Evidence map›Paper›PMID 38365749›Full record

ArticleBMC medical ethics2024

"That's just Future Medicine" - a qualitative study on users' experiences of symptom checker apps.

Regina Müller, Malte Klemmt, Roland Koch, Hans-Jörg Ehni, Tanja Henking, Elisabeth Langmann, Urban Wiesing, Robert Ranisch

Open access · goldAbstract read
In one paragraph

Article in BMC medical ethics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
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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

8 authors at 4 institutions in 1 country.

Regina MüllerInstitute of Philosophy, University Bremen, Bremen, Germany. regina.mueller@uni-bremen.de.
Malte KlemmtInstitute of General Practice and Palliative Care, Hannover Medical School, Hannover, Germany.
Roland KochInstitute of General Practice and Interprofessional Care, University Hospital Tübingen, Tübingen, Germany.
Hans-Jörg EhniInstitute of Ethics and History of Medicine, University Tübingen, Tübingen, Germany.
Tanja HenkingInstitute of Applied Social Science, University of Applied Science Würzburg- Schweinfurt, Würzburg, Germany.
Elisabeth LangmannInstitute of Ethics and History of Medicine, University Tübingen, Tübingen, Germany.
Urban WiesingInstitute of Ethics and History of Medicine, University Tübingen, Tübingen, Germany.
Robert RanischFaculty of Health Science Brandenburg, University of Potsdam, Potsdam, Germany.
Medizinische Hochschule Hannover · DETechnical University of Applied Sciences Würzburg-Schweinfurt · DEUniversity of Bremen · DEUniversity of Potsdam · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSymptom checker apps (SCAs) are mobile or online applications for lay people that usually have two main functions: symptom analysis and recommendations. SCAs ask users questions about their symptoms via a chatbot, give a list with possible causes, and provide a recommendation, such as seeing a physician. However, it is unclear whether the actual performance of a SCA corresponds to the users' experiences. This qualitative study investigates the subjective perspectives of SCA users to close the empirical gap identified in the literature and answers the following main research question: How do individuals (healthy users and patients) experience the usage of SCA, including their attitudes, expectations, motivations, and concerns regarding their SCA use?

methodsA qualitative interview study was chosen to clarify the relatively unknown experience of SCA use. Semi-structured qualitative interviews with SCA users were carried out by two researchers in tandem via video call. Qualitative content analysis was selected as methodology for the data analysis.

resultsFifteen interviews with SCA users were conducted and seven main categories identified: (1) Attitudes towards findings and recommendations, (2) Communication, (3) Contact with physicians, (4) Expectations (prior to use), (5) Motivations, (6) Risks, and (7) SCA-use for others.

conclusionsThe aspects identified in the analysis emphasise the specific perspective of SCA users and, at the same time, the immense scope of different experiences. Moreover, the study reveals ethical issues, such as relational aspects, that are often overlooked in debates on mHealth. Both empirical and ethical research is more needed, as the awareness of the subjective experience of those affected is an essential component in the responsible development and implementation of health apps such as SCA.

trial registrationGerman Clinical Trials Register (DRKS): DRKS00022465. 07/08/2020.

Indexed as

Mobile ApplicationsPhysiciansTelemedicineCommunicationHumansQualitative ResearchBioethicsDigital healthHealth appsInterview studyMedical ethicsmHealth(Self-)TriageSymptom checker

Identifiers

PMID38365749
PMCPMC10874001
OpenAlexW4391878636

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.