Abstract
The adoption of mobile health technology can assist in enhancing the quality of life of elderly people. Over the last few years, though mHealth research has expanded, the usage of mHealth applications among elderly is still minimal. This study aims to evaluate mobile user interfaces in mHealth applications and elicit the key ageing barriers that limit the use of such apps among the elderly. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) technique was used whereby 28 papers were identified and examined out of 742. In addition to the systematic review, an experiment of using 5 existing mHealth apps was conducted with 10 individuals within the age group of 60–79 to determine additional ageing barriers and usage challenges. The Questionnaire for User Interface Satisfaction approach was used to prepare a questionnaire to assess the overall system satisfaction and was provided to participants after one week of usage. In this work, issues with the user interface that impact the elderly have been highlighted. Three important ageing barriers hindering the use of mHealth among the elderly have been identified via PRISMA, namely physical, cognitive and perspective. Empirical findings from the experiment carried out further consolidate the findings obtained from the PRISMA approach. This study's investigation emphasised the performance of older persons with mHealth apps, their needs and the challenges they confront when adopting mHealth technologies. As a result, technology designers will benefit from this information when developing and designing mHealth apps and services that are suitable for older adults.
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Data sharing is not applicable to this article as no datasets were generated or analysed during the current study.
References
Wilson, J., Heinsch, M., Betts, D., Booth, D., Kay-Lambkin, F.: Barriers and facilitators to the use of e-health by older adults: a scoping review. BMC Public Health 21(1), 1–12 (2021)
Parkar, S.R.: Elderly mental health: needs. Mens Sana Monogr. 13(1), 91 (2015)
United Nations Department of Economic and Social Affairs, Population Division (UN DESA): World population ageing 2020 highlights: living arrangements of older persons (2020)
Tajudeen, F.P., Bahar, N., Maw Pin, T., Saedon, N.I.: Mobile technologies and healthy ageing: A bibliometric analysis on publication trends and knowledge structure of mHealth research for older adults. Int. J. Hum. Comput. Interact. 38(2), 118–130 (2022)
Schulz, R., Wahl, H.W., Matthews, J.T., De Vito, D.A., Beach, S.R., Czaja, S.J.: Advancing the aging and technology agenda in gerontology. Gerontologist 55(5), 724–734 (2015)
Klaver, N.S., van de Klundert, J., Askari, M.: Relationship between perceived risks of using mHealth applications and the intention to use them among older adults in the Netherlands: cross-sectional study. JMIR mHealth uHealth 9(8), e26845 (2021)
Wildenbos, G.A., Jaspers, M.W., Schijven, M.P., Dusseljee-Peute, L.W.: Mobile health for older adult patients: using an aging barriers framework to classify usability problems. Int. J. Med. Inf. 124, 68–77 (2019)
Mincolelli, G., Imbesi, S., Marchi, M., Giacobone, G.A.: New domestic healthcare. Co-designing assistive technologies for autonomous ageing at home. Des. J. 22(1), 503–516 (2019)
Alsswey, A., Naufal, I., Bervell, B.: Investigating the acceptance of mobile health application user interface cultural-based design to assist Arab elderly users. Int. J. Adv. Comput. Sci. Appl. 9(8), 144–152 (2018)
Pan, J., Dong, H., Bryan-Kinns, N.: Perception and initial adoption of mobile health services of older adults in London: mixed methods investigation. JMIR Aging 4(4), e26845 (2021)
Zhao, Y., Ni, Q., Zhou, R.: What factors influence the mobile health service adoption? A meta-analysis and the moderating role of age. Int. J. Inf. Manag. 43, 342–350 (2018)
Bostrom, J., Sweeney, G., Whiteson, J., Dodson, J.A.: Mobile health and cardiac rehabilitation in older adults. Clin. Cardiol. 43(2), 118–126 (2020)
