# Purposes of Smartphone Health Care Apps and the Practicality of Their Functions in Disaster Situations: Qualitative Function Assessment Study

## TL;DR

This study explores how health care apps used in daily life could be adapted for disaster situations, focusing on their functions and potential for improving disaster response.

## Contribution

The study identifies how existing health care app functions can be repurposed for disaster scenarios, suggesting content augmentation over new app development.

## Key findings

- Common functions like 'recording' and 'measurement' are prevalent in health care apps, useful for disaster response.
- The 'content provision' function is most common in apps related to sleep, relaxation, and exercise, suggesting mental health support during disasters.
- Existing apps can be adapted for disaster use by adding specific content rather than creating new apps.

## Abstract

Japan has experienced various natural disasters, including the Great East Japan Earthquake in 2011. It becomes crucial to focus on strengthening self-help measures through health care apps that are used in normal times to help people during disasters. However, little is known about what health care apps would be useful in times of disaster.

This study aimed to investigate the prevalent functionalities and purposes of using health care apps during normalcy, explore their potential utility, and propose strategies for disaster response through their utilization.

We focus on highly ranked health care apps (within the top 100 in the health care category for iPhones by Apple, Inc for a certain period) and reclassify their purpose of use, such as sleep, relaxation, and exercise, in detail. We also investigate the functions within each health care app (measurement, recording, advice, content provision, and guidance to actual services), based on which we determine their potential utilization during disasters and anticipate potential solutions to address disaster-related challenges. We also consider the ideal framework of health care apps in disaster response, exploring possibilities such as the necessity of new disaster-specific apps or the adaptation of existing health care apps for disaster scenarios.

Among the 70 free apps, the predominant functions included “recording” (n=60 cases, 86%) and “measurement” (n=47 cases, 67%), primarily encompassing the mechanical functions of wearable devices and smartphones. A similar trend was seen in the 77 paid apps, but “content provision” (n=54 cases, 70%) was the most prevalent. Furthermore, the “content provision” function was particularly common in the “purposes of use” categories “sleep” (χ211=29; P<.001), “relaxation” (χ211=14.6; P<.001), and “exercise” (χ211=9.3; P=.002). This suggested the possibility of using the content provision function in existing health care apps to support mental and physical health even during a disaster.

The widespread use of apps during normal times could minimize hesitation in adopting them during disasters. The findings emphasize the potential for augmenting disaster-specific content within existing apps rather than developing new ones. This approach aligns with the likelihood of preinstalled app use during emergencies, indicating a pragmatic strategy for enhancing disaster response content within prevalent apps.