scholarly journals Social, Organizational, and Technological Factors Impacting Clinicians’ Adoption of Mobile Health Tools: A Systematic Literature Review (Preprint)

2019 ◽  
Author(s):  
Christine Jacob ◽  
Antonio Sanchez-Vazquez ◽  
Chris Ivory
Keyword(s):  
Mobile Health ◽  
English Language ◽  
Organizational Factors ◽  
Evidence Base ◽  
Ease Of Use ◽  
Cochrane Library ◽  
User Engagement ◽  
Technological Factors ◽  
Study Results ◽  
Social Organizational

BACKGROUND There is a growing body of evidence highlighting the potential of Mobile Health in reducing healthcare costs, enhancing access, and improving the quality of patient care. However, user acceptance and adoption are key prerequisites to harness this potential, hence, a deeper understanding of the factors impacting this adoption is crucial for its success. OBJECTIVE The aim of this review is to systematically explore relevant published literature in order to synthesize the current understanding of the factors impacting clinicians’ adoption of mHealth tools, not only from a technology perspective but also from social and organizational perspectives. METHODS A structured search was carried out of Medline PubMed, the Cochrane Library, and SAGE database for studies published between January 2008 and July 2018 in the English language; yielding 4993 results, of which 171 met the inclusion criteria. RESULTS The technological factors impacting clinicians’ adoption of mobile health were categorized into 8 key themes: Usefulness, Ease of use, Design, Compatibility, Technical issues, content, Personalization and convenience. These were in turn divided into 14 sub-themes altogether. Social and organizational factors were much more prevalent and were categorized into 8 key themes: Workflow related, Patient related, Policy and regulations, Culture or attitude or social influence, Monetary factors, Evidence base, Awareness, and User engagement. These were in turn divided into 41 sub-themes, highlighting the importance of considering these factors when addressing potential barriers to mHealth adoption and how to overcome them. CONCLUSIONS The study results can help inform mHealth providers and policy makers regarding the key factors impacting mHealth adoption, guiding them into making educated decisions to foster this adoption and harness the potential benefits. CLINICALTRIAL NA

scholarly journals Social, Organizational, and Technological Factors Impacting Clinicians’ Adoption of Mobile Health Tools: Systematic Literature Review

10.2196/15935 ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. e15935 ◽  
Author(s):  
Christine Jacob ◽  
Antonio Sanchez-Vazquez ◽  
Chris Ivory
Keyword(s):  
Mobile Health ◽  
English Language ◽  
Meta Analysis ◽  
Organizational Factors ◽  
Evidence Base ◽  
Ease Of Use ◽  
Cochrane Library ◽  
User Engagement ◽  
Technological Factors ◽  
Study Results

Background There is a growing body of evidence highlighting the potential of mobile health (mHealth) in reducing health care costs, enhancing access, and improving the quality of patient care. However, user acceptance and adoption are key prerequisites to harness this potential; hence, a deeper understanding of the factors impacting this adoption is crucial for its success. Objective The aim of this review was to systematically explore relevant published literature to synthesize the current understanding of the factors impacting clinicians’ adoption of mHealth tools, not only from a technological perspective but also from social and organizational perspectives. Methods A structured search was carried out of MEDLINE, PubMed, the Cochrane Library, and the SAGE database for studies published between January 2008 and July 2018 in the English language, yielding 4993 results, of which 171 met the inclusion criteria. The Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines and the Cochrane handbook were followed to ensure a systematic process. Results The technological factors impacting clinicians’ adoption of mHealth tools were categorized into eight key themes: usefulness, ease of use, design, compatibility, technical issues, content, personalization, and convenience, which were in turn divided into 14 subthemes altogether. Social and organizational factors were much more prevalent and were categorized into eight key themes: workflow related, patient related, policy and regulations, culture or attitude or social influence, monetary factors, evidence base, awareness, and user engagement. These were divided into 41 subthemes, highlighting the importance of considering these factors when addressing potential barriers to mHealth adoption and how to overcome them. Conclusions The study results can help inform mHealth providers and policymakers regarding the key factors impacting mHealth adoption, guiding them into making educated decisions to foster this adoption and harness the potential benefits.

