Abstract

BackgroundUsing a mobile app for self-management could make it easier for patients to get insight into their blood pressure patterns. However, little is known about the availability, quality, and features of mobile apps targeting blood pressure.ObjectiveThe goal of the research was to determine the availability, functionality, and quality of mobile apps that could be used for blood pressure monitoring purposes.MethodsA systematic app search was performed based on the standards for systematic reviews. We searched the Dutch official app stores for Android and iOS platforms using predefined keywords and included all English and Dutch mobile apps targeting blood pressure. Two independent assessors determined eligibility and quality of the apps using the 5-point Mobile App Rating Scale (MARS). Quality scores of the apps with and without 17 a priori selected characteristics were compared using independent sample t tests.ResultsA total of 184 apps (104 Android, 80 iOS) met the inclusion criteria. The mean overall MARS score was 2.63 (95% CI 2.55-2.71) for Android and 2.64 (95% CI 2.56-2.71) for iOS. The apps Bloeddruk (4.1) and AMICOMED BP (3.6) had the highest quality scores on the Android and iOS platforms, respectively. Of the app characteristics recorded, only pricing, in-app advertisements, and local data storage were not associated with the quality scores. In only 3.8% (7/184) of the apps, involvement of medical experts in its development was mentioned, whereas none of the apps was formally evaluated with results published in a peer-reviewed journal.ConclusionsThis study provides an overview of the best apps currently available in the app stores and important key features for self-management that can be used by health care providers and patients with hypertension to identify a suitable app targeting blood pressure monitoring. However, the majority of the apps targeting blood pressure monitoring were of poor quality. Therefore, it is important to involve medical experts in the developmental stage of health-related mobile apps to improve the quality of these apps.

Highlights

  • MethodsHypertension contributes to the burden of various diseases including heart disease [1] and leads to premature mortality and morbidity [2]

  • We identified a large number of apps ineligible for self-management and many apps of poor quality

  • This study provides a list of the top 5 useable apps targeting blood pressure monitoring available on the 2 major mobile phone platforms

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Summary

Introduction

MethodsHypertension contributes to the burden of various diseases including heart disease [1] and leads to premature mortality and morbidity [2]. Little is known about the availability, quality, and features of mobile apps targeting blood pressure. Objective: The goal of the research was to determine the availability, functionality, and quality of mobile apps that could be used for blood pressure monitoring purposes. We searched the Dutch official app stores for Android and iOS platforms using predefined keywords and included all English and Dutch mobile apps targeting blood pressure. Conclusions: This study provides an overview of the best apps currently available in the app stores and important key features for self-management that can be used by health care providers and patients with hypertension to identify a suitable app targeting blood pressure monitoring. It is important to involve medical experts in the developmental stage of health-related mobile apps to improve the quality of these apps

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