Development and validation of the mobile adherence satisfaction scale (MASS) for medication adherence apps

Rana, Rajat and Ibrahim, Baharudin and Huri, Hasniza Zaman and Wahab, Izyan A. and Govindaraju, Kayatri and Shukeri, Mohd Syamir Mohamad and Ng, Chow Kyn and Ong, Siew Chin (2024) Development and validation of the mobile adherence satisfaction scale (MASS) for medication adherence apps. Research in Social and Administrative Pharmacy, 20 (10). pp. 959-968. ISSN 1551-7411, DOI https://doi.org/10.1016/j.sapharm.2024.07.004.

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Official URL: https://doi.org/10.1016/j.sapharm.2024.07.004

Abstract

Objective: To develop and validate the Mobile Adherence Satisfaction Scale (MASS) for assessing user satisfaction with mobile health applications aimed to improve medication adherence. Methods: The study involved patients over 18 with asthma, hypertension, heart failure, or diabetes, who used the CareAide (R) app for six months. Scale development included a literature review, expert consultations, and patient interviews, initially identifying 129 items. These were refined to 27 using a two-round Delphi technique and grouped into six dimensions: user interface, perceived usability, system quality, service quality, feature satisfaction, and general satisfaction. A pilot study with 30 participants further refined the model, which was then validated with 135 participants using exploratory and confirmatory factor analyses in SPSS 29 and SmartPLS 4. Data were collected via self-administered questionnaires. Results: A total of 135 complete questionnaires were analysed. Respondents had an average age of 66.7 years (SD = 11.6) with 42.2 % male (n = 57) and 57.8 % female (n = 78). After removal of an item due to cross loading, exploratory factor analysis resulted six dimensions and 26 items with Kaiser-Meyer-Olkin measure of 0.837 and Bartlett's Test of Sphericity (chi(2)(n = 325) = 2085.673, P < 0.001). The confirmatory factor analysis confirmed high reliability and validity: Cronbach's alpha values > 0.70 for each dimension and an overall alpha of 0.89, with Composite Reliability and Average Variance Extracted both >0.70 and >0.50, respectively, for each dimension. Structural model indicated a significant positive impact of user interface (beta = 0.226, P = 0.006) and feature satisfaction (beta = 0.230, P = 0.002) on general satisfaction, explaining 23.1 % of the variance (R-2 = 0.231). Conclusion: The study developed and validated the MASS, a reliable tool for assessing user satisfaction with mHealth apps. User interface design and feature satisfaction are key for long-term engagement and consistent medication adherence.

Item Type: Article
Funders: Caring UpMalaysia Pte. Ltd., Kuala Lumpur. Malaysia (UM.0000532/HPV.PV)
Uncontrolled Keywords: mHealth; Medication adherence; user satisfaction; scale validation
Subjects: R Medicine > RM Therapeutics. Pharmacology
R Medicine > RS Pharmacy and materia medica
Divisions: Faculty of Pharmacy > Department of Clinical Pharmacy and Pharmacy Practice
Faculty of Pharmacy > Department of Pharmaceutical Life Sciences
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 07 Feb 2025 08:50
Last Modified: 07 Feb 2025 08:50
URI: http://eprints.um.edu.my/id/eprint/47504

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