Problems and Barriers Related to the Use of Digital Health Applications: Scoping Review Article Swipe
Godwin Denk Giebel
,
Christian Speckemeier
,
Carina Abels
,
Felix Plescher
,
Kirstin Börchers
,
Jürgen Wasem
,
Nikola Blase
,
Silke Neusser
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.2196/43808
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.2196/43808
Background The digitization of health care led to a steady increase in the adoption and use of mobile health (mHealth) apps. Germany is the first country in the world to cover the costs of mHealth apps through statutory health insurance. Although the benefits of mHealth apps are discussed in detail, aspects of problems and barriers are rarely studied. Objective This scoping review aimed to map and categorize the evidence on problems and barriers related to the use of mHealth apps. Methods Systematic searches were conducted in the MEDLINE, Embase, and PsycINFO databases. Additional searches were conducted on JMIR Publications and on websites of relevant international organizations. The inclusion criteria were publications dealing with apps similar to those approved in the German health care system, publications addressing problems and barriers related to the use of mHealth apps, and articles published between January 1, 2015, and June 8, 2021. Study selection was performed by 2 reviewers. The manuscript was drafted according to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist. The analysis of the included publications and categorization of problems and hurdles were performed using MAXQDA (VERBI Software GmbH). Results The database search identified 1479 publications. Of the 1479 publications, 21 (1.42%) met the inclusion criteria. A further 8 publications were included from citation searching and searching in JMIR Publications. The identified publications were analyzed for problems and barriers. Problems and barriers were classified into 10 categories (“validity,” “usability,” “technology,” “use and adherence,” “data privacy and security,” “patient-physician relationship,” “knowledge and skills,” “individuality,” “implementation,” and “costs”). The most frequently mentioned categories were use and adherence (eg, incorporating the app into daily life or dropouts from use; n=22) and usability (eg, ease of use and design; n=19). Conclusions The search identified various problems and barriers in the context of mHealth apps. Although problems at the app level (such as usability) are studied frequently, problems at the system level are addressed rather vaguely. To ensure optimal use of and care with mHealth apps, it is essential to consider all types of problems and barriers. Therefore, researchers and policy makers should have a special focus on this issue to identify the needs for quality assurance. International Registered Report Identifier (IRRID) RR2-10.2196/32702
Related Topics
Concepts
mHealth
PsycINFO
MEDLINE
Systematic review
Checklist
Usability
Grey literature
Health care
Digital health
Categorization
Medicine
Internet privacy
World Wide Web
Psychology
Nursing
Computer science
Political science
Psychological intervention
Human–computer interaction
Cognitive psychology
Law
Artificial intelligence
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.2196/43808
- https://www.jmir.org/2023/1/e43808/PDF
- OA Status
- gold
- Cited By
- 148
- References
- 99
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4322393963
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4322393963Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.2196/43808Digital Object Identifier
- Title
-
Problems and Barriers Related to the Use of Digital Health Applications: Scoping ReviewWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
-
2023-02-27Full publication date if available
- Authors
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Godwin Denk Giebel, Christian Speckemeier, Carina Abels, Felix Plescher, Kirstin Börchers, Jürgen Wasem, Nikola Blase, Silke NeusserList of authors in order
- Landing page
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https://doi.org/10.2196/43808Publisher landing page
- PDF URL
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https://www.jmir.org/2023/1/e43808/PDFDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
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https://www.jmir.org/2023/1/e43808/PDFDirect OA link when available
- Concepts
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mHealth, PsycINFO, MEDLINE, Systematic review, Checklist, Usability, Grey literature, Health care, Digital health, Categorization, Medicine, Internet privacy, World Wide Web, Psychology, Nursing, Computer science, Political science, Psychological intervention, Human–computer interaction, Cognitive psychology, Law, Artificial intelligenceTop concepts (fields/topics) attached by OpenAlex
- Cited by
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148Total citation count in OpenAlex
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2025: 81, 2024: 57, 2023: 9, 2022: 1Per-year citation counts (last 5 years)
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99Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.citation | 218 |
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| abstract_inverted_index.criteria | 108 |
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| abstract_inverted_index.searches | 82, 93 |
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| abstract_inverted_index.vaguely. | 325 |
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| abstract_inverted_index.adherence | 269 |
| abstract_inverted_index.barriers. | 233, 346 |
| abstract_inverted_index.conducted | 84, 95 |
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| abstract_inverted_index.Background | 0 |
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| institutions_distinct_count | 8 |
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| citation_normalized_percentile.is_in_top_10_percent | True |