{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T23:07:04Z","timestamp":1765667224266,"version":"3.37.3"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2018,6,7]],"date-time":"2018-06-07T00:00:00Z","timestamp":1528329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/academic.oup.com\/journals\/pages\/about_us\/legal\/notices"}],"funder":[{"name":"Institutional National Research Service"},{"name":"Health Research Services Administration","award":["T32HP10025B0"],"award-info":[{"award-number":["T32HP10025B0"]}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["2T32HL007180-41A1"],"award-info":[{"award-number":["2T32HL007180-41A1"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To understand whether user reviews of Instant Blood Pressure (IBP), an inaccurate, unregulated BP-measuring app reflected IBP\u2019s inaccuracy, to understand drivers for high and low ratings, and to understand if disclaimers prevented medical use.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>All iTunes app reviews for IBP v1.2.3 were downloaded and assessed for themes by two reviewers. Summary statistics for themes were tabulated with their associated star ratings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Common themes included perceived accuracy (42% of all reviews, star rating mean 4.8, median 5), inaccuracy (10%, 2.0, 1), and convenience (34%, 4.7, 5). Nine percent documented IBP use in medical conditions (4.6, 5), and 2% mentioned IBP\u2019s disclaimer (2.7, 3).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>User reviews and ratings of a popular, inaccurate BP-measuring app were positive and uncommonly commented on its inaccuracy. Disclaimers attempting to prevent medical use of the app were ineffective. These findings support the need for more rigorous regulatory review of apps prior to their release.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocy060","type":"journal-article","created":{"date-parts":[[2018,4,25]],"date-time":"2018-04-25T11:18:37Z","timestamp":1524655117000},"page":"1074-1079","source":"Crossref","is-referenced-by-count":29,"title":["Trends in user ratings and reviews of a popular yet inaccurate blood pressure-measuring smartphone app"],"prefix":"10.1093","volume":"25","author":[{"given":"Timothy B","family":"Plante","sequence":"first","affiliation":[{"name":"Department of Medicine, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA"}]},{"given":"Anna C","family":"O\u2019Kelly","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine, Baltimore, Maryland, USA"}]},{"given":"Zane T","family":"Macfarlane","sequence":"additional","affiliation":[{"name":"Department of Chemistry, Pomona College, Claremont, California, USA"}]},{"given":"Bruno","family":"Urrea","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, MedStar Union Memorial Hospital, Baltimore, Maryland, USA"}]},{"given":"Lawrence J","family":"Appel","sequence":"additional","affiliation":[{"name":"Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, Maryland, USA"}]},{"given":"Edgar R","family":"Miller III","sequence":"additional","affiliation":[{"name":"Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, Maryland, USA"}]},{"given":"Roger S","family":"Blumenthal","sequence":"additional","affiliation":[{"name":"Ciccarone Center for the Prevention of Heart Disease, Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA"}]},{"given":"Seth S","family":"Martin","sequence":"additional","affiliation":[{"name":"Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University, Baltimore, Maryland, USA"},{"name":"Ciccarone Center for the Prevention of Heart Disease, Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA"}]}],"member":"286","published-online":{"date-parts":[[2018,6,7]]},"reference":[{"volume-title":"Patient Adoption of mHealth: Use, Evidence and Remaining Barriers to Mainstream Acceptance","year":"2015","author":"Aitken","key":"2020110612232257400_ocy060-B1"},{"issue":"4","key":"2020110612232257400_ocy060-B2","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1056\/NEJMhle1403384","article-title":"FDA regulation of mobile health technologies","volume":"371","author":"Cortez","year":"2014","journal-title":"N Engl J Med"},{"author":"Patel","key":"2020110612232257400_ocy060-B3"},{"volume-title":"The Mobile Marketer\u2019s Guide to App Store Ratings & Reviews, 2015 Edition","year":"2015","author":"Walz","key":"2020110612232257400_ocy060-B4"},{"issue":"5","key":"2020110612232257400_ocy060-B5","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1001\/jamainternmed.2016.0157","article-title":"Validation of the instant blood pressure smartphone app","volume":"176","author":"Plante","year":"2016","journal-title":"JAMA Intern Med"},{"year":"2015","author":"Female Basic Training Video","key":"2020110612232257400_ocy060-B6"},{"year":"2015","author":"Male Basic Training Video","key":"2020110612232257400_ocy060-B7"},{"issue":"9","key":"2020110612232257400_ocy060-B8","doi-asserted-by":"crossref","first-page":"1410","DOI":"10.1001\/jamainternmed.2016.4765","article-title":"Critical flaws in the validation of the instant blood pressure smartphone App-A letter from the app developers-reply","volume":"176","author":"Plante","year":"2016","journal-title":"JAMA Intern Med"},{"author":"Marketers of Blood-Pressure App Settle FTC Charges Regarding Accuracy of App Readings | Federal Trade Commission","key":"2020110612232257400_ocy060-B9"},{"year":"1997","author":"Ho","key":"2020110612232257400_ocy060-B10"},{"key":"2020110612232257400_ocy060-B11"},{"issue":"1","key":"2020110612232257400_ocy060-B12","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1214\/aoms\/1177730491","article-title":"On a test of whether one of two random variables is stochastically larger than the other","volume":"18","author":"Mann","year":"1947","journal-title":"Ann Math Statist"},{"issue":"5","key":"2020110612232257400_ocy060-B13","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1093\/ntr\/ntv117","article-title":"How smart are smartphone apps for smoking cessation? 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