ArticleJournal of medical systems2023
Patient Acceptance of Prescribed and Fully Reimbursed mHealth Apps in Germany: An UTAUT2-based Online Survey Study.
Article in Journal of medical systems, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.
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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
52 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Smartphone Apps for Pulmonary Hypertension: Systematic Search and Content Evaluation.JMIR mHealth and uHealth · 2024Pooled it
- Privacy Fact Sheets for Mitigating Disease-Related Privacy Concerns and Facilitating Equal Access to the Electronic Health Record: Randomized Controlled Trial.JMIR human factors · 2026Trial
- Influence of Disease-Related Stigma on Patients' Decisions to Upload Medical Reports to the German Electronic Health Record: Randomized Controlled Trial.JMIR human factors · 2024Trial
- Measuring health professional students' willingness to use AI chatbots in learning: A fuzzy-set qualitative comparative analysis.Anatomical sciences education · 2026Article
- Coverage, pricing, and reimbursement of telemedicine: a qualitative study among implementers of the Akoma Pa mHealth-based telemedicine intervention in Ghana.BMC health services research · 2026Article
- Does Digital Make a Difference? Willingness-to-Pay for Digital Versus Offline Weight Loss in Germany.Obesity science & practice · 2026Article
- Acceptance and Adoption of Intravenous Smart Pump Integration to Anesthesia Information Management System by Anesthesiologists: A Single Centre Study.Journal of medical systems · 2026Article
- Mobile Apps and Websites With Breastfeeding-Related Content in Germany: Cross-Sectional and Evaluation Study.JMIR pediatrics and parenting · 2026Article
- Patient and Clinician Attitudes Toward Mobile Health Apps: Qualitative Study.JMIR mHealth and uHealth · 2026Article
- Transition to electronic prescriptions in pharmacies: Workflows, services, and access to medication - A mixed methods approach.Exploratory research in clinical and social pharmacy · 2026Article
- Problems and Barriers Regarding the Admission, Financing, and Service Provision of Digital Health Apps: Qualitative Stakeholder Survey.Journal of medical Internet research · 2026Article
- Determinants of crypto art adoption among Chinese consumers: an extended UTAUT2 approach.Frontiers in psychology · 2026Article
- Understanding acceptance of digital smoking cessation interventions: user behavior, key influencing factors, and the role of reimbursement.BMC public health · 2025Article
- Facilitators and barriers for use of digital technology in chronic disease management.Scientific reports · 2025Article
- Determinants of Patient Use of Telemental Health Services: Representative Cross-Sectional Survey From Germany.JMIR mental health · 2025Article
- Article
- From awareness to integration: a qualitative interview study on the impact of digital therapeutics on physicians' practices in Germany.BMC health services research · 2025Article
- Insights Into How mHealth Applications Could Be Introduced Into Standard Hypertension Care in Germany: Qualitative Study With German Cardiologists and General Practitioners.JMIR mHealth and uHealth · 2025Article
- Digital Health Literacy and Attitudes Toward eHealth Technologies Among Patients With Cardiovascular Disease and Their Implications for Secondary Prevention: Survey Study.JMIR formative research · 2025Article
- Mobile Applications for Longitudinal Data Collection: Web-based Survey Study of Former Intensive Care Patients.Journal of medical systems · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The study aims to (1) investigate current levels of patient acceptance of mHealth in Germany; (2) determine the influencing factors of patients' intention to use, and (3) test the influence of prescription and reimbursement status on patient acceptance. Online survey with 1349 participants, of which 1051 were complete and included for statistical analysis, from a broad cross-section of the German population, addressing both users of mobile health (mHealth) applications and people without prior experience. SEM modeling based on a combination of two theoretical frameworks: the extended Unified Theory of Acceptance and Use of Technology and Health Protective Behavior Theories were used to assess acceptance. Users of mHealth in Germany are mostly patients between the ages of 30 - 50 with mental health or endocrine conditions. General willingness to use mHealth apps / DiGAs (mHealth apps fully reimbursed by social health insurance) is high at 76%, especially if they are governmentally certified, however only 27% of respondents were willing to pay out of pocket. With the exception of a spike in performance expectancy and data security, DiGAs lack a clear differentiation from mHealth apps. Perceived self-efficacy and performance expectancy are significant predictors of willingness to use digital health interventions; with age, attitude, and e-literacy being key demographic predictors. A key takeaway for regulators, providers of mHealth apps/ DiGAs, and other stakeholders involved in mHealth adoption is the importance of addressing negative beliefs early on, targeted communication around effortless usage of mHealth services across age groups and demographics, and focus on highlighting expected benefits of mHealth app/ DiGA usage.
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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.