Background: A potential factor in adherence to use of mobile technologies is usability, yet this is rarely examined.Aims: This article examines the usability of a mobile application ("mCare"), provided to support injured Service Members rehabilitating in their communities, and assesses how usability ratings related to the users' background characteristics and usage of mCare.Methods: Data were from the intervention arm (n=95) of a 36-week, randomized controlled trial. Usability was measured with the System Usability Scale (SUS) (n=41) and semi-structured interviews (n=49). The analysis compared SUS scores by cohort characteristics, with t-tests and ANOVA. Interview responses were coded for valence. Pearson correlations quantified the association between SUS scores and usage.Results: Mean total SUS score was 78.0 [standard deviation (SD) = 21.1; ' A'], usability sub-score was 76.7 (SD = 22.9; ' A'), and learnability sub-score was 82.0 (SD = 25.0; ' A+'). SUS scores differed by mobile device type (p = 0.07) and living arrangement (p = 0.06). Participants with behavioral health problems, of older age, were Warrant Officers, and/or had a specific wireless carrier rated mCare lower, though these findings were not statistically significant. Interview responses provided insight into why SUS scores might have been lower in some cases. Higher usage was associated with higher total SUS scores (r = 0.46, p = 0.004).
Conclusion:Overall, mCare was rated favorably. Higher usage was correlated with higher usability scores. Providers planning to use mCare with patients should consider patient's characteristics (e.g., type of mobile phone, living arrangement), as these could affect user experience.