Socio-technical Factors Impacting Patients’ Adoption of Mobile Health Tools: Systematic Literature Review (Preprint)

2022 ◽  
Author(s):  
CHRISTINE JACOB ◽  
Emre Sezgin ◽  
Antonio Sanchez-Vazquez ◽  
Chris Ivory
Keyword(s):  
Mobile Health ◽  
English Language ◽  
Treatment Plan ◽  
Personal Characteristics ◽  
Ease Of Use ◽  
Cochrane Library ◽  
Personal Factors ◽  
Related Factors ◽  
Patient Journey ◽  
Technical Factors

BACKGROUND Mobile Health (mHealth) tools have emerged as a promising healthcare technology that may contribute to cost savings, better access to care, and enhanced clinical outcomes; however, it is important to ensure their acceptance and adoption in order to harness this potential. Patient adoption has been recognized as key challenges that require further exploration. OBJECTIVE The aim of this review was to systematically investigate the literature to understand the factors impacting patients’ adoption of mHealth tools, by considering socio-technical factors (from technical, social and health perspectives). METHODS A structured search was completed following the participants, intervention, comparators, and outcomes (PICO framework. MEDLINE PubMed, the Cochrane Library, and SAGE database were searched for the studies published between January 2011 and July 2021 in the English language, yielding 5873 results, of which 147 studies met the inclusion criteria. The Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines (PRISMA) and the Cochrane handbook were followed to ensure a systematic process. RESULTS The technical factors impacting patients’ adoption of mHealth tools were categorized into 6 key themes: usefulness, ease of use, data related, monetary factors, technical issues, and user experience; which were divided into 20 sub-themes. Health related factors were categorized into 6 key themes: the disease or health condition, the care team’s role, health consciousness and literacy, health behavior, relation to other therapies, integration into patient journey, and the patients’ insurance status. Social and personal factors were split into 3 key clusters: moderating factors, personal characteristics, and social and cultural aspects; these were divided into 19 subthemes, highlighting the importance of considering these factors when addressing potential barriers to mHealth adoption and how to overcome them. CONCLUSIONS This review builds on the growing body of research that investigates patients’ adoption of mHealth services, and highlights the complexity of the factors impacting adoption, including personal, social, technical, organizational and healthcare aspects. We recommend a more patient-centered approach, by ensuring the tools’ fit into the overall patient journey and treatment plan, emphasizing inclusive design, warranting comprehensive patient education and support, empowering and mobilizing clinicians and care teams, addressing ethical data management issues, and focusing on healthcare policies that may facilitate adoption. CLINICALTRIAL NA

scholarly journals Risk of Fear and Anxiety in Utilising Health App Surveillance Due to COVID-19: Gender Differences Analysis

Risks ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 179
Author(s):  
Adi Alsyouf ◽  
Ra’ed Masa’deh ◽  
Moteb Albugami ◽  
Mohammad Al-Bsheish ◽  
Abdalwali Lutfi ◽  
...  
Keyword(s):  
Technology Acceptance ◽  
Mobile Health ◽  
Group Analysis ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Perceived Ease Of Use ◽  
Snowball Sampling ◽  
Cross Sectional ◽  
Psychological Determinants ◽  
Study Results

Although technology trends and acceptance have been considered crucial topics, limited research has examined stress-specific factors such as health anxiety in the context of the COVID-19 pandemic based on people’s attitudes toward a mobile health app using the Technology Acceptance Model (TAM). Accordingly, this study primarily highlights the psychological determinants stemming from the COVID-19 pandemic that affect the usage of a mobile health app. The study followed a cross-sectional design and adopted a snowball sampling technique to collect the data. The findings showed a significant association between perceived usefulness, perceived ease of use, and event-related fear and Tabaud App intention. The relationships between Tabaud App intention and COVID-19 anxiety on Tabaud App usage were also revealed. The study found a significant association between perceived ease of use and perceived usefulness. Additionally, the multi-group analysis showed that only two paths related to Tabaud App intention, perceived ease of use and perceived usefulness, differed significantly between males and females. Additionally, women experienced anxiety disorders more than men. The study contributes to the previous knowledge on the field by examining the psychological determinants resulting from the COVID-19 pandemic that influence using a mobile health app, namely, event-related fear and COVID-19 anxiety. The study results may help governments, health policymakers, and health organisations in Saudi Arabia contain the spread of the COVID-19 pandemic.

