{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T01:41:03Z","timestamp":1773279663202,"version":"3.50.1"},"reference-count":40,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2017,3,17]],"date-time":"2017-03-17T00:00:00Z","timestamp":1489708800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Wellness is one of the main factors crucial in the avoidance of illness or disease. Experience has shown that healthy lifestyle programs are an important strategy to prevent the major shared risk factors for many diseases including cardiovascular diseases, strokes, diabetes, obesity, and hypertension. Within the ambit of the Smart Health 2.0 project, a Wellness App has been developed which has the aim of providing people with something similar to a personal trainer. This Wellness App is able to gather information about the subject, to classify her\/him by evaluating some of her\/his specific characteristics (physical parameters and lifestyle) and to make personal recommendations to enhance her\/his well-being. The application can also give feedback on the effectiveness of the specified characteristics by monitoring their evolution over time, and can provide a positive incentive to stimulate the subject to achieve her\/his wellness goals. In this paper, we present a pilot study conducted in Calabria, a region of Italy, aimed at an evaluation of the validity, usability, and navigability of the app, and of people\u2019s level of satisfaction with it. The preliminary results show an average score of 77.16 for usability and of 76.87 for navigability, with an improvement of the Wellness Index with a significance average of 95% and of the Mediterranean Adequacy Index with a significance average of as high as 99%.<\/jats:p>","DOI":"10.3390\/s17030611","type":"journal-article","created":{"date-parts":[[2017,3,17]],"date-time":"2017-03-17T11:22:56Z","timestamp":1489749776000},"page":"611","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["A Wellness Mobile Application for Smart Health: Pilot Study Design and Results"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7856-8761","authenticated-orcid":false,"given":"Giovanna","family":"Sannino","sequence":"first","affiliation":[{"name":"Institute of High Performance Computing and Networking (ICAR) of National Research Council (CNR), 80131 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manolo","family":"Forastiere","sequence":"additional","affiliation":[{"name":"NEATEC S.p.A., Pozzuoli, 80078 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"De Pietro","sequence":"additional","affiliation":[{"name":"Institute of High Performance Computing and Networking (ICAR) of National Research Council (CNR), 80131 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2017,3,17]]},"reference":[{"key":"ref_1","unstructured":"Jenkins, C.D. (2003). Building Better Health: A Handbook of Behavioral Change, Pan American Health Organization."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1348\/135910709X466180","article-title":"Self-reported health, self-reported fitness, and all-cause mortality: Prospective cohort study","volume":"15","author":"Phillips","year":"2010","journal-title":"Br. J. Health Psychol."},{"key":"ref_3","unstructured":"World Health Organization (2014). Physical Inactivity: A Global Public Health Problem, World Health Organization."},{"key":"ref_4","unstructured":"World Health Organization (2009). 2008\u20132013 Action Plan for the Global Strategy for the Prevention and Control of Noncommunicable Diseases: Prevent and Control Cardiovascular Diseases, Cancers, Chronic Respiratory Diseases and Diabetes, World Health Organization."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.inffus.2014.03.005","article-title":"A framework for collaborative computing and multi-sensor data fusion in body sensor networks","volume":"22","author":"Fortino","year":"2015","journal-title":"Inf. Fusion"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1109\/TSMCC.2012.2215852","article-title":"Enabling effective programming and flexible management of efficient body sensor network applications","volume":"43","author":"Fortino","year":"2013","journal-title":"IEEE Trans. Hum. Mach. Syst."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.inffus.2016.09.005","article-title":"Multi-sensor fusion in body sensor networks: State-of-the-art and research challenges","volume":"35","author":"Gravina","year":"2017","journal-title":"Inf. Fusion"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1109\/THMS.2014.2320277","article-title":"Power-aware activity monitoring using distributed wearable sensors","volume":"44","author":"Ghasemzadeh","year":"2014","journal-title":"IEEE Trans. Hum. Mach. Syst."},{"key":"ref_9","unstructured":"Smart Health 2.0. Available online: http:\/\/www.smarthealth2.com\/."},{"key":"ref_10","unstructured":"Forastiere, M., de Pietro, G., and Sannino, G. (2016). Innovation in Medicine and Healthcare 2016, Springer."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e126","DOI":"10.2196\/jmir.1923","article-title":"CONSORT-EHEALTH: Improving and standardizing evaluation reports of Web-based and mobile health interventions","volume":"13","author":"Eysenbach","year":"2011","journal-title":"J. Med. Internet Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e39","DOI":"10.2196\/resprot.4285","article-title":"The use of virtual world-based cardiac rehabilitation to encourage healthy lifestyle choices among cardiac patients: Intervention development and pilot study protocol","volume":"4","author":"Brewer","year":"2015","journal-title":"JMIR Res. Protoc."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e36","DOI":"10.2196\/resprot.4008","article-title":"Determinants of weight gain prevention in young adult and midlife women: Study design and protocol of a randomized controlled trial","volume":"4","author":"Metzgar","year":"2015","journal-title":"JMIR Res. Protoc."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e7586","DOI":"10.1136\/bmj.e7586","article-title":"SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials","volume":"346","author":"Chan","year":"2013","journal-title":"BMJ"},{"key":"ref_15","first-page":"e229","article-title":"Mobile medical and health apps: State of the art, concerns, regulatory control and certification","volume":"5","author":"Boulos","year":"2014","journal-title":"Online J. Public Health Inform."