Evidence map›Paper›PMID 40279501›Full record

ArticleJMIR mHealth and uHealth2025

Preferences for Mobile App Features to Support People Living With Chronic Heart Diseases: Discrete Choice Study.

Sumudu Avanthi Hewage, Sameera Senanayake, David Brain, Michelle J Allen, Steven M McPhail, William Parsonage, Tomos Walters, Sanjeewa Kularatna

Abstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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

8 authors.

Sumudu Avanthi HewageAustralian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Queensland University of Technology, 61 Musk Avenue, Brisbane, 4059, Australia, +61 07 3388 6077.ORCID 0000-0001-8079-4338
Sameera SenanayakeAustralian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Queensland University of Technology, 61 Musk Avenue, Brisbane, 4059, Australia, +61 07 3388 6077.ORCID 0000-0002-5606-2046
David BrainAustralian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Queensland University of Technology, 61 Musk Avenue, Brisbane, 4059, Australia, +61 07 3388 6077.ORCID 0000-0002-6612-348X
Michelle J AllenAustralian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Queensland University of Technology, 61 Musk Avenue, Brisbane, 4059, Australia, +61 07 3388 6077.ORCID 0000-0002-8852-1454
Steven M McPhailAustralian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Queensland University of Technology, 61 Musk Avenue, Brisbane, 4059, Australia, +61 07 3388 6077.ORCID 0000-0002-1463-662X
William ParsonageAustralian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Queensland University of Technology, 61 Musk Avenue, Brisbane, 4059, Australia, +61 07 3388 6077.ORCID 0000-0002-0223-5378
Tomos WaltersQueensland Cardiovascular Group, Queensland, Australia.ORCID 0000-0002-6236-1405
Sanjeewa KularatnaAustralian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Queensland University of Technology, 61 Musk Avenue, Brisbane, 4059, Australia, +61 07 3388 6077.ORCID 0000-0001-5650-154X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Using digital health technologies to aid individuals in managing chronic diseases offers a promising solution to overcome health service barriers such as access and affordability. However, their effectiveness depends on adoption and sustained use, influenced by user preferences. objectives: This study quantifies the preferences of individuals with chronic heart disease (CHD) for features of a mobile health app to self-navigate their disease condition. Methods: We conducted an unlabeled web-based choice survey among adults older than 18 years with CHD living in Australia, recruited via a web-based survey platform. Four app attributes-ease of navigation, monitoring of blood pressure and heart rhythm, health education, and symptom diary maintenance-were systematically chosen through a multistage process. This process involved a literature review, stakeholder interviews, and expert panel discussions. Participants chose a preferred mobile app out of 3 alternatives: app A, app B, or neither. A D-optimal design was developed using Ngene software, informed by Bayesian priors derived from pilot survey data. Latent class model analysis was conducted using Nlogit software (Econometric Software, Inc). We also estimated attribute importance and anticipated adoption rates for 3 app versions. Results: Our sample included 302 participants with a mean age of 50.5 (SD 18.2) years. Latent class model identified 2 classes. Older respondents with education beyond high school, prior experience with mobile health apps, and a positive perception of app usefulness were more likely to be in class 1 (257/303, 85%) than in class 2 (45/303, 15%). Class 1 membership preferred adopting a mobile app (app A: β coefficient 0.74, 95% uncertainty interval (UI) 0.41-1.06; app B: β coefficient 0.53, 95% UI 0.22-0.85). Participants favored apps providing postmonitoring recommendations (β coefficient 1.45, 95% UI 1.26-1.64), tailored health education (β coefficient 0.50, 95% UI 0.36-0.64), and unrestricted symptom diary entry (β coefficient 0.58, 95% UI 0.41-0.76). Class 2 showed no preference for app adoption (app A: β coefficient -1.18, 95% UI -2.36 to 0.006; app B: β coefficient -0.78, 95% UI -1.99 to 0.42) or any specific attribute levels. Vital sign monitoring was the most influential attribute among the 4. Scenario analysis revealed an 84% probability of app adoption with basic features, rising to 92% when app features aligned with respondents' preferences. Conclusions: The study's findings suggest that designing preference-informed mobile health apps could significantly enhance adoption rates and engagement among individuals with CHD, potentially leading to improved clinical outcomes. Adoption rates were notably higher when app attributes included easy navigation, vital sign monitoring, feedback provision, personalized health education, and flexible data entry for symptom diary maintenance. Future research to explore factors influencing app adoption among different groups of patients is warranted.

Indexed as

Choice BehaviorHeart DiseasesMobile ApplicationsPatient PreferenceAdultAgedAustraliaChronic DiseaseFemaleHumansMaleMiddle AgedSurveys and Questionnairesadoptionadoption ratesappchronic heart diseasedigital healthdigital health technologieseffectivenesshealth educationheart diseaselatent class modelmobile health appmonitoringmonitoring vital signsself-navigatesymptomuseruser preferences

Identifiers

PMID40279501
PMCPMC12047850

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.