Factors affecting patient and physician engagement in remote healthcare for heart failure: a systematic review (Preprint)

2021 ◽  
Author(s):  
Ahmed Al-Naher ◽  
Jennifer Downing ◽  
Kathryn A Scott ◽  
Munir Pirmohamed
Keyword(s):  
Heart Failure ◽  
Systematic Review ◽  
Health Outcomes ◽  
Healthcare Professionals ◽  
Clinical Care ◽  
Disease Process ◽  
Ease Of Use ◽  
Cochrane Library ◽  
User Engagement ◽  
Remote Care

BACKGROUND Adult chronic heart failure mainly affects an elderly population with multiple co-morbidities that often require frequent medical visits to prevent poor health outcomes. However the heart failure disease process reduces their independence by reducing mobility, exercise tolerance and cognitive decline. Remote care technologies can bridge the gap in care for these patients by allowing them to be followed up within the comfort of their home and encourage their self-care. However, patients, carers and healthcare professionals need to engage with the technology for it to be useful. OBJECTIVE This systematic review explored qualitative primary studies of remote care technologies used in heart failure, to determine the factors that affect user engagement with the technology. This is explored from the perspective of patients, carers, and healthcare professionals. METHODS Relevant studies published between 1/1/1990 – 19/9/2020 were identified from EMBASE, Ovid MEDLINE, Pubmed, Cochrane library and Scopus. These studies were then synthesized using thematic analysis. Relevant user experiences with remote care were extracted using line-by-line coding. These codes were summarised into secondary codes and core concepts, which were further merged into overarching themes that encapsulate user experience with remote care. RESULTS The review included 47 studies, which led to the generation of 5 overarching themes which affect engagement: (a) ‘Convenience’ relates to time saved by the intervention; (b) ‘Clinical Care’ relates to perceived quality of care and health outcomes; (c) ‘Communication’ involves feedback and interaction between patients, staff and carers; (d) ‘Education’ concerns the tailored information provided; and (e) ‘Ease of Use’ relates to accessibility and technical barriers to engagement. Each theme was applied to each user base of patient, carer and healthcare professional in a different manner. CONCLUSIONS The 5 themes identified highlight aspects of remote care that facilitate engagement, and should be considered in both future design and trials evaluating these technologies.

scholarly journals Design Features for Improving Mobile Health Intervention User Engagement: Systematic Review and Thematic Analysis

10.2196/21687 ◽  
2020 ◽  
Vol 22 (12) ◽  
pp. e21687
Author(s):  
Yanxia Wei ◽  
Pinpin Zheng ◽  
Hui Deng ◽  
Xihui Wang ◽  
Xiaomei Li ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
Mobile Health ◽  
Thematic Analysis ◽  
High Rate ◽  
Cochrane Library ◽  
User Engagement ◽  
Design Features ◽  
Unhealthy Lifestyle ◽  
Mhealth Intervention

Background Well-designed mobile health (mHealth) interventions support a positive user experience; however, a high rate of disengagement has been reported as a common concern regarding mHealth interventions. To address this issue, it is necessary to summarize the design features that improve user engagement based on research over the past 10 years, during which time the popularity of mHealth interventions has rapidly increased due to the use of smartphones. Objective The aim of this review was to answer the question “Which design features improve user engagement with mHealth interventions?” by summarizing published literature with the purpose of guiding the design of future mHealth interventions. Methods This review followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) checklist. Databases, namely, PubMed, Web of Science, Cochrane Library, Ovid EMBASE, and Ovid PsycINFO, were searched for English and Chinese language papers published from January 2009 to June 2019. Thematic analysis was undertaken to assess the design features in eligible studies. The Mixed Methods Appraisal Tool was used to assess study quality. Results A total of 35 articles were included. The investigated mHealth interventions were mainly used in unhealthy lifestyle (n=17) and chronic disease (n=10) prevention programs. Mobile phone apps (n=24) were the most common delivery method. Qualitative (n=22) and mixed methods (n=9) designs were widely represented. We identified the following 7 themes that influenced user engagement: personalization (n=29), reinforcement (n=23), communication (n=20), navigation (n=17), credibility (n=16), message presentation (n=16), and interface aesthetics (n=7). A checklist was developed that contained these 7 design features and 29 corresponding specific implementations derived from the studies. Conclusions This systematic review and thematic synthesis identified useful design features that make an mHealth intervention more user friendly. We generated a checklist with evidence-based items to enable developers to use our findings easily. Future evaluations should use more robust quantitative approaches to elucidate the relationships between design features and user engagement.

