BACKGROUND
User experience and engagement are critical to mental health apps’ abilities to support users. However, limited work has examined the relationship between user experience, engagement, and app popularity. Given that apps vary immensely in their popularity, understanding why some mental health apps are more appealing or engaging to users can inform efforts to develop better apps.
OBJECTIVE
We aimed to examine relationships between user experience, engagement, and popularity. To do so, we examined links between subjective measures of user experience and objective measures of app popularity and engagement.
METHODS
We conducted a pre-registered secondary data analysis in a sample of 56 mental health apps. To measure user experience, we used expert ratings on the Mobile App Rating Scale (MARS) and consumer ratings from the Apple app store and Google Play app store. To measure engagement, we acquired estimates of measures of monthly active users (MAU) and user retention. To measure app popularity, we used download count, total app revenue, and MAU again.
RESULTS
MARS total score was significantly and positively correlated with app-level revenue (T=0.30, P=.002), MAU (T= 0.39, P<.001), and downloads (T=0.41, P<.001). However, neither the MARS total score nor any of its subscales (Engagement, Functionality, Aesthetics, nor Information) were significantly correlated with user retention 1, 7, or 30 days after downloading. Also, MARS total score was not significantly correlated with app store rating.
CONCLUSIONS
Popular mental health apps receive better ratings of user experience than less popular ones. However, user experience (as operationalized by the MARS) does not predict sustained engagement with mental health apps. Collaboration between industry and academic teams may better advance a science of engagement and help to make mental health apps more effective and appealing.