# Patients’ UX Impact on Medication Adherence in Czech Pilot Study for Chronically Ill

## TL;DR

A Czech study explored how user experience in an mHealth app affects medication adherence in older adults with chronic diseases, finding that technical issues impacted user satisfaction.

## Contribution

The study introduces a mixed-methods approach to UX development for mHealth apps targeting older adults with chronic illnesses.

## Key findings

- The study found no anticipated relationship between baseline adherence knowledge and UX metrics.
- Qualitative feedback showed overall patient satisfaction with the mHealth application.
- Technical issues during pilot testing affected participants' perception of the app's user experience.

## Abstract

This article presents a comprehensive and multistage approach to the development of the user experience (UX) for an mHealth application targeting older adult patients with chronic diseases, specifically chronic heart failure and chronic obstructive pulmonary disease. The study adopts a mixed methods approach, incorporating both quantitative and qualitative components. The underlying hypothesis posits that baseline medicine adherence knowledge (measured by the MARS questionnaire), beliefs about medicines (measured by the BMQ questionnaire), and level of user experience (measured by the SUS and UEQ questionnaires) act as predictors of adherence change after a period of usage of the mHealth application. However, contrary to our expectations, the results did not demonstrate the anticipated relationship between the variables examined. Nevertheless, the qualitative component of the research revealed that patients, in general, expressed satisfaction with the application. It is important to note that the pilot testing phase revealed a notable prevalence of technical issues, which may have influenced participants’ perception of the overall UX. These findings contribute to the understanding of UX development in the context of mHealth applications for older adults with chronic diseases and emphasise the importance of addressing technical challenges to enhance user satisfaction and engagement.