Preferences in the Willingness to Download an mHealth App: Discrete Choice Experimental Study in Spain, Germany, and the Netherlands.

adoption discrete choice task effectiveness health care cost mHealth mHealth adoption mHealth tools mobile app mobile apps mobile health mobile health app mobile phone self-monitoring willingness

Journal

JMIR formative research
ISSN: 2561-326X
Titre abrégé: JMIR Form Res
Pays: Canada
ID NLM: 101726394

Informations de publication

Date de publication:
25 Dec 2023
Historique:
received: 19 04 2023
accepted: 31 10 2023
revised: 12 10 2023
medline: 25 12 2023
pubmed: 25 12 2023
entrez: 25 12 2023
Statut: epublish

Résumé

Despite the worldwide growth in mobile health (mHealth) tools and the possible benefits for both patients and health care providers, the adoption of mHealth is low, and only a limited number of studies have examined the intention to download mHealth apps. In this study, we investigated individuals' preferences in the adoption of a health app. We conducted a discrete choice experimental study in 3 countries (Spain: n=800, Germany: n=800, and the Netherlands: n=416) with 4 different attributes and levels (ie, price: €1.99 vs €4.99 [a currency exchange rate of €1=US $1.09 is applicable] vs for free, data protection: data protection vs no information, recommendation: patients' association vs doctors, and manufacturer: medical association vs pharmaceutical company). Participants were randomly assigned. For the analyses, we used the conditional logistic model separately for each country. The results showed that price and data protection were considered important factors that significantly increased the probability to download an mHealth app. In general, the source of the recommendation and the manufacturer affected the probability to download the mHealth app less. However, in Germany and the Netherlands, we found that if the app was manufactured by a pharmaceutical company, the probability to download the mHealth app decreased. mHealth tools are highly promising to reduce health care costs and increase the effectiveness of traditional health interventions and therapies. Improving data protection, reducing costs, and creating sound business models are the major driving forces to increase the adoption of mHealth apps in the future. It is thereby essential to create trustworthy standards for mobile apps, whereby prices, legislation concerning data protection, and health professionals can have a leading role to inform the potential consumers.

Sections du résumé

BACKGROUND BACKGROUND
Despite the worldwide growth in mobile health (mHealth) tools and the possible benefits for both patients and health care providers, the adoption of mHealth is low, and only a limited number of studies have examined the intention to download mHealth apps.
OBJECTIVE OBJECTIVE
In this study, we investigated individuals' preferences in the adoption of a health app.
METHODS METHODS
We conducted a discrete choice experimental study in 3 countries (Spain: n=800, Germany: n=800, and the Netherlands: n=416) with 4 different attributes and levels (ie, price: €1.99 vs €4.99 [a currency exchange rate of €1=US $1.09 is applicable] vs for free, data protection: data protection vs no information, recommendation: patients' association vs doctors, and manufacturer: medical association vs pharmaceutical company). Participants were randomly assigned. For the analyses, we used the conditional logistic model separately for each country.
RESULTS RESULTS
The results showed that price and data protection were considered important factors that significantly increased the probability to download an mHealth app. In general, the source of the recommendation and the manufacturer affected the probability to download the mHealth app less. However, in Germany and the Netherlands, we found that if the app was manufactured by a pharmaceutical company, the probability to download the mHealth app decreased.
CONCLUSIONS CONCLUSIONS
mHealth tools are highly promising to reduce health care costs and increase the effectiveness of traditional health interventions and therapies. Improving data protection, reducing costs, and creating sound business models are the major driving forces to increase the adoption of mHealth apps in the future. It is thereby essential to create trustworthy standards for mobile apps, whereby prices, legislation concerning data protection, and health professionals can have a leading role to inform the potential consumers.

Identifiants

pubmed: 38145470
pii: v7i1e48335
doi: 10.2196/48335
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e48335

Informations de copyright

©Frans Folkvord, Nadine Bol, Giacomo Stazi, Lutz Peschke, Francisco Lupiáñez-Villanueva. Originally published in JMIR Formative Research (https://formative.jmir.org), 25.12.2023.

Auteurs

Frans Folkvord (F)

Tilburg School of Humanities and Digital Sciences, Tilburg University, Tilburg, Netherlands.
PredictBy, Barcelona, Spain.

Nadine Bol (N)

Tilburg School of Humanities and Digital Sciences, Tilburg University, Tilburg, Netherlands.

Giacomo Stazi (G)

Open Evidence, Barcelona, Spain.

Lutz Peschke (L)

Department of Communication and Design, Bilkent University, Ankara, Turkey.

Francisco Lupiáñez-Villanueva (F)

PredictBy, Barcelona, Spain.
Department of Information and Communication Science, Universidad Oberta de Catalunya, Barcelona, Spain.

Classifications MeSH