{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T02:14:26Z","timestamp":1792462466024,"version":"4.5.0"},"reference-count":31,"publisher":"BMJ","issue":"10","license":[{"start":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:00:00Z","timestamp":1760054400000},"content-version":"unspecified","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"HES-SO University of Applied Sciences and Arts Western Switzerland","award":["12-M24"],"award-info":[{"award-number":["12-M24"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,8,20]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Endometriosis is a chronic gynaecological condition affecting 2%\u201310% of women worldwide, often leading to severe pain, organ dysfunction and infertility. Despite its prevalence, diagnosis is frequently delayed, and treatment options remain limited. Mobile health (mHealth) applications have gained popularity as tools for symptom tracking, yet concerns about their accessibility, evidence-based content and inclusivity persist. Ensuring that these digital tools are culturally relevant, user-friendly and available to diverse populations is crucial for improving patient care and engagement. This study aims to systematically review mobile applications designed for tracking endometriosis symptoms, with a focus on content quality, inclusivity and functionality. The objective is to identify gaps in existing apps and provide recommendations for developing more inclusive digital health solutions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      This study follows a systematic review methodology proposed by Gasteiger\n                      <jats:italic>et al.<\/jats:italic>\n                      The research process consists of seven steps, including defining research questions, identifying relevant applications, determining eligibility criteria, selecting and analysing apps and synthesising results. The apps will be sourced from the Apple App Store and Google Play Store via predefined search strategies. The evaluation criteria include content accuracy, usability, inclusivity, privacy protection and adherence to evidence-based medical guidelines. Data extraction focuses on app characteristics, including language availability, user accessibility, evidence-based symptom tracking and adherence to health equity principles. The Mobile App Rating Scale will be used to assess usability, functionality, aesthetics and information quality. The findings will be systematically compared to identify strengths, limitations and areas for improvement in existing applications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This systematic review of applications offers an overview of available apps that can be downloaded in Switzerland. Furthermore, it will present a detailed analysis of those that are specifically geared towards symptom tracking and will evaluate the level of evidence-based content, inclusivity, data protection and quality. A key strength of this review is its multidisciplinary approach, which involves engaging experts in healthcare, digital technology, inclusivity and individuals with lived experiences with endometriosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>Approval from an ethics committee is not required. Data and material will be available on request from the authors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-103140","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T10:50:44Z","timestamp":1760093444000},"page":"e103140","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Symptom tracking for endometriosis: a systematic review protocol for mobile applications focused on content, inclusivity and features"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8411-4181","authenticated-orcid":false,"given":"Claudia","family":"Ortoleva Bucher","sequence":"first","affiliation":[{"name":"School of Health Sciences Fribourg, HES-SO University of Applied Sciences and Arts Western Switzerland, Fribourg, Switzerland"},{"name":"La Source School of Nursing Sciences, University of Applied Sciences and Arts Western Switzerland, Lausanne, Vaud, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Line Aude","family":"Martin","sequence":"additional","affiliation":[{"name":"School of Health Sciences Fribourg, HES-SO University of Applied Sciences and Arts Western Switzerland, Fribourg, Switzerland"},{"name":"La Source School of Nursing Sciences, University of Applied Sciences and Arts Western Switzerland, Lausanne, Vaud, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessio","family":"De Santo","sequence":"additional","affiliation":[{"name":"HEG Arc, HES-SO University of Applied Sciences Western Switzerland, Neuch\u00e2tel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Pluchino","sequence":"additional","affiliation":[{"name":"D\u00e9partement Femme-M\u00e8re-Enfant, Lausanne University Hospital, Lausanne, VD, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Rio","sequence":"additional","affiliation":[{"name":"HES Arc, HES-SO University of Applied Sciences Western Switzerland, Neuch\u00e2tel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,10,10]]},"reference":[{"key":"2025120415062593000_15.10.e103140.1","doi-asserted-by":"crossref","first-page":"295","DOI":"10.52054\/FVVO.13.4.036","article-title":"An International Terminology for Endometriosis, 2021","volume":"13","author":"Tomassetti","year":"2021","journal-title":"Facts Views Vis 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