Evidence map›Paper›PMID 39932772›Full record

ArticleJMIR formative research2025

mHealth App to Promote Healthy Lifestyles for Diverse Families Living in Rural Areas: Usability Study.

Alejandra Perez Ramirez, Adrian Ortega, Natalie Stephenson, Angel Muñoz Osorio, Anne Kazak, Thao-Ly Phan

Abstract read
In one paragraph

Article in JMIR formative research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Alejandra Perez RamirezCenter For Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, United States.ORCID 0009-0000-0107-312X
Adrian OrtegaCenter for Behavior Intervention Technologies, Northwestern Feinberg School of Medicine, Northwestern University, Evanston, IL, United States.ORCID 0000-0003-1003-2156
Natalie StephensonCenter for Health Delivery Innovation, Nemours Children's Health, Wilmington, DE, United States.ORCID 0000-0002-6473-2302
Angel Muñoz OsorioCenter For Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, United States.ORCID 0000-0002-1756-8167
Anne KazakCenter For Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, United States.ORCID 0000-0003-0553-0855
Thao-Ly PhanCenter For Healthcare Delivery Science, Nemours Children's Health, Wilmington, DE, United States.ORCID 0000-0003-4616-6869

Funding

Type 1 Together: A Peer Mentorship Program to Bolster use of Continuous Glucose Monitoring Systems among Adolescents with Type 1 DiabetesP20GM144270 · NIGMS · NEMOURS CHILDREN'S HOSPITAL, DELAWARE · PI MELISSA A. ALDERFER, CARISSA BAKER-SMITH · 2022 to 2026
$13.2M
NIGMS NIH HHS P20 GM144270
6 · The paper itself

Abstract

backgroundMobile Integrated Care for Childhood Obesity is a multicomponent intervention for caregivers of young children with obesity from rural communities that was developed in collaboration with community, parent, and health care partners. It includes community programming to promote healthy lifestyles and address social needs and health care visits with an interdisciplinary team. A digital mobile health platform-the Healthy Lifestyle (Nemours Children's Health) dashboard-was designed as a self-management tool for caregivers to use as part of Mobile Integrated Care for Childhood Obesity.

objectiveThis study aimed to improve the usability of the English and Spanish language versions of the Healthy Lifestyle dashboard.

methodsDuring a 3-phased approach, usability testing was conducted with a diverse group of parents. In total, 7 mothers of children with obesity from rural communities (average age 39, SD 4.9 years; 4 Spanish-speaking and 3 English-speaking) provided feedback on a prototype of the dashboard. Participants verbalized their thoughts while using the prototype to complete 4 tasks. Preferences on the dashboard icon and resource page layout were also collected. Testing was done until feedback reached saturation and no additional substantive changes were suggested. Qualitative and quantitative data regarding usability, acceptability, and understandability were analyzed.

resultsThe dashboard was noted to be acceptable by 100% (N=7) of the participants. Overall, participants found the dashboard easy to navigate and found the resources, notifications, and ability to communicate with the health care team to be especially helpful. However, all (N=4) of the Spanish-speaking participants identified challenges related to numeracy (eg, difficulty interpreting the growth chart) and literacy (eg, features not fully available in Spanish), which informed iterative refinements to make the dashboard clearer and more literacy-sensitive. All 7 participants (100%) selected the same dashboard icon and 71% (5/7) preferred the final resource page layout.

conclusionsConducting usability testing with key demographic populations, especially Spanish-speaking populations, was important to developing a mobile health intervention that is user-friendly, culturally relevant, and literacy-sensitive.

Indexed as

Healthy LifestyleMobile ApplicationsRural PopulationUser-Centered DesignAdultCommunicationDemographyFemaleHumansLanguageMiddle AgedParentsPatient Care ManagementPatient PreferencePatient SatisfactionPediatric ObesitychildmHealthmobile healthobesityrural populationSpanishuser testing

Identifiers

PMID39932772
PMCPMC11862780

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Registered trials

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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.