Conflict resolution in anaesthesia: systematic review

2018 ◽  
Vol 5 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Dalal Salem Almghairbi ◽  
Takawira C Marufu ◽  
Iain K Moppett
Keyword(s):  
Patient Safety ◽  
Conflict Resolution ◽  
English Language ◽  
Management Training ◽  
Total Sample ◽  
Cochrane Library ◽  
Clinical Environment ◽  
Speaking Up ◽  
Study Results ◽  
Training Programmes

BackgroundConflict is a significant and recurrent problem in most modern healthcare systems. Given its ubiquity, effective techniques to manage or resolve conflict safely are required.ObjectiveThis review focuses on conflict resolution interventions for improvement of patient safety through understanding and applying/teaching conflict resolution skills that critically depend on communication and improvement of staff members’ ability to voice their concerns.MethodsWe used the Population-Intervention-Comparator-Outcome model to outline our methodology. Relevant English language sources for both published and unpublished papers up to February 2018 were sourced across five electronic databases: the Cochrane Library, EMBASE, MEDLINE, SCOPUS and Web of Science.ResultsAfter removal of duplicates, 1485 studies were screened. Six articles met the inclusion criteria with a total sample size of 286 healthcare worker participants. Three training programmes were identified among the included studies: (A) crisis resource management training; (B) the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) training; and (C) the two-challenge rule (a component of TeamSTEPPS), and two studies manipulating wider team behaviours. Outcomes reported included participant reaction and observer rating of conflict resolution, speaking up or advocacy-inquiry behaviours. Study results were inconsistent in showing benefits of interventions.ConclusionThe evidence for training to improve conflict resolution in the clinical environment is sparse. Novel methods that seek to influence wider team behaviours may complement traditional interventions directed at individuals.

N-Acetyl cysteine in rodenticide poisoning: A systematic review and meta-analysis

2021 ◽  
Vol 16 ◽  
Author(s):  
Muhammed Rashid ◽  
Viji Pulikkel Chandran ◽  
Sreedharan Nair ◽  
Deepa Sudalai Muthu ◽  
Jemima Pappuraj ◽  
...  
Keyword(s):  
English Language ◽  
Retrospective Studies ◽  
Meta Analysis ◽  
Treated Group ◽  
Pooled Analysis ◽  
Cochrane Library ◽  
Language Studies ◽  
Study Results ◽  
Clinical Benefits ◽  
Acetyl Cysteine

Background: Treatment with N-Acetyl cysteine (NAC) in rodenticide poisoning has not been well established due to mixed study results and insufficient evidence. This review aimed to summarize the clinical benefits of NAC in the management of rodenticide poisoning. Method: This review follows the PICOS framework and the PRISMA guidelines. PubMed/MEDLINE, Scopus, and the Cochrane library were searched to identify the published literature from inception to September 2020, and a reference search was performed for additional relevant studies. The English language studies addressing the use of NAC in rodenticide poisoning were considered for the review. We considered all experimental and observational studies due to the insufficient number of interventional studies. Results: Ten studies (two RCTs, four observational, and four descriptive) out of 2,178 studies with 492 participants were considered for the review. Only six studies (two RCTs, one prospective, and three retrospective studies) reported recovery and mortality rates. Pooled results of RCTs (n=2) showed a significant recovery rate (Odds Ratio [OR]:3.97; 95% Confidence Interval [CI]:1.69-9.30), whereas summary estimates of prospective and retrospective studies recorded a non-significant effect. Meta-analysis of RCTs (OR: 0.25; 95% CI: 0.11-0.59; n=2) and retrospective studies (OR: 0.34; 95% CI: 0.15-0.78; n=3) showed a significant reduction in mortality, whereas pooled analysis of prospective studies recorded a non-significant effect. A significant reduction in intubation or ventilation (OR: 0.25; 95% CI: 0.11-0.60; 2 RCTs) and a non-significant (P=0.41) difference in duration of hospitalization was observed with NAC when compared to the non-NAC treated group. The quality of the included studies appeared to be moderate to high. Conclusion: Our findings indicate that NAC showed better survival and lower mortality rate when compared to a non-NAC treated group; hence NAC can be considered for the management of rodenticide poisoning.

