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Assessment of data usage of cancer e-interventions (aduci) framework for health app use of cancer patients and their caregivers: Framework development study

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journal contribution
posted on 2024-06-14, 21:00 authored by Natalie WinterNatalie Winter, SO Chul, Trish LivingstonTrish Livingston
Background Multimedia interventions can provide a cost-effective solution to public health needs; however, user engagement is low. Multimedia use within specific populations such as those affected by cancer differs from that of the general population. To our knowledge, there are no frameworks on how to accurately assess usage within this population to ensure that interventions are appropriate for the end users. Therefore, a framework was developed to improve the accuracy of determining data usage. Formative work included creating a data usage framework during target audience testing for smartphone app development and analysis in a pilot study. Objective The purpose of this study was to develop a framework for assessing smartphone app usage among people living with cancer and their caregivers. Methods The frequency and duration of use were compared based on manual data extraction from two previous studies and the newly developed Assessment of Data Usage of Cancer e-Interventions (ADUCI) Framework. Results Manual extraction demonstrated that 279 logins occurred compared with 241 when the ADUCI Framework was applied. The frequency of use in each section of the app also decreased when the ADUCI Framework was used. The total duration of use was 91,256 seconds (25.3 hours) compared with 53,074 seconds (14.7 hours) when using the ADUCI Framework. The ADUCI Framework identified 38 logins with no navigation, and there were 15 discrepancies in the data where time on a specific page of the app exceeded the login time. Practice recommendations to improve user engagement and capturing usage data include tracking data use in external websites, having a login function on apps, creating a five-star page rating functionality, using the ADUCI Framework to thoroughly clean usage data, and validating the Framework between expected and observed use. Conclusions Applying the ADUCI Framework may eliminate errors and allow for more accurate analysis of usage data in e-research projects. The Framework can also improve the process of capturing usage data by providing a guide for usage data analysis to facilitate evidence-based assessment of user engagement with apps.

History

Journal

JMIR Cancer

Volume

6

Season

Jul-Dec

Article number

ARTN e18230

Pagination

1 - 10

Location

Canada

Open access

  • Yes

ISSN

2369-1999

eISSN

2369-1999

Language

English

Publication classification

C1 Refereed article in a scholarly journal

Issue

2

Publisher

JMIR PUBLICATIONS, INC