背景:近年來隨著資通訊科技及智慧型手機的普及化,行動健康應用程式(m-Health App)的應用逐漸受到重視。對使用者及開發者而言,行動健康應用程式旨在增進個人健康管理及增進醫療的可近性。然而,現階段對於在評值行動健康應用程式的可用性、功能以及品質好壞仍知之甚少。 目的:本研究目的是要針對台灣iPhone和Android平台上的糖尿病管理之行動健康應用程式進行一系統性文獻回顧,並以行動程式評分量表 (Mobile Application Rating Scale, MARS) 來分析和評值它們的特性還有品質。 方法:搜尋Apple App Store和Google Play上具有糖尿病管理的健康行動應用程式,摘錄出 App 的各項功能及特性。使用行動程式評分量表 ( Mobile Application Rating Scale, MARS ) 來評量 App 的質量。 結果:MARS 整體平均分數是3.41分。若以5分為滿分,最低可接受分數為3分來看,共有58% (7/12) App的總體分數達到3分含以上。在四個品質層面中,整體結果的分數由高往低排序,分別是功能性(mean3.74,SD 0.87),資訊品質 (mean 3.53, SD 0.67)、美學 (mean3.52, SD 0.74) 和參與度(mean 3.07, SD 0.79)。雖然有五款App在主觀滿意度上拿到了3分含以上的分數,但整體而言,主觀滿意度的平均分數只有2.5分。 結論:市場的規模決定了我們可以選擇的App數量,而在熟悉在地民眾的需求及生活環境下,當地的開發人員顯然更能比國外的業者提供品質更好的自我健康管理App。透過科學為基礎的評量,我們得以篩選出適合作為糖尿病患者自我健康照顧的行動健康應用程式,而其結果也可作為App開發人員未來在設計相關之App上參考依據。
Background: In recent years, the application of mobile health apps have gradually been paid attention with the popularization of the smart phones and information technology. The development of the mobile health apps are aim to enhance personal health management and bring people closer to the medical care. However, little is known about the availability, quality, and features of mobile App targeting diabetes-management. Objective: This study aimed to conduct a systemic review of mobile diabetes-management Applications based on iPhone and Android platform in Taiwan, and to evaluate their quality and characteristics by using Mobile Application Rating Scale (MARS). Methods: Apple App Store and Google Play were searched to identify mobile health apps with diabetes-management. The features and the characteristics of the apps were excerpted. Mobile App Rating Scale (MARS) was used to assess the quality of the apps. Result: The median overall MARS score was 3.41 out of 5, and 58% of Apps (7/12) had a minimum acceptability score of 3.0. The four subscale score in the order of descending overall quality were functionality (mean 3.74, SD 0.87), information (mean 3.53, SD 0.67), esthetics (mean 3.52, SD 0.74), and engagement (mean 3.07, SD 0.79) respectively. Although there are five apps that scored more than 3 points on subjective quality score, overall, the average score for subjective quality is only 2.5 points. Conclusion: The size of the market determines the number of apps we can choose. Obviously, the local developers enable to provide a better quality self-health management apps than the foreign developers as they are more familiar with the needs and living environment of the locals. Through the science-based assessments, we are able to screen out the health applications which are suitable for self-management for people with diabetes and the results can too be used as a reference for App developers in the development of related apps in the future. Keywords: Diabetes Mellitus, m-Health app, mobile health, diabetes, diabetes App, Usability