Searcy, R.P., Summapund, J., Estrin, D., Pollak, J.P., Schoenthaler, A., Troxel, A.B., Dodson, J.A.: Mobile health technologies for older adults with cardiovascular disease: current evidence and future directions. Curr. Geriatr. Rep. 8(1), 31–42 (2019)
Li, C., Neugroschl, J., Zhu, C.W., Aloysi, A., Schimming, C.A., Cai, D., Grossman, H., Martin, J., Sewell, M., Loizos, M., Zeng, X.: Design considerations for mobile health applications targeting older adults. J. Alzheimers Dis. 79(1), 1–8 (2021)
Kao, J.L., Vereijken, B., Becker, C., Todd, C., Taraldsen, K., Pijnappels, M., Aminian, K., Mellone, S.: Mobile health applications to promote active and healthy ageing. Sensors 17(3), 622 (2017)
Gharaibeh, M.K., Gharaibeh, N.K., De Villiers, M.V.: A qualitative method to explain acceptance of mobile health application: Using innovation diffusion theory. Int. J. Adv. Sci. Technol. 29(4), 3426–3432 (2020)
Lee, M., Kang, D., Yoon, J., Shim, S., Kim, I.R., Oh, D., Shin, S.Y., Hesse, B.W., Cho, J.: The difference in knowledge and attitudes of using mobile health applications between actual user and non-user among adults aged 50 and older. PLoS ONE 15(10), e0241350 (2020)
Peleg-Adler, R., Lanir, J., Korman, M.: The effects of aging on the use of handheld augmented reality in a route planning task. Comput. Hum. Behav. 81, 52–62 (2018)
Wildenbos, G.A., Peute, L., Jaspers, M.: Aging barriers influencing mobile health usability for older adults: a literature based framework (MOLD-US). Int. J. Med. Inf. 114, 66–75 (2018)
EU4Health programme 2021–2027—a vision for a healthier European Union (2022) https://health.ec.europa.eu/system/files/2022-04/amended_wp2022_en.pdf#page=31&zoom=100,90,106. Accessed 4 July 2022
Ruzic, L., Harrington, C.N., Sanford, J.A.: Universal design mobile interface guidelines for mobile health and wellness apps for an aging population including people aging with disabilities. Int. J. Adv. Softw. 10, 372–384 (2017)
Kalimullah, K., Sushmitha, D.: Influence of design elements in mobile applications on user experience of elderly people. Procedia Comput. Sci. 113, 352–359 (2017)
Page, M.J., Moher, D., Bossuyt, P.M., Boutron, I., Hoffmann, T.C., Mulrow, C.D., Shamseer, L., Tetzlaff, J.M., Akl, E.A., Brennan, S.E., Chou, R.: PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews (2021)
Haddaway, N.R., Collins, A.M., Coughlin, D., Kirk, S.: The role of Google Scholar in evidence reviews and its applicability to grey literature searching. PLoS ONE 10(9), 138237 (2015)
ACM Digital Library: About ACM DL (2022). https://dl.acm.org/about. Accessed 8 June 2022
Mao, X., Zhao, X., Liu, Y.: mHealth App recommendation based on the prediction of suitable behavior change techniques. Decis. Support Syst. 132, 113248 (2020)
Garcia, A.C., de Lara, S.M.: Enabling aid in remote care for elderly people via mobile devices: the MobiCare case study. In: Proceedings of the 8th International Conference on Software Development and Technologies for Enhancing Accessibility and Fighting Info-Exclusion, pp. 270–277 (2018)
Azfar, A., Choo, K.K.R., Liu, L.: Forensic taxonomy of popular Android mHealth apps (2015)
Ferron, M., Mana, N., Mich, O.: Mobile for older adults: towards designing multimodal interaction. In: Proceedings of the 14th International Conference on Mobile and Ubiquitous Multimedia, pp. 373–378 (2015)
Shaheen, R., Kanwal, S., Iftikhar, R., Shahid, M.R.: Evaluating health information apps on real life smart phone use. In: Proceedings of the 2nd International Conference on Future Networks and Distributed Systems, pp. 1–6 (2018)
dos Santos, M.M., Antonelli, H.L., Rodrigues, S.S., de O Silva C.L., Fortes, R.P., Castro P.C.: Personalizing health-related ICT interface and application: older adults and elderly caregivers preferences. In: Proceedings of the 7th International Conference on Software Development and Technologies for Enhancing Accessibility and Fighting Info-Exclusion, pp. 331–338 (2016)
Lindberg, R.S., De Troyer, O.: Towards an up to date list of design guidelines for elderly users. In: CHI Greece 2021: 1st International Conference of the ACM Greek SIGCHI Chapter, pp. 1–7 (2021)
Aranyanak, I., Charoenporn, P.: UX-based design of a mobile application for Thai seniors. In: Proceedings of the 2020 The 6th International Conference on Frontiers of Educational Technologies, pp. 160–163 (2020)
