Methods for Evaluating the Content, Usability, and Efficacy of Commercial Mobile Health Apps
Open accessAbstract
Commercial mobile apps for health behavior change are flourishing in the marketplace, but little evidence exists to support their use. This paper summarizes methods for evaluating the content, usability, and efficacy of commercially available health apps. Content analyses can be used to compare app features with clinical guidelines, evidence-based protocols, and behavior change techniques. Usability testing can establish how well an app functions and serves its intended purpose for a target population. Observational studies can explore the association between use and clinical and behavioral outcomes. Finally, efficacy testing can establish whether a commercial app impacts an outcome of interest via a variety of study designs, including randomized trials, multiphase optimization studies, and N-of-1 studies. Evidence in all these forms would increase adoption of commercial apps in clinical practice, inform the development of the next generation of apps, and ultimately increase the impact of commercial apps.
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Many academic mHealth projects do not reach commercial marketplaces because research grants rarely cover ongoing customer/technical support costs.
“research grants rarely cover the costs required for ongoing customer/technical support, and as a consequence many academic mHealth projects do not reach commercial marketplaces (Jake-Schoffman et al. 2017).”
From Evaluating the quality, safety, and functionality of commonly used smartphone apps for bipolar disorder mood and sleep self-management (2022) · cites this paper as Jake-Schoffman et al. 2017
The Introduction says public release requires ongoing hosting, updates, customer service, and technical support, and that many researchers lack these resources. It also says academic research may face long delays in reaching commercial markets. It does not say that research grants rarely cover support costs or establish that those costs cause many academic projects never to reach marketplaces. (LLM, conf=0.86)
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- Authors
- Jake-Schoffman, D. E., Silfee, V. J., Waring, M. E., Boudreaux, E. D., Sadasivam, R. S., Mullen, S. P., Carey, J. L., Hayes, R. B., Ding, E. Y., Bennett, G. G., & Pagoto, S. L.
- Affiliations
- University of Massachusetts Chan Medical School (US)
- University of Connecticut (US)
- University of Illinois Urbana-Champaign (US)
- Virginia Commonwealth University (US)
- Duke University (US)
- ORCID
- Venue
- JMIR mHealth and uHealth
- Publisher
- JMIR Publications Inc.
- Published
- 2017-12-18
- Volume
- 5
- Issue
- 12
- Pages
- e190
- ISSN
- 2291-5222 (ISSN-L)
- PMC
- PMC5748471
- OpenAlex
- W2780043826
- Cited by
- 165
- References
- 23
- Citations by year
- 2026: 9 · 2025: 16 · 2024: 16 · 2023: 19 · 2022: 25 · 2021: 17 · 2020: 28 · 2019: 25 · 2018: 10
- FWCI
- 26.62
- 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)
- eScholarship@UMassChan (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute on Aging (R01AG052707)
- National Heart, Lung, and Blood Institute (K24HL124366, T32HL120823)
- National Cancer Institute (K07CA172677, R25CA172009)
- 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
- health behavior change, usability testing, app efficacy, behaviour change techniques, clinical guidelines, N-of-1 studies, observational studies, clinical adoption
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