A Health App Platform Providing a Budget to Purchase Preselected Apps as an Innovative Way to Support Public Health : Qualitative Study With End Users and Other Stakeholders

©Romy Fleur Willemsen, Eline Meijer, Liselot Nicoline van den Berg, Luuk van der Burg, Niels Henrik Chavannes, Jiska Joelle Aardoom. Originally published in JMIR Formative Research (https://formative.jmir.org), 29.09.2023..

BACKGROUND: eHealth has the potential to improve health outcomes. However, this potential is largely untapped. Individuals face an overload of apps and have difficulties choosing suitable apps for themselves. In the FitKnip experiment, individuals were given access to a health app platform, where they could purchase reliable preselected health apps with a personal budget of €100 (US $107.35). By conducting a prospective study, we aimed to scientifically evaluate the FitKnip experiment as an innovative way to improve population health.

OBJECTIVE: The aim of the experiment was to scientifically evaluate the FitKnip experiment as an innovative way to improve population health. More specifically, we conducted an in-depth qualitative evaluation of the concept and acceptability of FitKnip, its perceived impact on health empowerment, as well as the roles of stakeholders for the future implementation of a health app platform through focus group interviews.

METHODS: This study followed a phenomenological research design and included 7 focus group interviews with end users and 1 with stakeholders, held between July and December 2020. End users were recruited through various institutions in the Netherlands, for example, insurance companies and local governments. All focus groups were semistructured using interview guides and were held via videoconferencing due to the COVID-19 pandemic measures. Each participant received access to a health app platform where they were enabled to purchase reliable, preselected health apps with a budget of €100 (US $107.35). The budget was valid for the entire research period. The health app platform offered 38 apps. A third party, a health care coalition, selected the apps to be included in FitKnip. The analyses were conducted according to the principles of the Framework Method.

RESULTS: A priori formulated themes were concept, acceptability, health empowerment, and outcomes, and the roles of stakeholders for the future implementation of a health app platform. Both end users (n=31) and stakeholders (n=5) were enthusiastic about the concept of a health app platform. End users indicated missing apps regarding physical health and lifestyle and needing more guidance toward suitable apps. End users saw health empowerment as a precondition to using a health app platform and achieving health outcomes depending on the purchased mobile apps. End users and stakeholders identified potential providers and financing parties of FitKnip. Stakeholders recommended the establishment of a reputable national or international quality guidelines or certification for health and wellbeing apps, that can demonstrate the quality and reliability of mobile health applications.

CONCLUSIONS: This study showed the need for a personalized and flexible platform. Next to this, a deeper understanding of the roles of stakeholders in such initiatives is needed especially on financing and reimbursement of health promotion and digital health services. A personalized, flexible health app platform is a promising initiative to support individuals in their health.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:7

Enthalten in:

JMIR formative research - 7(2023) vom: 29. Sept., Seite e49473

Sprache:

Englisch

Beteiligte Personen:

Willemsen, Romy Fleur [VerfasserIn]
Meijer, Eline [VerfasserIn]
van den Berg, Liselot Nicoline [VerfasserIn]
van der Burg, Luuk [VerfasserIn]
Chavannes, Niels Henrik [VerfasserIn]
Aardoom, Jiska Joelle [VerfasserIn]

Links:

Volltext

Themen:

Acceptability
App
App evaluation
Application
Applications
Apps
Digital health
EHealth
Evaluate
Evaluation
Feasibility
Focus group
Focus groups
Framework Method
Health app platform
Health apps
Health platform
Health promotion
Journal Article
MHealth
Mobile health
Mobile phone
Platform
Prevention
Public health

Anmerkungen:

Date Revised 17.10.2023

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.2196/49473

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362697957