4,472 research outputs found

    DESIGNING MHEALTH APPLICATIONS FOR DEVELOPING COUNTRIES

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    The effective use of mobile IS offers great opportunities for improving health systems in developing countries and enhancing their quality of life. A case in point and, hence, an interesting research subject is Papua New Guinea for being a country with one of the highest maternal mortality rates in the world. Despite the opportunities, many mHealth solutions remain prototypical due to their design and lack of empirical evidence and just little literature discussing success factors exists. To overcome this problem, we derived Design Requirements for the implementation of an mHealth app. We followed a Design Science Research (DSR) approach (a) embedding a triangulation of a literature study, a user survey and on-site observations, (b) working in a cross-cultural and interdisciplinary team and (c) evaluating the Design Requirements ex-ante by taking the example of an mHealth app to support midwives in Papua New Guinea. Practitioners, IS researcher, even design- or behaviourism-oriented, as well as transdis-ciplinary researchers can use the Design Requirement Framework for, on the one hand, design and implement applications in developing countries and, on the other hand, to take single already justified Design Requirements as starting point for a detailed investigation

    Defining Archetypes and Requirements for mHealth Interventions in Rural Kenya: An Investigation in Collaboration with CURAFAℱ

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    Designing and implementing successful mobile health (mHealth) applications is always challenging, but even more so in countries and communities in rural areas where the target population have access to limited resources. While some mHealth initiatives have shown success and potential in Kenya, still too many fail. One of the reasons for failure is the limited understanding of the health-seeking behavior and social-technological context of the rural Kenyan population. This study aims to use a mixed-method approach to define archetypes of rural Kenyan patients and translate them into requirements which can guide the design and implementation of user-centric mHealth interventions in rural Kenya. With this study, we show how practitioners can leverage existing organizational and social structures in developing countries to develop mobile health applications tailored to patients’ needs

    Culture in the design of mHealth UI:An effort to increase acceptance among culturally specific groups

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    Purpose: Designers of mobile applications have long understood the importance of users’ preferences in making the user experience easier, convenient and therefore valuable. The cultural aspects of groups of users are among the key features of users’ design preferences, because each group’s preferences depend on various features that are culturally compatible. The process of integrating culture into the design of a system has always been an important ingredient for effective and interactive human computer interface. This study aims to investigate the design of a mobile health (mHealth) application user interface (UI) based on Arabic culture. It was argued that integrating certain cultural values of specific groups of users into the design of UI would increase their acceptance of the technology. Design/methodology/approach: A total of 135 users responded to an online survey about their acceptance of a culturally designed mHealth. Findings: The findings showed that culturally based language, colours, layout and images had a significant relationship with users’ behavioural intention to use the culturally based mHealth UI. Research limitations/implications: First, the sample and the data collected of this study were restricted to Arab users and Arab culture; therefore, the results cannot be generalized to other cultures and users. Second, the adapted unified theory of acceptance and use of technology model was used in this study instead of the new version, which may expose new perceptions. Third, the cultural aspects of UI design in this study were limited to the images, colours, language and layout. Practical implications: It encourages UI designers to implement the relevant cultural aspects while developing mobile applications. Originality/value: Embedding Arab cultural aspects in designing UI for mobile applications to satisfy Arab users and enhance their acceptance toward using mobile applications, which will reflect positively on their lives.</p

    The effectiveness of mHealth interventions for maternal, newborn and child health in low- and middle-income countries:Protocol for a systematic review and meta-analysis

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    Rates of maternal, newborn and child (MNCH) mortality and morbidity are vastly greater in low– than in high–income countries and represent a major source of global health inequity. A host of systemic, economic, geopolitical and sociocultural factors have been implicated. Mobile information and communication technologies hold potential to ameliorate several of these challenges by supporting coordinated and evidence–based care, facilitating community based health services and enabling citizens to access health information and support. mHealth has attracted considerable attention as a means of supporting maternal, newborn and child health in developing countries and research to assess the impacts of mHealth interventions is increasing. While a number of expert reviews have attempted to summarise this literature, there remains a need for a fully systematic review employing gold standard methods of evidence capture, critical appraisal and meta–analysis, in order to comprehensively map, quality assess and synthesise this body of knowledge