González-Bañales, D.L., Ortíz, L.E.S.: Empathy map as a tool to analyze human-computer interaction in the elderly. In: Proceedings of the 8th Latin American Conference on Human-Computer Interaction, pp. 1–3 (2017)
Boontarig, W., Quirchmayr, G., Chutimasakul, W., Papasratorn, B.: An evaluation model for analysing persuasive systems in mobile healthcare. In: 2014 International Conference on Computer, Information and Telecommunication Systems (CITS), pp. 1–5. IEEE (2014)
Stefanicka-Wojtas, D., Kurpas, D.: eHealth and mHealth in chronic diseases—identification of barriers, existing solutions, and promoters based on a survey of EU stakeholders involved in Regions4PerMed (H2020). J. Pers. Med. 12(3), 467 (2022)
Aziz, N.F.A., Zainal, A., Ahmad, N.A.: Towards user experience evaluation of digital health technology for elderly. Selangor Sci. Technol. Rev. SeSTeR 5(5), 57–63 (2021)
Cajita, M.I., Hodgson, N.A., Lam, K.W., Yoo, S., Han, H.R.: Facilitators of and barriers to mHealth adoption in older adults with heart failure. Comput. Inform. Nurs. CIN 36(8), 376 (2018)
Lienhard, K.R., Legner, C.: Principles in the design of mobile medical apps: guidance for those who care (2017)
Baharum, A., Ismail, R., Saad, N., Daruis, D.D.I., Noh, N.A.M., Noor, N.A.M.: Development of elderly reminder mobile application using mental model. In: Proceedings of the 2018 International Conference on Artificial Intelligence and Virtual Reality, pp. 131–136 (2018)
Wildenbos, G.A., Peute, L.W., Jaspers, M.W.: A framework for evaluating mHealth tools for older patients on usability. In: Digital Healthcare Empowering Europeans, pp. 783–787. IOS Press (2015)
Alsswey, A., Al-Samarraie, H.: Elderly users’ acceptance of mHealth user interface (UI) design-based culture: the moderator role of age. J. Multimodal User Interfaces 14(1), 49–59 (2020)
Permanasari, A.E., Alfani, F.N., Hartanto, R., Mulyani, G.T.: The interface development of hospital information system management using goal-directed design method. In: 2019 international conference on electrical engineering and informatics (ICEEI) pp. 524–529. IEEE (2019)
K2 Labs: Senior fitness—home workout for old and elderly (2020). https://play.google.com/store/apps/details?id=fitness.com.senior&hl=en_US&gl=GB. Accessed 30 April 2022
VBApps: Anxiety—stress relief helper (2022). https://play.google.com/store/apps/details?id=com.anxietyrelief.app&hl=en_US&gl=GB Accessed 30 April 2022
Lionasys: Heart diseases & treatment (2018). https://play.google.com/store/apps/details?id=com.lionasys.heartdisordersapp&hl=en_US&gl=GB Accessed 30 April 2022
MyTherapy: MyTherapy Pill Reminder (2022). https://play.google.com/store/apps/details?id=eu.smartpatient.mytherapy&hl=en_US&gl=GB. Accessed 30 April 2022
WebMD LLC: WebMD: symptom checker (2022). https://play.google.com/store/apps/details?id=com.webmd.android&hl=en_US&gl=GB. Accessed 30 Apr 2022
Pan, J., Dong, H.: mHealth adoption among older Chinese adults: a conceptual model with design suggestions. Int. J. Hum. Comput. Interact. 1–12 (2022)
Abbaspur-Behbahani, S., Monaghesh, E., Hajizadeh, A., Fehresti, S.: Application of mobile health to support the elderly during the COVID-19 outbreak: a systematic review. Health Policy Technol. 100595 (2022)
Sarkis-Onofre, R., Catalá-López, F., Aromataris, E., Lockwood, C.: How to properly use the PRISMA statement. Syst. Rev. 10(1), 1–3 (2021)
Kitchenham, B.: Procedures for Performing Systematic Reviews, pp. 1–26. Keele University, Keele (2004)
Acknowledgements
We would like to express our sincere thanks to all the elderly participants who were involved in the experiment carried out, for their time, participation and response during the one-week experiment.
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Ramdowar, H., Khedo, K.K. & Chooramun, N. A comprehensive review of mobile user interfaces in mHealth applications for elderly and the related ageing barriers. Univ Access Inf Soc 23, 1613–1629 (2024). https://doi.org/10.1007/s10209-023-01011-z
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DOI: https://doi.org/10.1007/s10209-023-01011-z