Abstract
We must temper our enthusiasm for the plethora of health and wellness apps to also consider some of the limitations associated with them. These limitations can be grouped around limitations related to the apps themselves, restrictions placed on them by the hardware on which they are used, and the wider cultural and sociological environments in which they operate. The apps themselves can have issues with their efficacy and the evidence-base on which they are built including issues of bias and prohibitive cost. The smartphones and tablets that mHealth apps run on introduce their own limitations in terms of inputs and outputs. Finally, digital health inequalities that limit an app’s efficacy and usability often mirror deeply entrenched social inequalities with social class, deprivation, caste, age, race, disability, gender, sexuality, and geography all impacting an app user’s ability to benefit from their use.
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