Shojaei Parisasadat, Vlahu-Gjorgievska Elena, Chow Yang-Wai
University of Wollongong, NSW 2522, Australia.
Int J Med Inform. 2025 Jul;199:105907. doi: 10.1016/j.ijmedinf.2025.105907. Epub 2025 Apr 5.
Mobile health (mHealth) applications have revolutionized healthcare by offering accessible and efficient services through mobile devices. However, privacy concerns regarding the protection of sensitive health information remain a significant barrier to widespread adoption. This study investigates factors influencing privacy-related behaviours among mHealth users and proposes a user-centric model to address these privacy concerns.
This research aims to identify strategies that enhance privacy protections in mHealth applications while maintaining usability. It focuses on transparency, user autonomy, and trust as key factors in fostering responsible data-sharing practices and encouraging broader adoption.
An online survey targeting mHealth users in Australia was conducted to assess the relationships between privacy policy effectiveness, perceived benefits and risks, autonomy, trust, and privacy-enhancing behaviours. The data were analysed using Partial Least Squares Structural Equation Modelling (PLS-SEM) to validate the proposed research model and test key hypotheses.
The findings highlight that clear and transparent privacy policies increase trust and enhance perceived benefits, such as personalized health insights. However, detailed policies may also increase user's awareness of risks, making them more cautious. Autonomy emerged as a critical factor for building trust; users who feel empowered to control their data are more likely to positively engage with mHealth platforms. Trust significantly drives privacy-enhancing behaviours, such as active management of data-sharing settings. However, risks and privacy concerns alone did not deter users from engaging with these applications. Effective communication, robust security measures, and user-friendly features were identified as factors that mitigate privacy concerns and enhance adoption.
The study highlights the need for a balanced, user-centric approach to privacy in mHealth applications. Transparent policies, robust security features, and empowering user controls are essential to fostering trust and encouraging adoption, ensuring secure and efficient healthcare delivery.
移动健康(mHealth)应用程序通过移动设备提供便捷高效的服务,彻底改变了医疗保健行业。然而,对敏感健康信息保护的隐私担忧仍然是广泛采用的重大障碍。本研究调查了影响mHealth用户隐私相关行为的因素,并提出了一个以用户为中心的模型来解决这些隐私问题。
本研究旨在确定在保持可用性的同时增强mHealth应用程序隐私保护的策略。它将透明度、用户自主权和信任作为促进负责任的数据共享实践和鼓励更广泛采用的关键因素。
针对澳大利亚的mHealth用户进行了一项在线调查,以评估隐私政策有效性、感知利益和风险、自主权、信任以及隐私增强行为之间的关系。使用偏最小二乘结构方程模型(PLS-SEM)对数据进行分析,以验证所提出的研究模型并检验关键假设。
研究结果表明,清晰透明的隐私政策会增加信任并提高感知利益,如个性化健康见解。然而,详细的政策也可能会提高用户对风险的认识,使他们更加谨慎。自主权是建立信任的关键因素;感到能够控制自己数据的用户更有可能积极参与mHealth平台。信任显著推动隐私增强行为,如主动管理数据共享设置。然而,仅风险和隐私担忧并不会阻止用户使用这些应用程序。有效的沟通、强大的安全措施和用户友好的功能被确定为减轻隐私担忧并促进采用的因素。
该研究强调了在mHealth应用程序中需要采取平衡的、以用户为中心的隐私方法。透明的政策、强大的安全功能和赋予用户控制权对于建立信任和鼓励采用、确保安全高效的医疗保健服务至关重要。