Korean Journal of Clinical Pharmacy (한국임상약학회지)

Korean College Of Clinical Pharmacy (한국임상약학회)
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Systematic Search and Qualitative Evaluation of Dietary Supplement Mobile Applications: Using the Mobile Application Rating Scale (MARS)

  • Hyeon Ji Lee (Institute for Digital Life Convergence, Dankook University) ;
  • Si Hyun Seong (Department of Pharmacy, College of Pharmacy, Dankook University) ;
  • Hyunjin Chung (Department of Pharmacy, College of Pharmacy, Dankook University) ;
  • Yun Jeong Lee (Institute for Digital Life Convergence, Dankook University) ;
  • Jae-Hyun Kim (Institute for Digital Life Convergence, Dankook University)
  • Received : 2022.12.17
  • Accepted : 2023.01.30
  • Published : 2023.03.31
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Abstract

Background: Mobile applications (apps) on dietary supplements can increase consumers' access to information. However, it can lead to indiscriminate use of dietary supplements. This study aims to systematically review dietary supplement apps released in English and Korean and evaluate the quality of those apps. Methods: Through the app stores, apps on dietary supplements were systemically searched and examined. Two independent evaluators evaluated the apps and presented a mean score using the Mobile App Rating Scale (MARS). The correlation between MARS scores, user and evaluator ratings, and the number of secondary features of the apps were analyzed. Results: Of the 2,772 dietary supplement apps identified, 17 apps were included according to the selection criteria. The mean MARS score was 3.28 (standard deviation: 0.29) out of 5. Apps had higher scores in aesthetics and functionality dimensions, while engagement and information dimensions had lower scores. There was a positive correlation between the number of app downloads and information among MARS dimensions. The subjective evaluation also correlated with the information dimension. There was a positive correlation between the secondary features of the apps and MARS total score as well as the engagement dimension. Conclusion: The dietary supplement apps need to be managed at a higher level of quality to provide safe and reliable information to consumers. Especially, quality on information and engagement dimensions can be improved. Involvement of healthcare professionals in the app development, management with adequate referencing of information, and use of secondary features for enhanced user engagement can be helpful.

