Year: 2025
Type: article
Study design: Clinical Trial
Abstract: Background Cancer remains a significant public health challenge in Europe, accounting for over 22% of global cancer cases. Mobile health applications may help to increase the awareness of cancer risks and preventive behaviors. However, usability barriers and disparities in digital health literacy (DHL) may limit their impact. Objective This study evaluated the usability of the EU Mobile App for Cancer Prevention and changes in cancer awareness associated with use across six European countries (Cyprus, Germany, Hungary, Portugal, Slovenia, Spain), focusing on variations by DHL and sociodemographic factors. Methods A pre-post design was employed, combining pre- and post-usage surveys (N = 328 pre; n = 77 post). Participants interacted with the app for 7 days. Usability was assessed via the System Usability Scale (SUS), cancer awareness via an 18-item quiz, and DHL using the eHEALS tool. Descriptive statistics summarized key variables, while t-tests and ANOVAs assessed group differences in usability and cancer awareness outcomes. Results A total of 328 participants completed the pre-usage survey, with 77 proceeding to the post-usage phase; the primary reason for dropout was technical difficulties. The app’s overall usability was rated as moderate (Mean = 62.56 on the SUS) and did not differ significantly across demographic or usage subgroups. Cancer awareness scores improved from 50.45 to 53.31 (p < 0.001) showing significant moderate improvement, particularly among those with lower DHL and higher education. We observed no dose response relationship between self-reported app usage (frequency or session duration) and changes in cancer awareness. Conclusion This pilot study demonstrates that the EU Mobile App for Cancer Prevention can enhance cancer awareness, while currently the usability was judged to be moderate. Targeted refinements in navigation, setup procedures, and content tailoring for low-DHL users are essential to improve engagement and ensure equitable reach.
Source: Frontiers in Public Health
Authors: Furqan Ahmed, Silvana Melissa Romero Saletti, Erica D’Souza, Carolina Espina, David Ritchie, Ana Molina Barceló, Marina Pinto Carbó, Paula Romeo Cervera, Teresa Seum, Hermann Brenner, Stephan Van den Broucke, Maria Krini, Cristiana Fonseca, Patricia Pinto, Diana Krivic, Helena Ros Comesana, Wendy Yared, Rebekka Wiersing, Hajo Zeeb, Tilman Brand
Institutions: Leibniz Institute for Prevention Research and Epidemiology - BIPS, UCLouvain, Centre international de recherche sur le cancer, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, German Cancer Research Center, Liga Portuguesa Contra o Cancro, University of Bremen
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,801
Funder: World Health Organization
OpenAlex ID: W4414617871