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End-Users Knowledge and Perception about Security of Mobile Health Apps: An Empirical Study

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 Added by Bakheet Aljedaani
 Publication date 2021
and research's language is English




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Mobile health applications (mHealth apps for short) are being increasingly adopted in the healthcare sector, enabling stakeholders such as governments, health units, medics, and patients, to utilize health services in a pervasive manner. Despite having several known benefits, mHealth apps entail significant security and privacy challenges that can lead to data breaches with serious social, legal, and financial consequences. This research presents an empirical investigation about security awareness of end-users of mHealth apps that are available on major mobile platforms, including Android and iOS. We collaborated with two mHealth providers in Saudi Arabia to survey 101 end-users, investigating their security awareness about (i) existing and desired security features, (ii) security related issues, and (iii) methods to improve security knowledge. Findings indicate that majority of the end-users are aware of the existing security features provided by the apps (e.g., restricted app permissions); however, they desire usable security (e.g., biometric authentication) and are concerned about privacy of their health information (e.g., data anonymization). End-users suggested that protocols such as session timeout or Two-factor authentication (2FA) positively impact security but compromise usability of the app. Security-awareness via social media, peer guidance, or training from app providers can increase end-users trust in mHealth apps. This research investigates human-centric knowledge based on empirical evidence and provides a set of guidelines to develop secure and usable mHealth apps.



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Mobile systems offer portable and interactive computing, empowering users, to exploit a multitude of context-sensitive services, including mobile healthcare. Mobile health applications (i.e., mHealth apps) are revolutionizing the healthcare sector by enabling stakeholders to produce and consume healthcare services. A widespread adoption of mHealth technologies and rapid increase in mHealth apps entail a critical challenge, i.e., lack of security awareness by end-users regarding health-critical data. This paper presents an empirical study aimed at exploring the security awareness of end-users of mHealth apps. We collaborated with two mHealth providers in Saudi Arabia to gather data from 101 end-users. The results reveal that despite having the required knowledge, end-users lack appropriate behaviour , i.e., reluctance or lack of understanding to adopt security practices, compromising health-critical data with social, legal, and financial consequences. The results emphasize that mHealth providers should ensure security training of end-users (e.g., threat analysis workshops), promote best practices to enforce security (e.g., multi-step authentication), and adopt suitable mHealth apps (e.g., trade-offs for security vs usability). The study provides empirical evidence and a set of guidelines about security awareness of mHealth apps.
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