Evidence map›Paper›PMID 36634256›Full record

ArticleJMIR public health and surveillance2023

Changes in Mobile Health Apps Usage Before and After the COVID-19 Outbreak in China: Semilongitudinal Survey.

Le Yang, Jiadong Wu, Xiaoxiao Mo, Yaqin Chen, Shanshan Huang, Linlin Zhou, Jiaqi Dai, Linna Xie, Siyu Chen, Hao Shang and 5 more

Open access · goldAbstract read
In one paragraph

Article in JMIR public health and surveillance, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
11.4field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Le Yang *School of Public Health, Fujian Medical University, Fuzhou, China.ORCID 0000-0001-6739-6351
Jiadong Wu *School of Public Health, Fujian Medical University, Fuzhou, China.ORCID 0000-0002-9470-9234
Xiaoxiao Mo *School of Public Health, Fujian Medical University, Fuzhou, China.ORCID 0000-0001-7771-873X
Yaqin ChenSchool of Nursing, Fujian Medical University, Fuzhou, China.ORCID 0000-0003-3319-7201
Shanshan HuangSchool of Nursing, Fujian Medical University, Fuzhou, China.ORCID 0000-0003-2757-6184
Linlin ZhouSchool of Public Health, Fujian Medical University, Fuzhou, China.ORCID 0000-0003-0038-0106
Jiaqi DaiSchool of Public Health, Fujian Medical University, Fuzhou, China.ORCID 0000-0001-6845-4162
Linna XieSchool of Public Health, Fujian Medical University, Fuzhou, China.ORCID 0000-0001-7542-7402
Siyu ChenSchool of Public Health, Fujian Medical University, Fuzhou, China.ORCID 0000-0002-9712-9796
Hao ShangSchool of Public Health, Fujian Medical University, Fuzhou, China.ORCID 0000-0003-1927-6704
Beibei RaoSchool of Public Health, Fujian Medical University, Fuzhou, China.ORCID 0000-0002-3950-0462
Bingtao WengSchool of Public Health, Fujian Medical University, Fuzhou, China.ORCID 0000-0003-4588-3348
Ayiguli AbulimitiSchool of Public Health, Fujian Medical University, Fuzhou, China.ORCID 0000-0002-8942-0639
Siying WuSchool of Public Health, Fujian Medical University, Fuzhou, China.ORCID 0000-0003-3560-5678
Xiaoxu XieSchool of Public Health, Fujian Medical University, Fuzhou, China.ORCID 0000-0002-3103-3724
Fujian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMobile health (mHealth) apps are rapidly emerging technologies in China due to strictly controlled medical needs during the COVID-19 pandemic while continuing essential services for chronic diseases. However, there have been no large-scale, systematic efforts to evaluate relevant apps.

objectiveWe aim to provide a landscape of mHealth apps in China by describing and comparing digital health concerns before and after the COVID-19 outbreak, including mHealth app data flow and user experience, and analyze the impact of COVID-19 on mHealth apps.

methodsWe conducted a semilongitudinal survey of 1593 mHealth apps to study the app data flow and clarify usage changes and influencing factors. We selected mHealth apps in app markets, web pages from the Baidu search engine, the 2018 top 100 hospitals with internet hospitals, and online shopping sites with apps that connect to smart devices. For user experience, we recruited residents from a community in southeastern China from October 2019 to November 2019 (before the outbreak) and from June 2020 to August 2020 (after the outbreak) comparing the attention of the population to apps. We also examined associations between app characteristics, functions, and outcomes at specific quantiles of distribution in download changes using quantile regression models.

resultsRehabilitation medical support was the top-ranked functionality, with a median 1.44 million downloads per app prepandemic and a median 2.74 million downloads per app postpandemic. Among the top 10 functions postpandemic, 4 were related to maternal and child health: pregnancy preparation (ranked second; fold change 4.13), women's health (ranked fifth; fold change 5.16), pregnancy (ranked sixth; fold change 5.78), and parenting (ranked tenth; fold change 4.03). Quantile regression models showed that rehabilitation (P

conclusionsmHealth apps are an effective health care approach gaining in popularity among the Chinese population following the COVID-19 outbreak. This research provides direction for subsequent mHealth app development and promotion in the postepidemic era, supporting medical model reformation in China as a reference, which may provide new avenues for designing and evaluating indirect public health interventions such as health education and health promotion.

Indexed as

COVID-19Mobile ApplicationsTelemedicineChildChinaFemaleHumansPandemicsappapplicationChinaCOVID-19datadevelopmentdownloadhealthcarehealth managementmHealthmobile healthsurveytechnologyuseruser experiencevaccination

Identifiers

PMID36634256
PMCPMC9996426
OpenAlexW4315928867

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.