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App Designs and Interactive Features to Increase mHealth Adoption: User Expectation Survey and Experiment.
Allison J Lazard1,2, J Scott Babwah Brennen3, Stephanie P Belina1
1Hussman School of Journalism and Media, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
JMIR Mhealth and Uhealth
|November 4, 2021
Summary
Designing mobile health apps requires understanding user expectations for features and placement. Meeting these expectations, especially for high-prototypicality apps, increases usability, engagement, and adoption for better health outcomes.
Area of Science:
- Human-Computer Interaction
- Digital Health
- Behavioral Science
Background:
- Smartphone ubiquity necessitates guidance for designing effective mobile health (mHealth) apps.
- Understanding user expectations for app features and design is crucial for increasing mHealth app adoption and impact.
Purpose of the Study:
- To investigate user expectations for specific mHealth app features and their placement.
- To examine how app design prototypicality influences user adoption, attention, and predicted use.
Main Methods:
- A web-based survey collected user expectations for 12 app features.
- Participants (n=462) evaluated high and low prototypicality health apps on usability, aesthetics, and intentions to use.
- Feature categorization based on attention and predicted use was performed.
Main Results:
- Users expect navigation and settings features in specific locations (92%) and summary/static features centrally (86%).
- Features were categorized into essential, flashy, functional, and mundane based on attention and predicted use.
- High prototypicality apps, similar to popular downloads, were preferred (75%) and rated higher for usability, aesthetics, and intentions to use (P<.001).
Conclusions:
- mHealth app designs must meet user expectations for features and placement to be perceived as usable and beneficial.
- Prioritizing essential, flashy, and functional features can enhance user engagement and adoption.
- Aligning app design with user expectations can improve evaluations and encourage use, positively impacting preventive health behaviors.