},{"key":"ref_16","unstructured":"Asselin, R., Ortiz, G., Pui, J., Smailagic, A., and Kissling, C. (2005, January 6\u201310). Implementation and evaluation of the personal wellness coach. Proceedings of the 25th IEEE International Conference on Distributed Computing Systems Workshops, Columbus, OH, USA."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Consolvo, S., McDonald, D.W., Toscos, T., Chen, M.Y., Froehlich, J., Harrison, B., Klasnja, P., LaMarca, A., LeGrand, L., and Libby, R. (2008, January 5\u201310). Activity sensing in the wild: A field trial of ubifit garden. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, Florence, Italy.","DOI":"10.1145\/1357054.1357335"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Sannino, G., and de Pietro, G. (2011, January 6\u20138). An evolved ehealth monitoring system for a nuclear medicine department. Proceedings of the Developments in E-systems Engineering (DeSE), Dubai, UAE.","DOI":"10.1109\/DeSE.2011.67"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.amjmed.2015.05.038","article-title":"Smartphone applications for patients\u2019 health and fitness","volume":"129","author":"Higgins","year":"2016","journal-title":"Am. J. Med."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Kos, A., Toma\u017ei\u010d, S., and Umek, A. (2016). Suitability of smartphone inertial sensors for real-time biofeedback applications. Sensors, 16.","DOI":"10.3390\/s16030301"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1037\/0278-6133.27.3.379","article-title":"A taxonomy of behavior change techniques used in interventions","volume":"27","author":"Abraham","year":"2008","journal-title":"Health Psychol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1186\/s12966-014-0097-9","article-title":"Apps to promote physical activity among adults: A review and content analysis","volume":"11","author":"Middelweerd","year":"2014","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_23","unstructured":"Zephyr Techonology (2016). New Zephyr BioPatch Monitoring Device for Human Performance, Zephyr Techonology."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Sannino, G., Graziani, A., de Pietro, G., and Pratola, R. (2016, January 5\u20137). Wellness & LifeStyle Server: A platform for anthropometric and LifeStyle data analysis. Proceedings of the International Conference on P2P, Parallel, Grid, Cloud and Internet Computing, Asan, Korea.","DOI":"10.1007\/978-3-319-49109-7_32"},{"key":"ref_25","first-page":"1","article-title":"Volere","volume":"16","author":"Robertson","year":"2000","journal-title":"Requir. Specif. Templates"},{"key":"ref_26","first-page":"513","article-title":"The gross composition of the body","volume":"4","author":"Siri","year":"1956","journal-title":"Adv. Biol. Med. Phys."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1038\/sj.ejcn.1600865","article-title":"Dietary studies on two rural Italian population groups of the Seven Countries Study. 3. Trend of food and nutrient intake from 1960 to 1991","volume":"53","author":"Fidanza","year":"1999","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research","volume":"28","author":"Buysse","year":"1989","journal-title":"Psychiatry Res."},{"key":"ref_29","unstructured":"CN24 TV. Available online: http:\/\/www.cn24tv.it\/news\/116057\/controllare-il-proprio-stato-di-salute-con-un-app-nasce-health-2-0.html."},{"key":"ref_30","unstructured":"CrotoneInforma. Available online: http:\/\/www.crotoneinforma.it\/pgn\/news.php?id=6165#.Vd72U_ntmko."},{"key":"ref_31","unstructured":"Comune Cosenza, Available online: http:\/\/www.comune.cosenza.gov.it\/archivio10_notizie-e-comunicati_0_15502.html."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1079\/PHN2004557","article-title":"Mediterranean adequacy index of Italian diets","volume":"7","author":"Fidanza","year":"2004","journal-title":"Public Health Nutr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1093\/ajcn\/59.4.800","article-title":"Determinants of total daily energy expenditure: Variability in physical activity","volume":"59","author":"Rising","year":"1994","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1111\/j.1746-1561.2007.00229.x","article-title":"Physical education and physical activity: results from the School Health Policies and Programs Study 2006","volume":"77","author":"Lee","year":"2007","journal-title":"J. Sch. Health"},{"key":"ref_35","first-page":"90","article-title":"Applications of \u201cStudent\u2019s\u201d distribution","volume":"5","author":"Fisher","year":"1925","journal-title":"Metron"},{"key":"ref_36","first-page":"4","article-title":"SUS-A quick and dirty usability scale","volume":"189","author":"Brooke","year":"1996","journal-title":"Usability Eval. Ind."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1080\/10447310802205776","article-title":"An empirical evaluation of the system usability scale","volume":"24","author":"Bangor","year":"2008","journal-title":"Int. J. Hum. Comput. Interact."},{"key":"ref_38","first-page":"114","article-title":"Determining what individual SUS scores mean: Adding an adjective rating scale","volume":"4","author":"Bangor","year":"2009","journal-title":"J. Usability Stud."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Lewis, J.R., and Sauro, J. (2009, January 9\u201324). The factor structure of the system usability scale. Proceedings of the International Conference on Human Centered Design, San Diego, CA, USA.","DOI":"10.1007\/978-3-642-02806-9_12"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1109\/MPRV.2007.72","article-title":"Continua: An interoperable personal healthcare ecosystem","volume":"6","author":"Carroll","year":"2007","journal-title":"IEEE Pervasive Comput."}],"container-title":["Sensors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1424-8220\/17\/3\/611\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T18:30:39Z","timestamp":1760207439000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1424-8220\/17\/3\/611"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,17]]},"references-count":40,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2017,3]]}},"alternative-id":["s17030611"],"URL":"https:\/\/doi.org\/10.3390\/s17030611","relation":{},"ISSN":["1424-8220"],"issn-type":[{"value":"1424-8220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,17]]}}}