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

BackgroundDespite 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....

Full description

Bibliographic Details
Main Authors: Frans Folkvord, Nadine Bol, Giacomo Stazi, Lutz Peschke, Francisco Lupiáñez-Villanueva
Format: Article
Language:English
Published: JMIR Publications 2023-12-01
Series:JMIR Formative Research
Online Access:https://formative.jmir.org/2023/1/e48335
_version_ 1797376438353002496
author Frans Folkvord
Nadine Bol
Giacomo Stazi
Lutz Peschke
Francisco Lupiáñez-Villanueva
author_facet Frans Folkvord
Nadine Bol
Giacomo Stazi
Lutz Peschke
Francisco Lupiáñez-Villanueva
author_sort Frans Folkvord
collection DOAJ
description BackgroundDespite 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. ObjectiveIn this study, we investigated individuals’ preferences in the adoption of a health app. MethodsWe 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. ResultsThe 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. ConclusionsmHealth 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.
first_indexed 2024-03-08T19:38:42Z
format Article
id doaj.art-a8279c230151415f8cbe4481169972da
institution Directory Open Access Journal
issn 2561-326X
language English
last_indexed 2024-03-08T19:38:42Z
publishDate 2023-12-01
publisher JMIR Publications
record_format Article
series JMIR Formative Research
spelling doaj.art-a8279c230151415f8cbe4481169972da2023-12-25T14:00:38ZengJMIR PublicationsJMIR Formative Research2561-326X2023-12-017e4833510.2196/48335Preferences in the Willingness to Download an mHealth App: Discrete Choice Experimental Study in Spain, Germany, and the NetherlandsFrans Folkvordhttps://orcid.org/0000-0001-7602-3792Nadine Bolhttps://orcid.org/0000-0002-6895-9512Giacomo Stazihttps://orcid.org/0000-0001-6525-2522Lutz Peschkehttps://orcid.org/0000-0002-9513-3257Francisco Lupiáñez-Villanuevahttps://orcid.org/0000-0001-5361-7678 BackgroundDespite 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. ObjectiveIn this study, we investigated individuals’ preferences in the adoption of a health app. MethodsWe 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. ResultsThe 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. ConclusionsmHealth 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.https://formative.jmir.org/2023/1/e48335
spellingShingle Frans Folkvord
Nadine Bol
Giacomo Stazi
Lutz Peschke
Francisco Lupiáñez-Villanueva
Preferences in the Willingness to Download an mHealth App: Discrete Choice Experimental Study in Spain, Germany, and the Netherlands
JMIR Formative Research
title Preferences in the Willingness to Download an mHealth App: Discrete Choice Experimental Study in Spain, Germany, and the Netherlands
title_full Preferences in the Willingness to Download an mHealth App: Discrete Choice Experimental Study in Spain, Germany, and the Netherlands
title_fullStr Preferences in the Willingness to Download an mHealth App: Discrete Choice Experimental Study in Spain, Germany, and the Netherlands
title_full_unstemmed Preferences in the Willingness to Download an mHealth App: Discrete Choice Experimental Study in Spain, Germany, and the Netherlands
title_short Preferences in the Willingness to Download an mHealth App: Discrete Choice Experimental Study in Spain, Germany, and the Netherlands
title_sort preferences in the willingness to download an mhealth app discrete choice experimental study in spain germany and the netherlands
url https://formative.jmir.org/2023/1/e48335
work_keys_str_mv AT fransfolkvord preferencesinthewillingnesstodownloadanmhealthappdiscretechoiceexperimentalstudyinspaingermanyandthenetherlands
AT nadinebol preferencesinthewillingnesstodownloadanmhealthappdiscretechoiceexperimentalstudyinspaingermanyandthenetherlands
AT giacomostazi preferencesinthewillingnesstodownloadanmhealthappdiscretechoiceexperimentalstudyinspaingermanyandthenetherlands
AT lutzpeschke preferencesinthewillingnesstodownloadanmhealthappdiscretechoiceexperimentalstudyinspaingermanyandthenetherlands
AT franciscolupianezvillanueva preferencesinthewillingnesstodownloadanmhealthappdiscretechoiceexperimentalstudyinspaingermanyandthenetherlands