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References

  1. Karelakis C, Zevgitis P, Galanopoulos K, Mattas K. Consumer trends and attitudes to functional foods. J Int Food Agribus Mark 2020;32(3):266-94.  https://doi.org/10.1080/08974438.2019.1599760
  2. Onchonga D. A Google Trends study on the interest in self-medication during the 2019 novel coronavirus (COVID-19) disease pandemic. Saudi Pharm J 2020;28(7):903-4.  https://doi.org/10.1016/j.jsps.2020.06.007
  3. Bennadi D. Self-medication: A current challenge. J Basic Clin Pharm 2013;5(1):19-23.  https://doi.org/10.4103/0976-0105.128253
  4. Ministry of Food and Drug Safety. Health functional food production status. Available from https://www.mfds.go.kr/eng/wpge/m_9/denofile.do. Accessed May 11, 2022. 
  5. US Food and Drug Administration. FDA 101: Dietary Supplements. Available from https://www.fda.gov/consumers/consumer-updates/fda-101-dietary-supplements. Accessed May 11, 2022. 
  6. Ministry of Food and Drug Safety. Health functional food code. Available from https://www.mfds.go.kr/eng/wpge/m_9/denofile.do. Accessed February 25, 2023. 
  7. European Food Safety Authority. Food supplements. Available from https://www.efsa.europa.eu/en/topics/topic/food-supplements. Accessed May 11, 2022. 
  8. Canada Go. About natural health products. Available from https://www.canada.ca/en/health-canada/services/drugs-health-products/natural-non-prescription/regulation/about-products.html. Accessed May 11, 2022. 
  9. Ministry of Health, Labour and Welfare. Food with Health Claims, Food for Special Dietary Uses, and Nutrition Labeling. Available from https://www.mhlw.go.jp/english/topics/foodsafety/fhc/index.html. Accessed May 11, 2022. 
  10. US Food and Drug Administration. What you need to know about dietary supplements. Available from https://www.fda.gov/food/buy-store-serve-safe-food/what-you-need-know-about-dietary-supplements-expired. Accessed February 25, 2023. 
  11. Dennehy CE, Tsourounis C, Horn AJ. Dietary supplement-related adverse events reported to the California Poison Control System. Am J Health Syst Pharm 2005;62(14):1476-82.  https://doi.org/10.2146/ajhp040412
  12. Ronis MJ, Pedersen KB, Watt J. Adverse effects of nutraceuticals and dietary supplements. Annu Rev Pharmacol Toxicol 2018;58:583-601.  https://doi.org/10.1146/annurev-pharmtox-010617-052844
  13. Paik DJ, Lee CH. Review of cases of patient risk associated with ginseng abuse and misuse. J Ginseng Res 2015;39(2):89-93.  https://doi.org/10.1016/j.jgr.2014.11.005
  14. Izzo AA, Ernst E. Interactions between herbal medicines and prescribed drugs. Drugs 2009;69(13):1777-98.  https://doi.org/10.2165/11317010-000000000-00000
  15. Kroll DJ. ASHP statement on the use of dietary supplements. Am J Health Syst Pharm 2004;61(16):1707-11.  https://doi.org/10.1093/ajhp/61.16.1707
  16. Onodera R, Sengoku S. Innovation process of mHealth: An overview of FDA-approved mobile medical applications. Int J Med Inform 2018;118:65-71.  https://doi.org/10.1016/j.ijmedinf.2018.07.004
  17. Adans-Dester CP, Bamberg S, Bertacchi FP, et al. Can mHealth technology help mitigate the effects of the COVID-19 pandemic? IEEE Open J Eng Med Biol 2020;1:243-8.  https://doi.org/10.1109/OJEMB.2020.3015141
  18. Linz D, Pluymaekers NA, Hendriks JM. TeleCheck-AF for COVID-19: A European mHealth project to facilitate atrial fibrillation management through teleconsultation during COVID19. Eur Heart J 2020;41(21):1954-5.  https://doi.org/10.1093/eurheartj/ehaa404
  19. Organisation for Economic Co-operation and Development. Mobile technology-based services for global health and wellness: opportunities and challenges. Available from https://www.oecd.org/sti/ieconomy/mobile-technology-based-services-for-global-health.htm. Accessed February 25, 2023. 
  20. Stoyanov SR, Hides L, Kavanagh DJ, et.al. Mobile app rating scale: a new tool for assessing the quality of health mobile apps. JMIR mHealth and uHealth 2015;3(1):e27. 
  21. Moher D, Shamseer L, Clarke M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev 2015;4(1):1-9.  https://doi.org/10.1186/2046-4053-4-1
  22. Kim BY, Sharafoddini A, Tran N, et al. Consumer mobile apps for potential drug-drug interaction check: systematic review and content analysis using the Mobile App Rating Scale (MARS). JMIR mHealth and uHealth 2018;6(3):e74. 
  23. Siddique AB, Krebs M, Alvarez S, et al. Mobile apps for the care management of chronic kidney and end-stage renal diseases: systematic search in app stores and evaluation. JMIR mHealth and uHealth 2019;7(9):e12604. 
  24. Shen C, Jiang B, Yang Q, et al. Mobile apps for drug-drug interaction checks in Chinese app stores: systematic review and content analysis. JMIR mHealth and uHealth 2021;9(6):e26262. 
  25. Stec MA, Arbour MW, Hines HF. Client-centered mobile health care applications: using the Mobile Application Rating Scale instrument for evidence-based evaluation. J Midwifery Womens Health 2019;64(3):324-9.  https://doi.org/10.1111/jmwh.12941
  26. Kalhori SRN, Hemmat M, Noori T, et al. Quality evaluation of English mobile applications for gestational diabetes: app review using Mobile Application Rating Scale (MARS). Curr Diabetes Rev 2021;17(2):161-8.  https://doi.org/10.2174/1573399816666200703181438
  27. Knitza J, Tascilar K, Messner E-M, et al. German mobile apps in rheumatology: review and analysis using the Mobile Application Rating Scale (MARS). JMIR mHealth and uHealth 2019;7(8):e14991. 
  28. Stoyanov S. MARS training video. Available from https://www.youtube.com/watch?v=25vBwJQIOcE. Accessed August 1, 2021. 
  29. Ministry of Food and Drug Safety, Korea Institute of Drug Safety & Risk Management. Pharmaceutical Integrated intelligence system: Information search for medicines. Available from https://nedrug.mfds.go.kr/searchDrug. Accessed May 11, 2022. 
  30. KIMS Co. Available from www.kimsonline.co.kr. Accessed February 25, 2023. 
  31. Davalbhakta S, Advani S, Kumar S, et al. A systematic review of smartphone applications available for corona virus disease 2019 (COVID19) and the assessment of their quality using the mobile application rating scale (MARS). J Med Syst 2020;44(9):164. 
  32. Girardello A, Michahelles F. AppAware: which mobile applications are hot? In: Proceedings of the 12th International Conference on Human Computer Interaction with Mobile Devices and Services, Lisbon, Portugal September 7-10, 2010. 
  33. Kim S, Baek TH. Examining the antecedents and consequences of mobile app engagement. Telemat Inform 2018;35(1):148-58.  https://doi.org/10.1016/j.tele.2017.10.008
  34. Bardus M, van Beurden SB, Smith JR, et al. A review and content analysis of engagement, functionality, aesthetics, information quality, and change techniques in the most popular commercial apps for weight management. Int J Behav Nutr Phys Act 2016;13(1):13-35.  https://doi.org/10.1186/s12966-016-0337-2
  35. Ohn J, Kim JH. Intake pattern and needs assessment for the development of web-contents on health functional foods according to age of adults. Korean J Community Nutr 2012;17(1):26-37. https://doi.org/10.5720/kjcn.2012.17.1.26