scholarly journals PREDICTORS OF HALODOC’S USER SATISFACTION

2021 ◽  
Vol 5 (2) ◽  
pp. 348
Author(s):  
Chrisanty Victoria Layman
Keyword(s):  
Health Care ◽  
Mobile Health ◽  
User Satisfaction ◽  
Digital Health ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Future Research ◽  
Study Results ◽  
Perceived Price ◽  
Long Time

Sejak pandemi Covid19, industri kesehatan digital telah bertumbuh pesat di seluruh dunia, ditandai dengan keterlibatan konsumen yang lebih besar dalam kesehatan, disertai kenaikan minat yang lebih tinggi akan layanan kesehatan virtual jarak jauh yang sering terlihat dalam bentuk aplikasi smartphone/ mHeatlh. Namun, Indonesia masih menghadapi beberapa kendala mengenai implementasi kesehatan digital. Untuk mendorong penggunaan aplikasi mHealth, promosi teknologi informasi dan komunikasi harus dikedepankan. Namun, praktik saat ini menunjukkan bahwa masih ada aspek yang menghambat efektivitas dan efisiensi layanan kesehatan aplikasi smartphone. Oleh karena itu, tantangan penting yang hadir dalam pengguna mHealth akan menjadi fokus dalam penelitian ini. Penelitian ini berupaya menyelidiki prediktor kepuasan pengguna Halodoc, salah satu aplikasi kesehatan seluler terbesar dan tersukses di Indonesia. Data yang digunakan dalam penelitian ini adalah skor kegunaan yang dirasakan (PU), kemudahan penggunaan (EU), harga yang dirasakan (PP), antarmuka pengguna grafis (GU), ketergantungan penggunaan (RU), dan kepuasan (SA). Sampel diambil secara pengambilan sampel acak kenyamanan. Responden studi ini melibatkan 100 pengguna Halodoc mulai dari pemula hingga pengguna lama. Data kemudian dianalisis dengan uji-T sampel independen dan analisis varians (ANOVA). Hasil penelitian mempertegas kemudahan penggunaan bagi pengguna yang secara signifikan terkait dengan desain tombol, penggunaan warna, dan informasi obat paling. Selain itu, keandalan pada informasi dokter, yang memungkinkan layanan kesehatan pribadi secara signifikan terkait dengan kepuasan pengguna. Selain itu, ada beberapa fitur profil yang menyarankan tingkat pendidikan mempengaruhi tingkat penerimaan terhadap penggunaan dan kepuasan mHealth. Penelitian di masa depan disarankan untuk melibatkan sampel pengguna dalam jumlah yang lebih besar dan melakukan penelitian selama periode jangka panjang untuk mengukur kepuasan pengguna mHealth dari waktu ke waktu.  Since the COVID19 pandemic, the digital health industry has been accelerated worldwide, with greater consumers engagement in healthcare, and higher interest of remote virtual care found through smartphones application/ mHealth. However, Indonesia still faces several obstacles regarding the implementation of digital health. To encourage the use of the mhealth app, the promotion of information and communication technology must be at the forefront. However, current practice shows that they are still aspects hampering the effectiveness and efficiency of mobile health care. Therefore, crucial challenges present in the user of mHealth would be the focus of this study. This study seeks to investigate the predictors of Halodoc, one of the largest and successful mobile health application’s user satisfaction. The data used in this study are scores of Perceived Usefulness (PU), Ease of Use (EU), Perceived Price (PP), Graphical User Interface (GU), Reliance of Use (RU), and Satisfaction (SA). Samples are taken using random convenienvce sampling. The respondent of this study is 100 Halodoc users starting from beginners to long time users. Data was then analyzed by the Independent Sample T-Test and Analysis of Variance (ANOVA). The study results reemphasize ease of use for users that is significantly associated with the design of buttons, use of colors, and drug information the most. In addition, reliability on doctor information, and enabling personal health care to be significantly associated with user satisfaction. In addition, there are several profile features that suggest, the level of education affects the level of acceptance to mhealth use and satisfaction. Future research is suggested to include a larger sample of users and over a period to better measure the long-term predictor of mHealth user satisfaction over time.

