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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
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“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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Citations
Cites
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“Readability of the MARS and the draft uMARS was then determined using the Flesch Reading Ease test [12,13], which has a score range of 0-100, with higher scores indicating easier readability.”
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“In response to these issues, we developed the Mobile App Rating Scale (MARS) to provide researchers, professionals, and clinicians with a brief tool for classifying and assessing the quality of mHealth apps [11].”
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“There are currently more than 165,000 mHealth apps (free and paid) publicly available [1], yet the accuracy of the health information contained in these apps is not scrutinized by regulatory bodies [2], which could compromise user health and safety [3-5].”
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“While meta-analytic studies have demonstrated the efficacy of mHealth apps targeting physical activity and weight loss [6,7], the evidence base for other types of mHealth apps is poor at best [8-10].”
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Nieto-Casado, F. J., Gómez‐Gómez, I., Aznar‐Lou, I., Barquero‐Jimenez, C., Cáceres, I., Carretero, S., de-Juan-Iglesias, P., Domínguez‐Salas, S., Gil-Cosano, J. J., Goossens, L., et al. (2025) · Open Research Europe · doi:10.12688/openreseurope.20386.1 · Cited by 7
“App quality and user experience will be measured using the User Version of the Mobile Application Rating Scale (u-MARS; Martin-Payo et al ., 2021; Stoyanov et al ., 2016), a 26-item self-reported questionnaire assessing engagement, functionality, aesthetics, information quality, and perceived…”
Lin, Y., & Neuschaefer‐Rube, C. (2021) · JMIR Medical Education · doi:10.2196/27901 · Cited by 9
Gosak, L., Pajnkihar, M., & Štiglic, G. (2022) · JMIR Research Protocols · doi:10.2196/31652 · Cited by 10
Chandler, J., Christon, L., Benfield, K., Pairet, S., Hoffman, M., Treiber, F. A., Mueller, M., & James, W. E. (2023) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2023.101062 · Cited by 7
Evaluating mobile mental health apps using the mobile application rating scale (MARS) in the U.S.
Ki, E., Jang, J., & Kang, D.-Y. (2024) · Advances in Mental Health · doi:10.1080/18387357.2024.2388680 · Cited by 8
“In particular, individuals can easily receive health-related services through smartphones due to their portability and capabilities (Stoyanov et al., 2016).”
Paglialonga, A., Pinciroli, F., & Tognola, G. (2018) · Advances in medical technologies and clinical practice book series · doi:10.4018/978-1-5225-8191-8.ch007 · Cited by 7
Mobistudy: An Open Mobile-Health Platform for Clinical Research
Salvi, D., Lee, J., Velardo, C., Goburdhun, A. R., & Tarassenko, L. (2019) · IEEE International Conference on Bioinformatics and Bioengineering (BIBE) · doi:10.1109/bibe.2019.00172 · Cited by 7
Evaluation of Behavior Change Interventions
Matthews, L., & Simpson, S. A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.022 · Cited by 8
Sabeena, S., Swathi, M., Abdulmajeed, J., Pattanaik, S., Dsa, O. C., Shubha, H. S., Varma, M. D., Bhatt, P., Ravishankar, N., & Arunkumar, G. (2020) · Indian Journal of Community Medicine · doi:10.4103/ijcm.ijcm_510_19 · Cited by 7
“[13] The reliability of the questionnaire was assessed by Cronbach’s alpha.”
Manning, J. B., BLANDFORD, A. E., & Edbrooke-Childs, J. H. (2021) · JMIR Formative Research · doi:10.2196/32312 · Cited by 10
Korkmaz, S., & ARIKAN, G. (2021) · Ankara Hacı Bayram Veli Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi · doi:10.26745/ahbvuibfd.884734 · Cited by 7
Proposal of a New Rating Concept for Digital Health Applications in Orthopedics and Traumatology
Scherer, J. N., Youssef, Y., Dittrich, F., Albrecht, U., Tsitsilonis, S., Jung, J., Pförringer, D., Landgraeber, S., Beck, S., & Back, D. A. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192214952 · Cited by 7
Approaches to Mobile Health Evaluation: A Comparative Study
Dick, S., O’Connor, Y., & Heavin, C. (2019) · Information Systems Management · doi:10.1080/10580530.2020.1696550 · Cited by 10
Kelly, P., Beck, A., Baker, A., Deane, F., Hides, L., Manning, V., Shakeshaft, A., Larance, B., Neale, J., Kelly, J., et al. (2020) · JMIR Research Protocols · doi:10.2196/15113 · Cited by 6
“The Mobile Application Rating Scale–User Version (uMARS [53]) is a simplified, end-user version.”
Motivational Interviewing Interventions
Berman, A. H., Beckman, M., & Lindqvist, H. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.045 · Cited by 12
An Overview of the Mobile App Rating Scale (MARS) in Health Care Application Assessment
Klug, B. (2023) · Journal of Hospital Librarianship · doi:10.1080/15323269.2023.2289804 · Cited by 6
“Researchers have noted the importance of including end-users in the mHealth app evaluation process to improve overall app design, efficacy, and adherence (22,23).”
Daehn, D., Meyer, C., Loew, V., Wabiszczewicz, J., Pohl, S., Böttche, M., Pawils, S., & Renneberg, B. (2024) · Trials · doi:10.1186/s13063-024-08304-5 · Cited by 9
“The User Version of the Mobile Application Rating Scale (uMARS, [48]) will be used by end-users to assess the quality of mHealth apps.”
