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User Satisfaction With Pregnancy Management Apps in Mainland China: User-Generated Content Analysis and Text Mining
Xiaoyi Jiao1,2, Lu Jiang3, Min Zhao4
1School of Public Health, Zhejiang University, Hangzhou, Zhejiang Province, China.
Journal of Medical Internet Research
|August 21, 2025
Summary
User satisfaction with pregnancy management apps is high, but Android users report greater satisfaction than iOS users. Key factors influencing satisfaction include app design, physician access, and community features, while login and privacy concerns cause dissatisfaction.
Area of Science:
- Digital Health
- Mobile Health Applications
- Maternal-Infant Healthcare
Background:
- China's 3-child policy has increased demand for personalized pregnancy management.
- Mobile health apps are increasingly used by pregnant women for convenience.
- User satisfaction is crucial for continued engagement with pregnancy management apps.
Purpose of the Study:
- To explore user satisfaction with pregnancy management apps by analyzing user-generated content.
- To compare user satisfaction across different operating systems (Android vs. iOS).
- To identify factors influencing user satisfaction and dissatisfaction based on Herzberg's two-factor theory.
Main Methods:
- Analysis of 180,107 reviews from 86 pregnancy management apps in China.
- Topic clustering and semantic parsing using Latent Dirichlet Allocation and DeepSeek-R1 models.
- Tobit regression and Kano model to identify and classify satisfaction/dissatisfaction factors.
Main Results:
- Overall user satisfaction was 72.34%, with Android users (89.32%) significantly more satisfied than iOS users (60.75%).
- Key dissatisfaction factors: system login and privacy disclosure.
- Key satisfaction drivers: storage optimization, page design, function provision, platform feedback, physician inquiries, menstrual management, pregnancy guidelines, parenting information, growth records, and community features.
Conclusions:
- Significant differences in satisfaction exist between Android and iOS users, highlighting platform-specific user needs.
- User needs form a progressive chain: security, demand satisfaction, and experience improvement.
- Distinguishing between basic (e.g., login, privacy) and attractive (e.g., features, community) factors can enhance app development and user experience.
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