Content, Usability, and Utilization of Plain Language in Breast Cancer Mobile Phone Apps: A Systematic Analysis

摘要: Background: Breast cancer is one of the leading contributors to preventable illness and death among women. Although mobile phone apps provide unprecedented opportunity engage women along continuum, little known about availability, content, usability breast apps. Objective: This study analyzed content adherence literate design standards all cancer-related available on App Store Google Play, as well relationship between their user ratings, price. Methods: Following identification downloading in October 2015, 101 were confirmed focusing cancer. Based prior research, we adapted applied a analysis scheme that was specific apps, including main purpose, relevance care outlined by Institute Medicine (IOM). Results: The most common aim educational (73/101, 72.3%), followed behavior change (24/101, 23.9%), fundraising (20/101, 19.8%), advocacy (14/101, 13.9%). On primary prevention (strategies prevent cells from occurring) mentioned almost one-third (30/101, 29.7%). Less than half (46/101, 45.5%) presented information mammography and/or clinical exam, 53 (52.5%) discussed self-exam (which no longer recommended). Symptoms prediagnosis, such lump, (48/101, 47.5%) similar number included genetic risk for (47/101, 46.5%). Information diagnosis 42 (41.58%) 43 (42.6%) treatment options. Survivorship issues addressed 17 (16.8%) Only (1.0%) app hospice. Adherence recommendations low. median composite score 3 (mean 2.60, SD 1.20) six recommended items. With eight plain language items, health literacy 5 5.06, 2.00). Most did not use easy-to-understand words (44/101, 43.6%) few 23.8%) defined key terms. Conclusions: Current important cancer, but topic covered self-examination, non-evidence-based screening strategy. Apps focus evidence-based strategies continuum are needed, with notable pressing need would address survivorship end life. Finally, developers should adhere IOM meet needs diverse populations reduce current disparities. [JMIR Mhealth Uhealth 2017;5(3):e20]