ArticleJMIR mHealth and uHealth2019
Associations of Health App Use and Perceived Effectiveness in People With Cardiovascular Diseases and Diabetes: Population-Based Survey.
Article in JMIR mHealth and uHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
46 citing papers in PubMed, 6 syntheses or guidelines pooled it, 94 citations in OpenAlex.
- Actual use, intention to use, and user attitudes toward mobile health applications for coronary heart disease self-management: a systematic review and meta-analysis.BMC medical informatics and decision making · 2026Pooled it
- Digital Health Literacy in Patients With Common Chronic Diseases: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2025Pooled it
- Understanding Inequalities in Mobile Health Utilization Across Phases: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2025Pooled it
- Sociotechnical Factors Affecting Patients' Adoption of Mobile Health Tools: Systematic Literature Review and Narrative Synthesis.JMIR mHealth and uHealth · 2022Pooled it
- Definitions and measurement of health literacy in health and medicine research: a systematic review.BMJ open · 2022Pooled it
- Middle-aged and older adults' acceptance of mobile nutrition and fitness apps: A systematic mixed studies review.PloS one · 2022Pooled it
- Parental-oriented educational mobile messages to aid in the control of early childhood caries in low socioeconomic children: A randomized controlled trial.Journal of dentistry · 2020Trial
- Association of Electronic Health Literacy With Self-Care and Health Outcomes Among Patients With Type 2 Diabetes Mellitus: Cross-Sectional Study.Journal of medical Internet research · 2026Article
- Digital Health Literacy and Health Technology Readiness Among People With Epilepsy or Multiple Sclerosis: Cross-Sectional Study.JMIR human factors · 2026Article
- The mediating role of self-efficacy in the association between social support and eHealth literacy among kidney transplant recipients.Frontiers in public health · 2026Article
- A scoping review of virtual clinics in underserved regions: barriers and opportunities.BMC health services research · 2025Article
- Article
- Prerequisites for primary care in obesity counselling and management: a quantitative, exploratory survey of general practitioners in the federal Republic of Germany.BMC primary care · 2025Article
- Development and Evaluation of a Persian-Language Self-Management Mobile Application for People With Spinal Cord Injury.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Path analysis of the influence of digital health literacy on self-management behaviour among elderly patients with chronic diseases in rural China.BMC geriatrics · 2025Article
- eHealth Literacy and Its Association With Demographic Factors, Disease-Specific Factors, and Well-Being Among Adults With Type 1 Diabetes: Cross-Sectional Survey Study.JMIR diabetes · 2025Article
- Article
- The negative association between health status and digital health literacy among Chinese youth: a cross-sectional study on Chinese general social survey.Frontiers in public health · 2025Article
- The Effect of Mobile eHealth Education to Improve Knowledge, Skills, Self-Care, and Mobile eHealth Literacies Among Patients With Diabetes: Development and Evaluation Study.Journal of medical Internet research · 2023Article
- Two years of approved digital health applications in Germany - Perspectives and experiences of general practitioners with an affinity for their use.The European journal of general practice · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMobile health apps can help to change health-related behaviors and manage chronic conditions in patients with cardiovascular diseases (CVDs) and diabetes mellitus, but a certain level of health literacy and electronic health (eHealth) literacy may be needed.
objectiveThe aim of this study was to identify factors associated with mobile health app use in individuals with CVD or diabetes and detect relations with the perceived effectiveness of health apps among app users.
methodsThe study used population-based Web-based survey (N=1500) among Germans, aged 35 years and older, with CVD, diabetes, or both. A total of 3 subgroups were examined: (1) Individuals with CVD (n=1325), (2) Individuals with diabetes (n=681), and (3) Individuals with CVD and diabetes (n=524). Sociodemographics, health behaviors, CVD, diabetes, health and eHealth literacy, characteristics of health app use, and characteristics of apps themselves were assessed by questionnaires. Linear and logistic regression models were applied.
resultsOverall, patterns of factors associated with health app use were comparable in individuals with CVD or diabetes or both. Across subgroups, about every fourth patient reported using apps for health-related purposes, with physical activity and weight loss being the most prominent target behaviors. Health app users were younger, more likely to be female (except in those with CVD and diabetes combined), better educated, and reported more physical activity. App users had higher eHealth literacy than nonusers. Those users who perceived the app to have a greater effectiveness on their health behaviors tended to be more health and eHealth literate and rated the app to use more behavior change techniques (BCTs).
conclusionsThere are health- and literacy-related disparities in the access to health app use among patients with CVD, diabetes, or both, which are relevant to specific health care professionals such as endocrinologists, dieticians, cardiologists, or general practitioners. Apps containing more BCTs had a higher perceived effect on people's health, and app developers should take the complexity of needs into account. Furthermore, eHealth literacy appears to be a requirement to use health apps successfully, which should be considered in health education strategies to improve health in patients with CVD and diabetes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.