Evidence map›Paper›PMID 42061832›Full record

Observational studyJMIR human factors2026

Technology Acceptance of 2 mHealth Apps During an Observational Technology Evaluation Study: Qualitative Results of a Mixed Methods Study.

Johanna Graeber, Elke Warmerdam, Svenja Aufenberg, Christopher Bull, Kristen Davies, Juliane Döhring, Kirsten Emmert, Claire Judd, Corina Maetzler, Nikolay V Manyakov and 5 more

Abstract readObservational Study
In one paragraph

Observational study in JMIR human factors, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

15 authors.

Johanna GraeberInstitute of General Practice, University Medical Center Schleswig-Holstein, Kiel University, Kiel, Germany.ORCID 0000-0002-5126-2612
Elke WarmerdamInnovative Implant Development (Fracture Healing), Division of Surgery, Saarland University, Saarbrücken, Germany.ORCID 0000-0002-2343-7761
Svenja AufenbergGeorge Huntington Institute, Münster, Germany.ORCID 0009-0007-3632-4778
Christopher BullOpenLab, School of Computing, Newcastle University, Newcastle upon Tyne, United Kingdom.ORCID 0000-0002-9811-4190
Kristen DaviesTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.ORCID 0000-0003-2246-9048
Juliane DöhringInstitute of General Practice, University Medical Center Schleswig-Holstein, Kiel University, Kiel, Germany.ORCID 0000-0003-1421-3149
Kirsten EmmertDepartment of Neurology, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel University, Kiel, Germany.ORCID 0000-0001-7346-3581
Claire JuddNIHR Newcastle Clinical Research Facility, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom.ORCID 0009-0008-3941-3984
Corina MaetzlerDepartment of Neurology, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel University, Kiel, Germany.ORCID 0009-0007-2579-6219
Nikolay V ManyakovJohnson & Johnson, Beerse, Belgium.ORCID 0000-0001-9037-1400
Ralf ReilmannGeorge Huntington Institute, Münster, Germany.ORCID 0000-0002-5904-9517
Wan-Fai NgTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.ORCID 0000-0002-5539-388X
Victoria MacraeTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.ORCID 0009-0002-3036-2996
Walter MaetzlerDepartment of Neurology, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel University, Kiel, Germany.ORCID 0000-0002-5945-4694
Hanna KaduszkiewiczInstitute of General Practice, University Medical Center Schleswig-Holstein, Kiel University, Kiel, Germany.ORCID 0000-0003-2035-6015

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMobile health (mHealth) apps are useful tools for research and disease management. However, implementation of mHealth apps is lacking in many areas. While mHealth apps offer various advantages to researchers and patients, their effectiveness depends on their actual use. Barriers to using mHealth apps are often due to human factors such as usability or technology acceptance. Although prior studies have examined the acceptance of mHealth apps in patient treatment, the key factors driving or hindering the use of mHealth apps in research remain unclear.

objectiveThis study explores user perceptions of 2 mHealth apps in the setting of an observational technology evaluation study using the unified theory of acceptance and use of technology. We aim to evaluate the technology acceptance of these specific apps and to investigate challenges in choosing suitable mHealth apps in research. The apps were intended for data collection; no effect on health was expected.

methodsPatients with chronic diseases as well as healthy participants used a symptom tracking app and a cognitive test app over the course of 4 weeks within the feasibility study of the project "Identifying Digital Endpoints to Assess Fatigue, Sleep and Activities of Daily Living in Neurodegenerative Disorders and Immune-Mediated Inflammatory Diseases." Thereafter, 61 qualitative interviews were conducted, recorded, and transcribed. A qualitative content analysis using the unified theory of acceptance and use of technology was performed.

resultsAn important aspect of motivation for participants was feedback on their health data and performance in the cognitive tests. Effort played a significant role in app use. Patients rated the apps as easy to use and quick. Using the app multiple times per day at fixed times was perceived as disruptive. Participants preferred using their own phone. Social influence as well as facilitating conditions played a lesser role in intention to use the apps. Data security was no concern for most participants. They stressed the importance of good relations with the study team.

conclusionsIn choosing suitable apps, one size will certainly not fit all. For medical research, pretesting of all materials with the potential users is of utmost importance. If the positive effects of the app on users' health are not immediately apparent, other factors may motivate use, for example, feedback, gamification, adjustable functions, applicability on all smartphone operating systems, and good relations to the study team.

Indexed as

Mobile ApplicationsPatient Acceptance of Health CareTechnology Assessment, BiomedicalTelemedicineAdultAgedDigital HealthFemaleHumansMaleMiddle AgedQualitative Researchappdigital healthmHealthmixed method studymobile healthmobile health careneurodegenerationtechnology useuser experience

Identifiers

PMID42061832
PMCPMC13173072

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.