{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T21:18:02Z","timestamp":1790543882102,"version":"4.1.0"},"reference-count":39,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T00:00:00Z","timestamp":1518480000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"The Region of Southern Denmark"},{"name":"Patient@home"},{"name":"The Danish Osteoporosis Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>mHealth is a useful tool to improve health outcome within chronic disease management. However, mHealth is not implemented in the field of postmenopausal osteoporosis even though it is a major worldwide health challenge. Therefore, this study aims to design and develop an mHealth app to support women in self-management of osteoporosis when they are diagnosed without preceding fractures. Participatory design is conducted in three phases. Based on identified needs in the first phase, a prototype is designed and developed in an iterative process in the second phase before the mHealth app is tested in the third phase. This paper focuses on the user activities in phase two and describes how a team of researchers, women, physicians, healthcare professionals, and app designers are involved in the participatory design process. The study shows that participatory design is a viable approach when developing an mHealth app for women with asymptomatic osteoporosis. Results obtained from the workshops and laboratory tests demonstrate the importance of feedback from users in the iterative process, as well as the participation of users and app designers in workshops and laboratory tests to enable mutual learning when developing new mHealth solutions. The regular member-checks and involvement of users helped to identify challenges associated with providing healthcare services through an app.<\/jats:p>","DOI":"10.3390\/ijerph15020330","type":"journal-article","created":{"date-parts":[[2018,2,13]],"date-time":"2018-02-13T14:23:48Z","timestamp":1518531828000},"page":"330","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Development of an mHealth Application for Women Newly Diagnosed with Osteoporosis without Preceding Fractures: A Participatory Design Approach"],"prefix":"10.3390","volume":"15","author":[{"given":"Pernille","family":"Ravn Jakobsen","sequence":"first","affiliation":[{"name":"Center for Innovative Medical Technology, Odense University Hospital, 5000 Odense C, Denmark"},{"name":"Institute of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, 5000 Odense C, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Hermann","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Odense University Hospital, 5000 Odense C, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens","family":"S\u00f8ndergaard","sequence":"additional","affiliation":[{"name":"Department of Public Health, Research Unit of General Practice, University of Southern Denmark, 5000 Odense C, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6898-4083","authenticated-orcid":false,"given":"Uffe","family":"Wiil","sequence":"additional","affiliation":[{"name":"Center for Innovative Medical Technology, Odense University Hospital, 5000 Odense C, Denmark"},{"name":"SDU Health Informatics and Technology, The Maersk Mc-Kinney Moller Institute, University of Southern Denmark, 5230 Odense M, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6127-1010","authenticated-orcid":false,"given":"Jane","family":"Clemensen","sequence":"additional","affiliation":[{"name":"Center for Innovative Medical Technology, Odense University Hospital, 5000 Odense C, Denmark"},{"name":"Institute of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, 5000 Odense C, Denmark"},{"name":"HC Andersen Children\u2019s Hospital, Odense University Hospital, 5000 Odense C, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2018,2,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Hood, M., Wilson, R., Corsica, J., Bradley, L., Chirinos, D., and Vivo, A. 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