User experiences with a mobile health app for self-management of diabetes and hypertension in Ghana: a qualitative study

Background: Cardio-metabolic disorders like diabetes and hypertension are increasingly common in low- and middle-income countries, including Ghana, straining healthcare systems. Mobile health (mHealth) applications offer potential for improving remote monitoring, patient engagement, and communication with providers. However, their implementation in Ghana remains limited and complex. This study explored user experiences with an mHealth app for self-managing diabetes and hypertension, and its perceived impact on care quality. Methods: A qualitative study was conducted with 20 participants from two healthcare facilities in Ghana using an mHealth app to manage diabetes or hypertension. In-depth interviews, guided by the Technology Acceptance Model (TAM), were audio-recorded, transcribed, and analyzed using thematic analysis. Results: Participants reported that the app improved self-management, care coordination, and communication with providers. Valued features included medication reminders, appointment scheduling, and health monitoring, which fostered empowerment and engagement. The app also promoted healthier lifestyle choices. However, challenges such as data security concerns, mobile phone literacy, poor internet access, and data costs were noted. Conclusion: mHealth apps can enhance self-management and perceived care quality by supporting patient engagement and provider communication. To maximize their impact, challenges around digital literacy, connectivity, and data security must be addressed. Policymakers should promote secure, equitable, and sustainable integration of mHealth technologies into the healthcare system.