Health App Use Among US Mobile Phone Owners: A National Survey

Paul Krebs, Dustin T Duncan, Paul Krebs, Dustin T Duncan

Abstract

Background: Mobile phone health apps may now seem to be ubiquitous, yet much remains unknown with regard to their usage. Information is limited with regard to important metrics, including the percentage of the population that uses health apps, reasons for adoption/nonadoption, and reasons for noncontinuance of use.

Objective: The purpose of this study was to examine health app use among mobile phone owners in the United States.

Methods: We conducted a cross-sectional survey of 1604 mobile phone users throughout the United States. The 36-item survey assessed sociodemographic characteristics, history of and reasons for health app use/nonuse, perceived effectiveness of health apps, reasons for stopping use, and general health status.

Results: A little over half (934/1604, 58.23%) of mobile phone users had downloaded a health-related mobile app. Fitness and nutrition were the most common categories of health apps used, with most respondents using them at least daily. Common reasons for not having downloaded apps were lack of interest, cost, and concern about apps collecting their data. Individuals more likely to use health apps tended to be younger, have higher incomes, be more educated, be Latino/Hispanic, and have a body mass index (BMI) in the obese range (all P<.05). Cost was a significant concern among respondents, with a large proportion indicating that they would not pay anything for a health app. Interestingly, among those who had downloaded health apps, trust in their accuracy and data safety was quite high, and most felt that the apps had improved their health. About half of the respondents (427/934, 45.7%) had stopped using some health apps, primarily due to high data entry burden, loss of interest, and hidden costs.

Conclusions: These findings suggest that while many individuals use health apps, a substantial proportion of the population does not, and that even among those who use health apps, many stop using them. These data suggest that app developers need to better address consumer concerns, such as cost and high data entry burden, and that clinical trials are necessary to test the efficacy of health apps to broaden their appeal and adoption.

Keywords: cell phones; mobile apps; telemedicine.

Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
US distribution of sample by ZIP code.

References

    1. Smith A. Pew Research Center. Washington, DC: Pew Internet & American Life Project; 2015. Apr 01, [2015-07-03]. US smartphone use in 2015
    1. Nielsen. New York, NY: The Nielsen Company; 2013. Mar 20, [2015-04-23]. Tech-styles: Are consumers really interested in wearing tech on their sleeves? .
    1. Patient Apps for Improved Healthcare: From Novelty to Mainstream. Parsippany, NJ: IMS Institute for Healthcare Informatics; 2013. Oct, [2015-06-13]. .
    1. Knight E, Stuckey MI, Prapavessis H, Petrella RJ. Public health guidelines for physical activity: Is there an app for that? A review of android and apple app stores. JMIR Mhealth Uhealth. 2015;3(2):e43. doi: 10.2196/mhealth.4003.
    1. Singh A, Wilkinson S, Braganza S. Smartphones and pediatric apps to mobilize the medical home. J Pediatr. 2014 Sep;165(3):606–610. doi: 10.1016/j.jpeds.2014.05.037.
    1. Hirsch JA, James P, Robinson JR, Eastman KM, Conley KD, Evenson KR, Laden F. Using MapMyFitness to place physical activity into neighborhood context. Front Public Health. 2014;2:19. doi: 10.3389/fpubh.2014.00019.
    1. Comstock J. MobiHealthNews. Boston, MA: Chester Street Publishing; 2015. Jun 08, [2015-07-05]. Survey: Only 30 percent of insured consumers want to track health on a mobile device
    1. Thomas DR. A general inductive approach for analyzing qualitative evaluation data. Am J Eval. 2006 Jun 01;27(2):237–246. doi: 10.1177/1098214005283748.
    1. Zhao K. Proper estimation of relative risk using PROC GENMOD in population studies. Proceedings of the Western Users of SAS Software Conference; Western Users of SAS Software Conference; November 13-15, 2013; Las Vegas, NV. 2013. pp. 1–14.
    1. Fox S, Duggan M. Pew Research Center. Washington, DC: Pew Internet & American Life Project; 2012. Nov 08, [2015-04-23]. Mobile health 2012
    1. Kosir S. Wearable Technologies. Ammersee, Germany: Wearable Technologies AG; 2015. Mar 23, [2015-07-05]. A look at smart clothing for 2015
    1. Ham B. UCSD News. 2015. Jan 14, [2015-07-05]. Temporary tattoo offers needle-free way to monitor glucose levels .
    1. Derbyshire E, Dancey D. Smartphone medical applications for women's health: What is the evidence-base and feedback? Int J Telemed Appl. 2013;2013:782074. doi: 10.1155/2013/782074.
    1. Robustillo Cortés Mde L, Cantudo Cuenca MR, Morillo Verdugo R, Calvo Cidoncha E. High quantity but limited quality in healthcare applications intended for HIV-infected patients. Telemed J E Health. 2014 Aug;20(8):729–735. doi: 10.1089/tmj.2013.0262.
    1. Arnhold M, Quade M, Kirch W. Mobile applications for diabetics: A systematic review and expert-based usability evaluation considering the special requirements of diabetes patients age 50 years or older. J Med Internet Res. 2014;16(4):e104. doi: 10.2196/jmir.2968.
    1. Bender JL, Yue RY, To MJ, Deacken L, Jadad AR. A lot of action, but not in the right direction: Systematic review and content analysis of smartphone applications for the prevention, detection, and management of cancer. J Med Internet Res. 2013;15(12):e287. doi: 10.2196/jmir.2661.
    1. Dolan B. MobiHealthNews. Boston, MA: Chester Street Publishing; 2014. Jul 21, [2015-07-05]. National physician group advises docs to discuss health apps with patients
    1. Comstock J. MobiHealthNews. Boston, MA: Chester Street Publishing; 2013. May 30, [2015-07-05]. HealthTap takes on app curation, prescribing
    1. Ahuja N, Ozdalga E, Aaronson A. Integrating mobile fitness trackers into the practice of medicine. Am J Lifestyle Med. 2015 Apr 21; doi: 10.1177/1559827615583643.
    1. Boulos MN, Brewer AC, Karimkhani C, Buller DB, Dellavalle RP. Mobile medical and health apps: State of the art, concerns, regulatory control and certification. Online J Public Health Inform. 2014;5(3):229. doi: 10.5210/ojphi.v5i3.4814.
    1. Dolan B. MobiHealthNews. Boston, MA: Chester Street Publishing; 2014. Jul 22, [2015-07-05]. Walgreens amps up health tracking rewards program with Fogg's behavior change method
    1. Reitzin J. mHealthWatch. 2013. May 02, [2015-07-05]. Infographic: Doctors prescribing more mobile health apps
    1. ForeScout. Campbell, CA: ForeScout Technologies, Inc; 2014. [2015-07-05]. IDG Survey: State of IT cyber defense maturity .

Source: PubMed

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