Journal of Medical Systems

, 39:142 | Cite as

Experiences and Results of Applying Tools for Assessing the Quality of a mHealth App Named Heartkeeper

  • Borja Martínez-Pérez
  • Isabel de la Torre-Díez
  • Miguel López-Coronado
Mobile Systems
Part of the following topical collections:
  1. Mobile Systems


Currently, many incomplete mobile apps can be found in the commercial stores, apps with bugs or low quality that needs to be seriously improved. The aim of this paper is to use two different tools for assessing the quality of a mHealth app for the self-management of heart diseases by the own patients named Heartkeeper. The first tool measures the compliance with the Android guidelines given by Google and the second measures the users’ Quality of Experience (QoE). The results obtained indicated that Heartkeeper follows in many cases the Android guidelines, especially in the structure, and offers a satisfactory QoE for its users, with special mention to aspects such as the learning curve, the availability and the appearance. As a result, Heartkeeper has proved to be a satisfactory app from the point of view of Google and the users. The conclusions obtained are that the type of tools that measure the quality of an app can be very useful for developers in order to find aspects that need improvements before releasing their apps. By doing this, the number of low-quality applications released will decrease dramatically, so these techniques are strongly recommended for all the app developers.


Android guidelines App Heartkeeper Quality of Experience (QoE) Mobile health (mHealth) 



Information Technology


Mobile Health


Quality of Experience



This research has been partially supported by Ministerio de Economía y Competitividad, Spain.

Conflicts of Interest

The authors declare that they have no conflict of interest.


  1. 1.
    Statista (2015) Number of apps available in leading app stores as of July 2014. Accessed 3 March 2015
  2. 2.
    Martínez-Pérez, B., de la Torre-Díez, I., López-Coronado, M., Sainz-de-Abajo, B., and Robles, M., García-Gómez JM (2014) Mobile clinical decision support systems and applications: A literature and commercial review. J Med Syst 38(1):4, 2014.CrossRefPubMedGoogle Scholar
  3. 3.
    IDC (2015) Smartphone OS Market Share, Q4 2014. Accessed 3 March 2015
  4. 4.
    O’Connor F (2015) Android gains share, iOS falls in 2014 smartphone OS market. PC World. Accessed 3 March 2015.
  5. 5.
    Google (2015) Google play. Accessed 3 March 2015
  6. 6.
    Apple (2015) iTunes. Accessed 3 March 2015
  7. 7.
    Martínez-Pérez, B., de la Torre-Díez, I., and López-Coronado, M., Privacy and security in mobile health apps: A review and recommendations. J Med Syst 39(1):181, 2015.CrossRefPubMedGoogle Scholar
  8. 8.
    Ouhbi, S., Fernández-Alemán, J. L., Toval, A., Idri, A., and Pozo, J. R., Free blood donation mobile applications. J Med Syst 39(5):52, 2015.CrossRefPubMedGoogle Scholar
  9. 9.
    de la Torre-Díez, I., Martínez-Pérez, B., López-Coronado, M., Díaz, J. R., and López, M. M., Decision support systems and applications in ophthalmology: Literature and commercial review focused on mobile apps. J Med Syst 39(1):174, 2015.CrossRefPubMedGoogle Scholar
  10. 10.
    Paschou, M., Sakkopoulos, E., and Tsakalidis, A., easyHealthApps: e-Health Apps dynamic generation for smartphones & tablets. J Med Syst 37(3):9951, 2013.CrossRefPubMedGoogle Scholar
  11. 11.
    Ehrler, F., Walesa, M., Sarrey, E., and Lovis, C., Smartphones: Evidence-based user-interface design. Stud Health Technol Inform 192:57–61, 2013.PubMedGoogle Scholar
  12. 12.
    McKibben J (2013) iOS and Android Design Guidelines Cheat Sheet. Mobile Backend as a Service (MBaaS) Blog. Accessed 4 March 2015
  13. 13.
    Grindrod, K. A., Li, M., and Gates, A., Evaluating user perceptions of mobile medication management applications with older adults: A usability study. JMIR Mhealth Uhealth 2(1):e11, 2014.PubMedCentralCrossRefPubMedGoogle Scholar
  14. 14.
    Patel P (2013) IOS and Android Design Guidelines. The App Entrepeneur. Accessed 4 March 2015
  15. 15.
    Bert, F., Giacometti, M., Gualano, M. R., and Siliquini, R., Smartphones and health promotion: A review of the evidence. J Med Syst 38(1):9995, 2013.CrossRefPubMedGoogle Scholar
  16. 16.
    Ouhbi, S., Fernández-Alemán, J. L., Pozo, J. R., Bajta, M. E., Toval, A., and Idri, A., Compliance of blood donation apps with mobile OS usability guidelines. J Med Syst 39(6):63, 2015.CrossRefPubMedGoogle Scholar
  17. 17.
    Zapata, B. C., Fernández-Alemán, J. L., Idri, A., and Toval, A., Empirical studies on usability of mHealth apps: A systematic literature review. J Med Syst 39(2):1, 2015.CrossRefPubMedGoogle Scholar
  18. 18.
    Cruz Zapata, B., Hernández Niñirola, A., Idri, A., Fernández-Alemán, J. L., and Toval, A., Mobile PHRs compliance with android and iOS usability guidelines. J Med Syst 38(8):81, 2014.CrossRefPubMedGoogle Scholar
  19. 19.
    Android Developers Reference Android Design Guidelines. Accessed 4 March 2015
  20. 20.
    iOS Developer Library iOS Human Interface Guidelines. Accessed 4 March 2015
  21. 21.
    Martínez-Pérez, B., de la Torre-Díez, I., Candelas-Plasencia, S., and López-Coronado, M., Development and evaluation of tools for measuring the Quality of Experience (QoE) in mHealth applications. J Med Syst 37(5):9976, 2013.CrossRefPubMedGoogle Scholar
  22. 22.
    Google play (2015) Heartkeeper. Accessed 5 March 2015
  23. 23.
    Zeldman, J., and Marcotte, E., Designing with Web Standards. New Riders, 2009.Google Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Borja Martínez-Pérez
    • 1
  • Isabel de la Torre-Díez
    • 1
  • Miguel López-Coronado
    • 1
  1. 1.Department of Signal Theory and Communications, and Telematics EngineeringUniversity of ValladolidValladolidSpain

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