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Development and formative usability evaluation of a user-centered mobile application for COPD self-management
Guofang Tao1, Su Yang1, Luqing Gao1
1Nursing Department, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Health Informatics Journal
|August 7, 2026
Summary
A new mobile app for Chronic Obstructive Pulmonary Disease (COPD) self-management was developed using user-centered design and persuasive technology. The COPD DHSS app showed acceptable usability and engagement, offering personalized recommendations for better patient outcomes.
Area of Science:
- Digital Health
- Chronic Disease Management
- Human-Computer Interaction
Background:
- Chronic Obstructive Pulmonary Disease (COPD) presents significant global health challenges, impacting quality of life and prognosis.
- Effective self-management is critical for COPD patients, but traditional methods face challenges.
- Digital Health Technologies (DHTs) offer potential but struggle with user engagement and adherence.
Purpose of the Study:
- To develop a user-centered mobile application for COPD self-management.
- To apply the CeHRes Roadmap and persuasive system design (PSD) principles in development.
- To evaluate the usability and user experience of the developed application.
Main Methods:
- The COPD Digital Health Self-Management System (COPD DHSS) was developed using the CeHRes Roadmap.
- A literature review, patient/provider interviews, and expert discussions informed the design.
- A mixed-methods evaluation with 16 COPD patients assessed usability (SUS) and user experience (focus groups).
Main Results:
- A user-centered COPD mobile application (COPD DHSS) was successfully developed.
- The app integrates patient data with evidence-based practices for personalized recommendations.
- Usability testing showed acceptable median SUS score (76.25) with 87.5% maintaining regular usage.
Conclusions:
- The COPD DHSS, developed using the CeHRes Roadmap and PSD, is a usable and user-centered tool for COPD self-management.
- This structured, theory-driven approach effectively translates insights into a practical digital health tool.
- The study provides a model for applying mobile health technology in chronic disease self-management.
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