SynthesisJMIR mHealth and uHealth2023
Design Guidelines of Mobile Apps for Older Adults: Systematic Review and Thematic Analysis.
Synthesis in JMIR mHealth and uHealth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 4 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
59 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Effectiveness of eHealth Interventions on Health Outcomes in Adult Patients With Intestinal Stoma: A Systematic Review and Network Meta-Analysis.International journal of nursing practice · 2026Pooled it
- Physical and Psychological Effects of Smartphone App-Based Walking Interventions in Community-Dwelling Older Adults: Systematic Review and Behavior Change Technique-Informed Analysis.JMIR human factors · 2026Pooled it
- Interactive Conversational Agents to Improve Dietary Behaviors for Health Promotion: Mixed Systematic Review.Journal of medical Internet research · 2025Pooled it
- Evaluating Effectiveness of mHealth Apps for Older Adults With Diabetes: Meta-Analysis of Randomized Controlled Trials.Journal of medical Internet research · 2025Pooled it
- Digital Health Technologies to Promote Healthy Eating and Physical Activity and Reduce Risk Factors for Cardiovascular Disease in Older Adults: A Pilot Study.The Journal of cardiovascular nursingTrial
- Digital health technology burden and frustration among patients with multimorbidity.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Structured Digital Device Instruction for Older Adults With Stroke During Convalescent Rehabilitation: Prospective Feasibility Study.JMIR formative research · 2026Article
- An AI-Assisted Cognitive Engagement Mobile App for Older Adults: Development and Mixed Methods Usability Study.JMIR formative research · 2026Article
- Design Preferences for Mental Health Apps Among Nondigitally Native Adults With Chronic Pain: Qualitative Analysis.JMIR mHealth and uHealth · 2026Article
- Article
- Perceived Usability as a Factor Associated with Clinical Outcomes in Mobile Health Diabetes Management: A Bayesian Mediation and Equity Analysis.Journal of clinical medicine · 2026Article
- Identifying and Prioritizing Age-Friendly Design Principles and Guidelines for Developing Transportation Planning E-Tools: Scoping Review.JMIR aging · 2026Article
- Designing an mHealth App to Encourage Uptake of Muscle-Strengthening Exercise in Older Adults: Co-Design Focus Group Study.JMIR aging · 2026Article
- Patient Perceptions of Blockchain-Based Health Information Exchange: User-Centered Design Study.Journal of medical Internet research · 2026Article
- Agreement Between Reserve Heart Rate, Perceived Exertion and Wint Index During HIIT Using a Low-Cost ANT+ Armband in University Students.Sensors (Basel, Switzerland) · 2026Article
- Accessibility features in executive function apps and user performance post-stroke.Scientific reports · 2026Article
- Blockchain-Based Mobile App for Digital Identification of Older Adults in Rural Peru: Design and Usability Evaluation Study.JMIR rehabilitation and assistive technologies · 2026Article
- TheFrontiers in public health · 2026Article
- A narrative review of health inequalities in dementia care in China: exploring mHealth's potential.mHealth · 2026Review
- Design optimization of health apps for rural older adults: enhancing usability and health effects based on Kano model and SEM method.Frontiers in public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMobile apps are fundamental tools in today's society for practical and social endeavors. However, these technologies are often not usable for older users. Given the increased use of mobile apps by this group of users and the impact that certain services may have on their quality of life, such as mobile health, personal finance, or online administrative procedures, a clear set of guidelines for mobile app designers is needed. Existing recommendations for older adults focus on investigations with certain groups of older adults or have not been extracted from experimental results.
objectiveIn this research work, we systematically reviewed the scientific literature that provided recommendations for the design of mobile apps based on usability testing with older adults and organized such recommendations into a meaningful set of design guidelines.
methodsWe conducted a systematic literature review of journal and conference articles from 2010 to 2021. We included articles that carried out usability tests with populations aged >60 years and presented transferable guidelines on mobile software design, resulting in a final set of 40 articles. We then carried out a thematic analysis with 3 rounds of analysis to provide meaning to an otherwise diverse set of recommendations. At this stage, we discarded recommendations that were made by just 1 article, were based on a specific mobile app and were therefore nontransferrable, were based on other authors' literature (as opposed to recommendations based on the results of usability tests), or were not sufficiently argued. With the remaining recommendations, we identified commonalities, wrote a faithful statement for each guideline, used a common language for the entire set, and organized the guidelines into categories, thereby giving shape to an otherwise diverse set of recommendations.
resultsAmong the 27 resulting guidelines, the rules Simplify and Increase the size and distance between interactive controls were transversal and of the greatest significance. The rest of the guidelines were divided into 5 categories (Help & Training, Navigation, Visual Design, Cognitive Load, and Interaction) and consequent subcategories in Visual Design (Layout, Icons, and Appearance) and Interaction (Input and Output). The recommendations were structured, explained in detail, and illustrated with applied examples extracted from the selected studies, where appropriate. We discussed the design implications of applying these guidelines, contextualized with relevant studies. We also discussed the limitations of the approach followed, stressing the need for further experimentation to gain a better understanding of how older adults use mobile apps and how to better design such apps with these users in mind.
conclusionsThe compiled guidelines support the design of mobile apps that cater to the needs of older adults because they are based on the results of actual usability tests with users aged >60 years.
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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.