Rana, R., Ibrahim, B., Huri, H. Z., Wahab, I. A., Govindaraju, K., Shukeri, M. S. M., Ng, C. K., & Ong, S. C. (2024) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2024.07.004 · Cited by 7
Usability of an augmented reality bedtime routine application for autistic children
Ahmadian, P., Cardy, R. E., Luca, G. D., & Kushki, A. (2024) · Assistive Technology · doi:10.1080/10400435.2024.2338277 · Cited by 8
“The uMARS is an adapted version of the MARS (Mobile Application Rating Scale) and has shown excellent internal consistency (alpha = .90) (Stoyanov et al., 2016).”
Shenoy, R., Nickels, L., & Krishnan, G. (2024) · Technology and Disability · doi:10.1177/10554181241299972 · Cited by 8
Ko, S., & Woo, H. (2025) · JMIR mhealth and uhealth · doi:10.2196/64622 · Cited by 6
“For each of the final selected apps, we assessed quality using the Korean-translated version of the user version of the Mobile Application Rating Scale (uMARS) [26]. uMARS is a 5-point scale developed from the original Mobile Application Rating Scale to enable users to evaluate mHealth apps [27,28].”
Swallow, V. M., Horsman, J. M., Mazlan, E., Campbell, F., Zaidi, R., Julian, M., Branchflower, J., Martin-Kerry, J., Monks, H., Soni, A., et al. (2025) · JMIR Diabetes · doi:10.2196/74032 · Cited by 6
Boggiss, A. L., Babbott, K. M., Milford, Ā., Ellett, S. G., Consedine, N. S., Reid, S., Cao, N., Cavadino, A., Hopkins, S. A., Jefferies, C., et al. (2025) · Diabetic Medicine · doi:10.1111/dme.70115 · Cited by 8
Engagement With Meditation Apps: Cross-Sectional Survey of Use and Associations
Adams, J., Davies, J. N., Wattanatakulchat, P., Galante, J., Miller, F., D’Alfonso, S., & Dam, N. T. V. (2025) · Journal of Medical Internet Research · doi:10.2196/71960 · Cited by 4
“The user Mobile Application Rating Scale (uMARS) is a 27-item instrument for assessing the quality of mobile apps [69].”
Rosenfeld, E. A., Lyman, C., & Roberts, J. E. (2022) · JMIR Formative Research · doi:10.2196/40045 · Cited by 8
Mateo‐Orcajada, A., Abenza‐Cano, L., & Vaquero‐Cristóbal, R. (2024) · International Journal of Adolescence and Youth · doi:10.1080/02673843.2024.2389310 · Cited by 9
“The subjective part includes 10 questions scored using a Likert scale of 1 to 5 points, in which usability and perceived impact are evaluated (Stoyanov et al., 2016).”
Bernard, R. M., Seijas, V., Davis, M., Volkova, A., Diviani, N., Lüscher, J., & Sabariego, C. (2024) · JMIR mhealth and uhealth · doi:10.2196/53677 · Cited by 6
Economic and Behavioral Economic Approaches to Behavior Change
Brown, P. M., Cameron, L. D., Wilkinson, M., & Taylor, D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108677318.042 · Cited by 7
Home safety evaluation – getting it right
Pickens, N. D., Mendonca, R. J., Burns, S. P., & Smith, R. O. (2020) · Disability and Rehabilitation Assistive Technology · doi:10.1080/17483107.2020.1805033 · Cited by 6
Applications mobiles pour soutenir la santé mentale des jeunes : opportunités et défis
Ouellet‐Morin, I., Robitaille, M.-P., & Juster, R. (2021) · Santé mentale au Québec · doi:10.7202/1081508ar · Cited by 6
Strauss, J., Zhang, J., Jarrett, M. L., Patterson, B. A., & Ameringen, M. V. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-822201-0.00006-x · Cited by 8
Beauvais, C., Pham, T., Montagu, G., Gleizes, S., Madrisotti, F., Lafourcade, A., Vidal, C., Dervin, G., Baudard, P., Desouches, S., et al. (2022) · PLoS ONE · doi:10.1371/journal.pone.0272235 · Cited by 6
“We are aware that this is very broad information that poorly reflects the true app quality as compared with other evaluation tools, the Mobile Application Rating Scale (MARS) being the most commonly used [61, 62].”
Roberts, C. M., Plevinsky, J. M., Gamwell, K. L., Noser, A. E., Denson, L. A., & Hommel, K. A. (2023) · Health Care Transitions · doi:10.1016/j.hctj.2023.100031 · Cited by 6
Laboe, A. A., McGinnis, C. G., Fennig, M., Zucker, K., Wu, E., Shah, J., Levitan, J., Firebaugh, M., Bardone‐Cone, A. M., Pike, K. M., et al. (2024) · Eating Behaviors · doi:10.1016/j.eatbeh.2024.101865 · Cited by 6
“…a 23-item validated scale that assesses the quality of health apps and includes one subjective quality rating—a reflection of the user’s overall satisfaction—and four objective quality subscales: engagement, functionality, aesthetics, and information (Stoyanov et al., 2015; Stoyanov et al., 2016).”
Panatto, D., Domnich, A., Gasparini, R., Bonanni, P., Icardi, G., Amicizia, D., Arata, L., Carozzo, S., Signori, A., Bechini, A., et al. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.6205 · Cited by 6
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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