Physiotherapists perceived that collaborating with patients in goal setting was important but challenging. Goal setting interactions with other professionals, patients and families were perceived as complex, difficult and requiring significant effort. The importance of individuality and temporality were recognized suggesting that the goal setting approach needs to be adapted to the context and the individuals involved.
Background Mobile health apps are increasingly available and used in a clinical context to monitor young people’s mood and mental health. Despite the benefits of accessibility and cost-effectiveness, consumer engagement remains a hurdle for uptake and continued use. Hundreds of mood-monitoring apps are publicly available to young people on app stores; however, few studies have examined consumer perspectives. App store reviews held on Google and Apple platforms provide a large, rich source of naturally generated, publicly available user reviews. Although commercial developers use these data to modify and improve their apps, to date, there has been very little in-depth evaluation of app store user reviews within scientific research, and our current understanding of what makes apps engaging and valuable to young people is limited. Objective This study aims to gain a better understanding of what app users consider useful to encourage frequent and prolonged use of mood-monitoring apps appropriate for young people. Methods A systematic approach was applied to the selection of apps and reviews. We identified mood-monitoring apps (n=53) by a combination of automated application programming interface (API) methods. We only included apps appropriate for young people based on app store age categories (apps available to those younger than 18 years). We subsequently downloaded all available user reviews via API data scraping methods and selected a representative subsample of reviews (n=1803) for manual qualitative content analysis. Results The qualitative content analysis revealed 8 main themes: accessibility (34%), flexibility (21%), recording and representation of mood (18%), user requests (17%), reflecting on mood (16%), technical features (16%), design (13%), and health promotion (11%). A total of 6 minor themes were also identified: notification and reminders; recommendation; privacy, security, and transparency; developer; adverts; and social/community. Conclusions Users value mood-monitoring apps that can be personalized to their needs, have a simple and intuitive design, and allow accurate representation and review of complex and fluctuating moods. App store reviews are a valuable repository of user engagement feedback and provide a wealth of information about what users value in an app and what user needs are not being met. Users perceive mood-monitoring apps positively, but over 20% of reviews identified the need for improvement.
BACKGROUND Mobile health (mHealth) apps are increasingly available and used in a clinical context to monitor young people’s mood and mental health. Despite the benefits of accessibility and cost-effectiveness, consumer engagement remains a hurdle for update and continued use. Hundreds of mood-monitoring apps are publicly available to young people on the app store; however, few studies have examined consumer perspectives of these apps. App store reviews provide a large, rich source of naturally generated, publicly available user reviews. Although commercial developers use this data to modify and improve their apps, to date there has been very little in-depth evaluation of app store user reviews within scientific research and our current understanding of what makes apps engaging and valuable to young people is limited. OBJECTIVE The aim of our study was to gain a better understanding of what app users consider useful to encourage frequent and prolonged use of mood monitoring apps appropriate for young people. METHODS A systematic approach was applied to the selection of apps and reviews. We systematically identified mood-monitoring apps (n=53) by automated API snowball sampling and data scraping methods. We only included apps appropriate for young people based on app store age categories. We subsequently downloaded all available user reviews via API methods and then retrieved a representative sub-sample (n=1,803) to conduct a manual qualitative content analysis on. RESULTS The qualitative content analysis revealed 8 main themes 1) accessibility (32.8%); 2) flexibility (20.5%); 3) technical feature (19.9%); 4) recording/representation of mood (17.8%); 5) reflecting on mood (16.1%); 6) design (12.5%) and 7) health promotion (11.6%). 8 minor themes were also identified: 1) notification/reminders; 2) recommendation; 3) developer; 4) adverts; 5) social- peer/community support; 6) gamification; 7) transparency. CONCLUSIONS App store reviews are a valuable repository of user engagement feedback and provide a wealth of information about what users’ value in an app and what user needs are not being met. Users generally positively perceive mood-monitoring apps but 1 in 5 also contain a user request, identifying the need for improvement within currently available mood-monitoring apps. Users value apps that can be personalised to their needs, have a simple and intuitive design and allow accurate representation and review of complex and fluctuating moods. CLINICALTRIAL N/A
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