TY - JOUR AU - Stragier, Jeroen AU - Vandewiele, Gilles AU - Coppens, Paulien AU - Ongenae, Femke AU - Van den Broeck, Wendy AU - De Turck, Filip AU - De Marez, Lieven PY - 2019 DA - 2019/06/07 TI - Data Mining in the Development of Mobile Health Apps: Assessing In-App Navigation Through Markov Chain Analysis JO - J Med Internet Res SP - e11934 VL - 21 IS - 6 KW - eHealth KW - mHealth KW - Markov Chain KW - log data KW - data analytics AB - Background: Mobile apps generate vast amounts of user data. In the mobile health (mHealth) domain, researchers are increasingly discovering the opportunities of log data to assess the usage of their mobile apps. To date, however, the analysis of these data are often limited to descriptive statistics. Using data mining techniques, log data can offer significantly deeper insights. Objective: The purpose of this study was to assess how Markov Chain and sequence clustering analysis can be used to find meaningful usage patterns of mHealth apps. Methods: Using the data of a 25-day field trial (n=22) of the Start2Cycle app, an app developed to encourage recreational cycling in adults, a transition matrix between the different pages of the app was composed. From this matrix, a Markov Chain was constructed, enabling intuitive user behavior analysis. Results: Through visual inspection of the transitions, 3 types of app use could be distinguished (route tracking, gamification, and bug reporting). Markov Chain–based sequence clustering was subsequently used to demonstrate how clusters of session types can otherwise be obtained. Conclusions: Using Markov Chains to assess in-app navigation presents a sound method to evaluate use of mHealth interventions. The insights can be used to evaluate app use and improve user experience. SN - 1438-8871 UR - https://www.jmir.org/2019/6/e11934/ UR - https://doi.org/10.2196/11934 UR - http://www.ncbi.nlm.nih.gov/pubmed/31237838 DO - 10.2196/11934 ID - info:doi/10.2196/11934 ER -