Questionnaire (MAUQ): Development and Validation Study (2019) · cites this paper as [37]
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Hagger, M. S., Hankonen, N. E., Chatzisarantis, N. L. D., & Ryan, R. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.008 · Cited by 67
Giebel, G. D., Abels, C., Plescher, F., Speckemeier, C., Schrader, N. F., Börchers, K., Wasem, J., Neusser, S., & Blase, N. (2024) · Journal of Medical Internet Research · doi:10.2196/49982 · Cited by 44
Bardus, M., Ali, A., Demachkieh, F., & Hamadeh, G. (2019) · JMIR mHealth and uHealth · doi:10.2196/mhealth.9836 · Cited by 44
“Unfortunately, the uMARS source study does not provide solutions in case of poor internal consistency or low agreement [43], and other studies employing uMARS did not report such issues [54,55].”
InfluentialGumley, A. I., Bradstreet, S., Ainsworth, J. D., Allan, S., Álvarez‐Jiménez, M., Beattie, L., Bell, I. H., Birchwood, M. J., Briggs, A. H., Bucci, S., et al. (2020) · JMIR Research Protocols · doi:10.2196/15058 · Cited by 41
Systematic evaluation of content and quality of English and German pain apps in European app stores
Terhorst, Y., Meßner, E.-M., Schultchen, D., Paganini, S., Portenhauser, A. A., Eder, A.-S., Bauer, M., Papenhoff, M. C., Baumeister, H., & Sander, L. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100376 · Cited by 42
Keller, J., Roitzheim, C., Radtke, T., Schenkel, K., & Schwarzer, R. (2021) · JMIR mhealth and uhealth · doi:10.2196/26397 · Cited by 45
Choi, S. K., Yelton, B., Ezeanya, V. K., Kannaley, K., & Friedman, D. B. (2018) · Journal of Applied Gerontology · doi:10.1177/0733464818790187 · Cited by 42
“MARS is a recently developed tool, used to evaluate the quality of health-related apps, and its psychometric properties have been reported as good (Stoyanov et al., 2016).”
Saliasi, I., Martinon, P., Darlington, E., Smentek, C., Tardivo, D., Bourgeois, D. M., Dussart, C., Carrouel, F., & Fraticelli, L. (2021) · JMIR mhealth and uhealth · doi:10.2196/30480 · Cited by 40
Manning, V., Piercy, H., Garfield, J. B. B., Clark, S. G., Andrabi, M. N., & Lubman, D. I. (2021) · JMIR mhealth and uhealth · doi:10.2196/31353 · Cited by 45
Eis, S., Solà-Morales, O., Duarte‐Díaz, A., Vidal‐Alaball, J., Perestelo‐Pérez, L., Robles, N., & Carrión, C. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19042186 · Cited by 43
Pilot study of a well-being app to support New Zealand young people during the COVID-19 pandemic
Serlachius, A., Boggiss, A., Lim, D., Schache, K., Wallace-Boyd, K., Brenton-Peters, J., Buttenshaw, E., Chadd, S., Cavadino, A., Cao, N., et al. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100464 · Cited by 35
“User engagement was assessed by the App Subjective Quality sub-scale and the Perceived Impact subscale of the end-user version of the uMARS measure (Stoyanov et al., 2016).”
InfluentialBell, I., Arnold, C., Gilbertson, T., D’Alfonso, S., Castagnini, E., Chen, N. A., Nicholas, J., O’Sullivan, S., Valentine, L., & Álvarez‐Jiménez, M. (2023) · Journal of Medical Internet Research · doi:10.2196/47860 · Cited by 40
“Acceptability was assessed with the subscales (range 1-5, with higher scores indicating more positive evaluations) of the Mobile Application Rating Scale–User version [52].”
InfluentialFerguson, M., Maidment, D. W., Gomez, R., Coulson, N., & Wharrad, H. J. (2020) · International Journal of Audiology · doi:10.1080/14992027.2020.1825839 · Cited by 41
“The Mobile Application Rating Scale: user version (uMARS) (Stoyanov et al. 2016) is a questionnaire that assesses the quality 4 M.”
Spanish adaptation and validation of the User Version of the Mobile Application Rating Scale (uMARS)
Martín‐Payo, R., Carrasco-Santos, S., Cuesta, M., Stoyan, S., González-Méndez, X., & Fernández-Álvarez, M. D. M. (2021) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocab216 · Cited by 40
Saeidnia, H. R., Kozak, M., Ausloos, M., Herţeliu, C., Mohammadzadeh, Z., Ghorbi, A., Karajizadeh, M., & Hassanzadeh, M. (2022) · JMIR Formative Research · doi:10.2196/39718 · Cited by 50
Digital transformation evaluation of telehealth using convergence, maturity, and adoption
Mishra, V., & Sharma, M. G. (2022) · Health Policy and Technology · doi:10.1016/j.hlpt.2022.100684 · Cited by 39
Planning and Implementation Intention Interventions
Rhodes, R. E., Grant, S. J., & de Bruijn, G. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.039 · Cited by 46
Attitudes and Persuasive Communication Interventions
Hamilton, K., & Johnson, B. T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.031 · Cited by 44
Changing Behavior Using Habit Theory
Orbell, S., & Verplanken, B. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.013 · Cited by 50
Dambi, J. M., Norman, C., Doukani, A., Potgieter, S., Turner, J., Musesengwa, R., Verhey, R., & Chibanda, D. (2022) · JMIR Mental Health · doi:10.2196/37968 · Cited by 44
Ko, S., Lee, J., An, D., & Woo, H. (2022) · JMIR mhealth and uhealth · doi:10.2196/40921 · Cited by 38
“The uMARS was subsequently developed, based on the MARS, to allow consumers to evaluate the quality of mHealth apps. uMARS has excellent internal consistency [25].”
