Evidence map›Paper›PMID 36943932›Full record

ArticleJMIR formative research2023

End Users' Perspectives on the Quality and Design of mHealth Technologies During the COVID-19 Pandemic in the Philippines: Qualitative Study.

Aldren Gonzales, Razel Custodio, Marie Carmela Lapitan, Mary Ann Ladia

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Article in JMIR formative research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Aldren GonzalesMedical Informatics Unit, College of Medicine, University of the Philippines Manila, Manila, Philippines.ORCID https://orcid.org/0000-0002-7445-7789
Razel CustodioNational Telehealth Center, National Institutes of Health, University of the Philippines Manila, Manila, Philippines.ORCID https://orcid.org/0000-0001-8508-9232
Marie Carmela LapitanInstitute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila, Manila, Philippines.ORCID https://orcid.org/0000-0001-9569-2879
Mary Ann LadiaInstitute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila, Manila, Philippines.ORCID https://orcid.org/0000-0003-4757-8072

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has expanded the use of mobile health (mHealth) technologies in contact tracing, communicating COVID-19-related information, and monitoring the health conditions of the general population in the Philippines. However, the limited end-user engagement in the features and feedback along the development cycle of mHealth technologies results in risks in adoption. The World Health Organization (WHO) recommends user-centric design and development of mHealth technologies to ensure responsiveness to the needs of the end users.

objectiveThe goal of the study is to understand, using end users' perspectives, the design and quality of mHealth technology implementations in the Philippines during the COVID-19 pandemic, with a focus on the areas identified by stakeholders: (1) utility, (2) technology readiness level, (3) design, (4) information, (5) usability, (6) features, and (7) security and privacy.

methodsUsing a descriptive qualitative design, we conducted 5 interviews and 3 focus group discussions (FGDs) with a total of 16 participants (6, 37.5%, males and 10, 62.5%, females). Questions were based on the Mobile App Rating Scale (MARS). Using the cyclical coding approach, transcripts were analyzed with NVivo 12. Themes were identified.

resultsThe qualitative analysis identified 18 themes that were organized under the 7 focus areas: (1) utility: use of mHealth technologies and motivations in using mHealth; (2) technology readiness: mobile technology literacy and user segmentation; (3) design: user interface design, language and content accessibility, and technology design; (4) information: accuracy of information and use of information; (5) usability: design factors, dependency on human processes, and technical issues; (6) features: interoperability and data integration, other feature and design recommendations, and technology features and upgrades; and (7) privacy and security: trust that mHealth can secure data, lack of information, and policies. To highlight, accessibility, privacy and security, a simple interface, and integration are some of the design and quality areas that end users find important and consider in using mHealth tools.

conclusionsEngaging end users in the development and design of mHealth technologies ensures adoption and accessibility, making it a valuable tool in curbing the pandemic. The 6 principles for developers, researchers, and implementers to consider when scaling up or developing a new mHealth solution in a low-resource setting are that it should (1) be driven by value in its implementation, (2) be inclusive, (3) address users' physical and cognitive restrictions, (4) ensure privacy and security, (5) be designed in accordance with digital health systems' standards, and (6) be trusted by end users.

Indexed as

COVID-19digital healthend-user engagementfocus groupmHealthmobile healthpandemicPhilippinesprivacytechnology implementationtechnology useuser engagement

Identifiers

PMID36943932
PMCPMC10131615

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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.