Adapting and psychometrically testing the mobile health app usability questionnaire for older adults in primary care

This study aimed to adapt and psychometrically test the mHealth app usability Questionnaire (MAUQ) for older adults in primary care settings. It was conducted in three phases: translation and cross-cultural adaptation with the addition of two items on older adults' use of health maintenance organization apps. Also, content and face validity assessment, and psychometric validation, through a cross-sectional study of 225 participants aged 65+ using digital health services. The adapted questionnaire yielded a three-factor solution: app utilization, ease of use, and usefulness. Confirmatory factor analysis demonstrated good fit indices (CFI = 0.975, TLI = 0.957, RMSEA = 0.07). Internal consistency was strong with Cronbach's alpha of 0.96, and each factor contributed significantly. Concurrent validity was supported by fair and moderate to strong correlations with eHealth literacy (r = 0.42 for ease of use, r = 0.45 for usefulness, and r = 0.52 for app utilization). The adapted Hebrew version of the MAUQ is a valid and reliable tool for evaluating usability challenges, particularly self-efficacy and app utilization, among older adults using mHealth apps in primary care settings.