ArticleJMIR mHealth and uHealth2020
Untold Stories in User-Centered Design of Mobile Health: Practical Challenges and Strategies Learned From the Design and Evaluation of an App for Older Adults With Heart Failure.
Article in JMIR mHealth and uHealth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 6 of them syntheses that pooled it.
What it found
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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.
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Who cites it
49 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Optimizing mobile app design for older adults: systematic review of age-friendly design.Aging clinical and experimental research · 2025Pooled it
- Examining Challenges to Co-Design Digital Health Interventions With End Users: Systematic Review.Journal of medical Internet research · 2025Pooled it
- Codesign approaches involving older adults in the development of electronic healthcare tools: a systematic review.BMJ open · 2022Pooled it
- Human-Centered Design of Mobile Health Apps for Older Adults: Systematic Review and Narrative Synthesis.JMIR mHealth and uHealth · 2022Pooled it
- A hybrid method of healthcare delivery research and human-centered design to develop technology-enabled support for caregivers of hematopoietic stem cell transplant recipients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Pooled it
- Mobile health applications for older adults: a systematic review of interface and persuasive feature design.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Trial
- Going Remote-Demonstration and Evaluation of Remote Technology Delivery and Usability Assessment With Older Adults: Survey Study.JMIR mHealth and uHealth · 2021Trial
- Advancing foundational models in digital health technology adoption: A systematic literature review of multidisciplinary factors.PLOS digital health · 2026Article
- Patient and clinician perspectives on misgendering in healthcare.BMJ quality & safety · 2026Article
- User-centred prototyping solutions to solve adult critical care issues: a scoping review.BMJ health & care informatics · 2026Article
- SeniorHealth Tracker application to support the elderly: technological innovation leveraging humanisation.Frontiers in digital health · 2026Article
- Design and Evaluation of a Mobile App for Intergenerational Communication: User-Centered Participatory Design and Experimental Mixed Methods Study.JMIR aging · 2025Article
- Developing Requirements for a Digital Self-Care Intervention for Adults With Heart Failure: Qualitative Workshop Study.Journal of medical Internet research · 2025Article
- Designing and Evaluating a Prototype of a Trilingual Data Collection Tool for the Middle East and North Africa (MENA) Region to Collect Data About Violence Against Sex Workers: Multiple Methods Approach in User-Centered Design.JMIR formative research · 2025Article
- Human-Centered Design and Digital Transformation of Mental Health Services.JMIR human factors · 2025Review
- The involvement of individuals with speech and language impairments in research: insights from a co-creation process.Research involvement and engagement · 2025Article
- User Experience of Older Adults With an Age-Friendly Transportation Planning E-Tool: Scoping Review.JMIR human factors · 2025Article
- Article
- Investigating the Best Practices for Engagement in Remote Participatory Design: Mixed Methods Analysis of 4 Remote Studies With Family Caregivers.Journal of medical Internet research · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundUser-centered design (UCD) is a powerful framework for creating useful, easy-to-use, and satisfying mobile health (mHealth) apps. However, the literature seldom reports the practical challenges of implementing UCD, particularly in the field of mHealth.
objectiveThis study aims to characterize the practical challenges encountered and propose strategies when implementing UCD for mHealth.
methodsOur multidisciplinary team implemented a UCD process to design and evaluate a mobile app for older adults with heart failure. During and after this process, we documented the challenges the team encountered and the strategies they used or considered using to address those challenges.
resultsWe identified 12 challenges, 3 about UCD as a whole and 9 across the UCD stages of formative research, design, and evaluation. Challenges included the timing of stakeholder involvement, overcoming designers' assumptions, adapting methods to end users, and managing heterogeneity among stakeholders. To address these challenges, practical recommendations are provided to UCD researchers and practitioners.
conclusionsUCD is a gold standard approach that is increasingly adopted for mHealth projects. Although UCD methods are well-described and easily accessible, practical challenges and strategies for implementing them are underreported. To improve the implementation of UCD for mHealth, we must tell and learn from these traditionally untold stories.
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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.