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Mobile Applications for Hemodialysis: Evaluation Using the Mobile App Rating Scale (MARS)
Erfan Esmaeeli1, Mohadeseh Sadat Khorashadizadeh2, Meysam Rahmani3
1Department of Health Information Management and Medical Informatics, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.
Seminars in Dialysis
|February 6, 2025
Summary
Few high-quality mobile apps exist for hemodialysis patients. This study evaluated available self-care apps, finding most had low overall quality despite good functionality, highlighting a need for better app development.
Area of Science:
- Digital Health
- Mobile Health Interventions
- Renal Care Technology
Background:
- Mobile applications (apps) and social media offer potential benefits for hemodialysis patients.
- Despite their potential, no research has reliably evaluated the quality of existing hemodialysis self-care apps.
- This study addresses the need to assess the quality of mobile apps for hemodialysis patient self-care.
Purpose of the Study:
- To evaluate the quality of mobile applications designed for the self-care of patients undergoing hemodialysis.
- To identify high-quality apps that can support hemodialysis patient self-management.
- To provide a benchmark for future mobile health app development in renal care.
Main Methods:
- A systematic review of mobile apps was conducted on the Google Play and Apple App Store platforms.
- Apps were assessed using the Mobile Application Rating Scale (MARS) by two independent reviewers.
- Keywords included various terms related to dialysis, and eligibility criteria focused on patient-specific, free, English-language apps for Android and iOS.
Main Results:
- Out of 177 initially identified apps, only six met the eligibility criteria for qualitative evaluation.
- Overall Mobile Application Rating Scale (MARS) scores ranged from 2.33 to 3.67, indicating generally low quality.
- The "KidneyPal: Kidney Disease Mgmt" app scored highest, with a mean quality score of 4.26 out of 5.
Conclusions:
- A limited number of mobile apps are available for hemodialysis patients, with most demonstrating low quality.
- While apps performed well in functionality, they scored lower in subjective quality aspects.
- Future research should prioritize developing and testing mobile apps using validated tools like MARS, assessing their impact on patient outcomes.
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