Sensory Phenomena in Obsessive-Compulsive Disorder and Tic Disorders: A Review of the Literature

CNS Spectrums ◽  
2008 ◽  
Vol 13 (5) ◽  
pp. 425-432 ◽  
Author(s):  
Helena da Silva Prado ◽  
Maria Conceição do Rosário ◽  
Jennifer Lee ◽  
Ana G. Hounie ◽  
Roseli G. Shavitt ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
English Language ◽  
Cochrane Library ◽  
Subjective Experiences ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
English Language Literature ◽  
Study Results ◽  
Language Literature ◽  
Just Right

ABSTRACTIntroduction:A variety of subjective experiences have been reported to be associated with the symptom expression of obsessive-compulsive disorder (OCD) and Tourette syndrome (TS). First described in TS patients, these subjective experiences have been defined in different ways. There is no consensus in the literature on how to best define subjective experiences. This lack of consensus may hinder the understanding of study results and prevents the possibility of including them in the search for etiological factors associated with OCD and TS.Methods:The objective of this article was to review the descriptions of subjective experiences in the English-language literature from 1980–2007. This meta-analytic review was carried out using the English-language literature from 1980–2007 available on MEDLINE, PsyclNFO, and the Cochrane Library databases using the following search terms: premonitory urges, sensory tics, “just-right” perceptions, sensory phenomena, sensory experiences, incompleteness, “not just-right” phenomena, obsessive-compulsive disorder and TS, including OCD and/or TS, in all combination searches. We also searched for the references cited in each article previously found that referred to the aforementioned terms. Thirtyone articles were included in the study.Results:Subjective experiences, in particular, the sensory phenomena, were important phenotypic variables in the characterization of the tic-related OCD subtype and were more frequent in the early-onset OCD subtype. There is a paucity of studies using structured interviews to assess sensory phenomena, their epidemiology and the etiological mechanisms associated with sensory phenomena.Conclusion:The current review provides some evidence that sensory phenomena can be useful to identify more homogenous subgroups of OCD and TS patients and should be included as important phenotypic variables in future clinical, genetic, neuroimaging, and treatment-response studies.

scholarly journals Design Features for Improving Mobile Health Intervention User Engagement: Systematic Review and Thematic Analysis (Preprint)

2020 ◽  
Author(s):  
Yanxia Wei ◽  
Pinpin Zheng ◽  
Hui Deng ◽  
Xihui Wang ◽  
Xiaomei Li ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
Mobile Health ◽  
Thematic Analysis ◽  
High Rate ◽  
Cochrane Library ◽  
User Engagement ◽  
Design Features ◽  
Unhealthy Lifestyle ◽  
Mhealth Intervention

BACKGROUND Well-designed mobile health (mHealth) interventions support a positive user experience; however, a high rate of disengagement has been reported as a common concern regarding mHealth interventions. To address this issue, it is necessary to summarize the design features that improve user engagement based on research over the past 10 years, during which time the popularity of mHealth interventions has rapidly increased due to the use of smartphones. OBJECTIVE The aim of this review was to answer the question “Which design features improve user engagement with mHealth interventions?” by summarizing published literature with the purpose of guiding the design of future mHealth interventions. METHODS This review followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) checklist. Databases, namely, PubMed, Web of Science, Cochrane Library, Ovid EMBASE, and Ovid PsycINFO, were searched for English and Chinese language papers published from January 2009 to June 2019. Thematic analysis was undertaken to assess the design features in eligible studies. The Mixed Methods Appraisal Tool was used to assess study quality. RESULTS A total of 35 articles were included. The investigated mHealth interventions were mainly used in unhealthy lifestyle (n=17) and chronic disease (n=10) prevention programs. Mobile phone apps (n=24) were the most common delivery method. Qualitative (n=22) and mixed methods (n=9) designs were widely represented. We identified the following 7 themes that influenced user engagement: personalization (n=29), reinforcement (n=23), communication (n=20), navigation (n=17), credibility (n=16), message presentation (n=16), and interface aesthetics (n=7). A checklist was developed that contained these 7 design features and 29 corresponding specific implementations derived from the studies. CONCLUSIONS This systematic review and thematic synthesis identified useful design features that make an mHealth intervention more user friendly. We generated a checklist with evidence-based items to enable developers to use our findings easily. Future evaluations should use more robust quantitative approaches to elucidate the relationships between design features and user engagement.

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