    A guidance and evaluation approach for mHealth education applications

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    © Springer International Publishing AG 2017. A growing number of mobile applications for health education are being utilized to support different stakeholders, from health professionals to software developers to patients and more general users. There is a lack of a critical evaluation framework to ensure the usability and reliability of these mobile health education applications (MHEAs). Such a framework would facilitate the saving of time and effort for the different user groups. This paper describes a framework for evaluating mobile applications for health education, including a guidance tool to help different stakeholders select the one most suitable for them. The framework is intended to meet the needs and requirements of the different user categories, as well as improving the development of MHEAs through software engineering approaches. A description of the evaluation framework is provided, with its efficient hybrid of selected heuristic evaluation (HE) and usability evaluation (UE) factors. Lastly, an account of the quantitative and qualitative results for the framework applied to the Medscape and other mobile apps is given. This proposed framework - an Evaluation Framework for Mobile Health Education Apps - consists of a hybrid of five metrics selected from a larger set during heuristic and usability evaluation, the choice being based on interviews with patients, software developers and health professionals

    A hybrid evaluation approach and guidance for mHealth education applications

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    © Springer International Publishing AG 2018. Mobile health education applications (MHEAs) are used to support different users. However, although these applications are increasing in number, there is no effective evaluation framework to measure their usability and thus save effort and time for their many user groups. This paper outlines a useful framework for evaluating MHEAs, together with particular evaluation metrics: an efficient hybrid of selected heuristic evaluation (HE) and usability evaluation (UE) factors to enable the determination of the usefulness and usability of MHEAs. We also propose a guidance tool to help stakeholders choose the most suitable MHEA. The outcome of this framework is envisioned as meeting the requirements of different users, in addition to enhancing the development of MHEAs using software engineering approaches by creating new and more effective evaluation techniques. Finally, we present qualitative and quantitative results for the framework when used with MHEAs

    Influences on the Uptake of and Engagement With Health and Well-Being Smartphone Apps: Systematic Review

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    Background: The public health impact of health and well-being digital interventions is dependent upon sufficient real-world uptake and engagement. Uptake is currently largely dependent on popularity indicators (eg, ranking and user ratings on app stores), which may not correspond with effectiveness, and rapid disengagement is common. Therefore, there is an urgent need to identify factors that influence uptake and engagement with health and well-being apps to inform new approaches that promote the effective use of such tools. Objective: This review aimed to understand what is known about influences on the uptake of and engagement with health and well-being smartphone apps among adults. Methods: We conducted a systematic review of quantitative, qualitative, and mixed methods studies. Studies conducted on adults were included if they focused on health and well-being smartphone apps reporting on uptake and engagement behavior. Studies identified through a systematic search in Medical Literature Analysis and Retrieval System Online, or MEDLARS Online (MEDLINE), EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsychINFO, Scopus, Cochrane library databases, DataBase systems and Logic Programming (DBLP), and Association for Computing Machinery (ACM) Digital library were screened, with a proportion screened independently by 2 authors. Data synthesis and interpretation were undertaken using a deductive iterative process. External validity checking was undertaken by an independent researcher. A narrative synthesis of the findings was structured around the components of the capability, opportunity, motivation, behavior change model and the theoretical domains framework (TDF). Results: Of the 7640 identified studies, 41 were included in the review. Factors related to uptake (U), engagement (E), or both (B) were identified. Under capability, the main factors identified were app literacy skills (B), app awareness (U), available user guidance (B), health information (E), statistical information on progress (E), well-designed reminders (E), features to reduce cognitive load (E), and self-monitoring features (E). Availability at low cost (U), positive tone, and personalization (E) were identified as physical opportunity factors, whereas recommendations for health and well-being apps (U), embedded health professional support (E), and social networking (E) possibilities were social opportunity factors. Finally, the motivation factors included positive feedback (E), available rewards (E), goal setting (E), and the perceived utility of the app (E). Conclusions: Across a wide range of populations and behaviors, 26 factors relating to capability, opportunity, and motivation appear to influence the uptake of and engagement with health and well-being smartphone apps. Our recommendations may help app developers, health app portal developers, and policy makers in the optimization of health and well-being apps
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