Changing Behavior: A Theory- and Evidence-Based Approach
Hagger, M. S., Cameron, L. D., Hamilton, K., Hankonen, N. E., & Lintunen, T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.001 · Cited by 47
Ulrich, S., Gantenbein, A. R., Zuber, V., Von Wyl, A., Kowatsch, T., & Künzli, H. (2024) · Journal of Medical Internet Research · doi:10.2196/50132 · Cited by 36
“We assessed the acceptance of BalanceUP with a slightly modified and translated version of the Mobile App Rating Scale (uMARS) [103] assessing engagement (eg, entertainment, interest, customization, interactivity, and target group of the app); information (eg, quality of information, quantity of…”
Hauser-Ulrich, S., Lienhard, N., Künzli, H., & Kowatsch, T. (2024) · JMIR mhealth and uhealth · doi:10.2196/54945 · Cited by 50
“We evaluated the feasibility and acceptance of MISHA using the user version of the Mobile App Rating Scale (uMARS) [86] after the intervention.”
Gamifying Breastfeeding for Fathers: Process Evaluation of the Milk Man Mobile App
White, B. K., Giglia, R. C., White, J. A., Dhaliwal, S. S., Burns, S. K., & Scott, J. A. (2019) · JMIR Pediatrics and Parenting · doi:10.2196/12157 · Cited by 38
Tarrant, M., Haslam, C., Carter, M., Calitri, R., & Haslam, S. A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.044 · Cited by 38
Paldán, K., Steinmetz, M., Simanovski, J., Rammos, C., Ullrich, G., Jánosi, R. A., Moebus, S., Rassaf, T., & Lortz, J. (2021) · JMIR mhealth and uhealth · doi:10.2196/24214 · Cited by 37
Gumley, A. I., Bradstreet, S., Ainsworth, J. D., Allan, S., Álvarez‐Jiménez, M., Birchwood, M. J., Briggs, A. H., Bucci, S., Cotton, S., Engel, L., et al. (2022) · Health Technology Assessment · doi:10.3310/hlze0479 · Cited by 41
Gasteiger, N., Dowding, D., Norman, G., McGarrigle, L., Eost‐Telling, C., Jones, D. J., Vercell, A., Ali, S. M., & O’Connor, S. (2023) · BMJ Open · doi:10.1136/bmjopen-2023-073283 · Cited by 37
“Nevertheless, Stoyanov et al 41 reported that the objective measures correlated well with the subjective measures.”
Faieta, J. M., Sheehan, J., & DiGiovine, C. P. (2020) · Assistive Technology · doi:10.1080/10400435.2020.1829174 · Cited by 36
Guo, Y., Yang, F., Hu, F., Li, W., Ruggiano, N., & Lee, H. Y. (2019) · JMIR Aging · doi:10.2196/15290 · Cited by 36
Povey, J., Sweet, M., Nagel, T., Lowell, A., Shand, F., Vigona, J., & Dingwall, K. M. (2022) · JMIR Formative Research · doi:10.2196/28342 · Cited by 26
Changing Behavior Using Integrated Theories
Hagger, M. S., & Hamilton, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.015 · Cited by 44
Metadata
- Authors
- Stoyanov, S. R., Hides, L., Kavanagh, D. J., & Wilson, H.
- Affiliations
- Queensland University of Technology (AU)
- Corresponding author
- Hides, Leanne
- Venue
- JMIR mhealth and uhealth
- Publisher
- JMIR Publications Inc.
- Published
- 2016-06-10
- Volume
- 4
- Issue
- 2
- Pages
- e72
- ISSN
- 2291-5222 (ISSN-L)
- PMC
- PMC4920963
- OpenAlex
- W2415928823
- Cited by
- 872
- References
- 14
- Citations by year
- 2026: 95 · 2025: 135 · 2024: 138 · 2023: 108 · 2022: 107 · 2021: 89 · 2020: 103 · 2019: 51 · 2018: 28 · 2017: 14 · 2016: 3
- FWCI
- 59.52
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR mhealth and uhealth (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- QUT ePrints (Queensland University of Technology) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Faculty of Health; Institute of Health and Biomedical Innovation
- Funders
- Queensland University of Technology
- Young and Well Cooperative Research Centre
- 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 App Rating Scale, Umar, mobile health apps, app quality assessment, youth, internal consistency, test-retest reliability, scale development, app ratings
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