NAQC Newsroom: Research

Assessment of Real-World Use of Behavioral Health Mobile Applications by a Novel Stickiness Metric.

Thursday, November 19, 2020  
Posted by: Natalia Gromov
Carlo AD, Hosseini Ghomi R, Renn BN, Strong MA, Areán PA.
Assessment of Real-World Use of Behavioral Health Mobile Applications by a Novel Stickiness Metric.
JAMA Netw Open. 2020;3(8):e2011978. doi:10.1001/jamanetworkopen.2020.11978

A total of 46 apps met inclusion criteria for this analysis. Total downloads and stickiness metric values for the 10 most downloaded apps1 are shown in Table 1. All of the 10 most downloaded apps were from private developers; 6 were for meditation (Headspace; Calm; Relax Meditation P; Insight Timer; Stop, Breathe & Think; and Sanvello for Stress & Anxiety), 2 focused on cognitive training (Peak and Lumosity), and none were developed for specific behavioral health conditions. Among the 46 included apps, the median (range) stickiness score was 1.76 (0.26-9.87) and the mean (SD) stickiness score was 2.23 (1.84). Only 3 of the 10 most downloaded apps had stickiness metric scores above the mean (Lumosity: stickiness score, 2.63; Headspace: stickiness score, 3.18; Relax Meditation P: stickiness score, 2.48). Table 2 shows the total downloads and stickiness metric values for the 10 stickiest apps, only 2 of which were ranked in the top half with regard to total downloads (Smiling Mind: 2.2 million total downloads; stickiness score, 3.44; Headspace: 26 million total downloads; stickiness score, 3.18). Among the top 10 stickiest apps, 9 were from private developers (CogniFit, Muse, Stop Smoking in 2 Hours, Daybreak, Youper, PanicShield, Smiling Mind, Relax and Sleep Well, and Headspace), 3 targeted alcohol or cigarette use (My QuitBuddy, Stop Smoking in 2 Hours, and Daybreak), 2 included cognitive behavioral therapy skills (Youper and PanicShield), and 5 focused on meditation (Muse, Youper, Smiling Mind, Relax and Sleep Well Hypnosis, and Headspace).