A Glance to Develop an Emotional-Persuasive Habit-Change Support Mobile Application for Heart Disease Patients (BeHabit)

Document Type : Research Paper


School of Computer Sciences, University Sains Malaysia, 11800 Minden, Penang, Malaysia.


Heart disease is stated as the world's biggest killer. The risk factors of this deadly disease are due to some bad habits such as being overweight, bad eating diet, smoking, assumption of alcohol, etc. Nevertheless, patients can live a healthy lifestyle if they have the proper guidance of persuasive-emotional featured technologies. In line with this, this study focuses on developing an emotional-persuasive habit-change support mobile application called BeHabit to improve heart disease patients’ lifestyles. Persuasive-emotional features are two different features that are integrated with BeHabit to distinguish this application from the existing ones. The proposed system is designed, implemented, tested, and evaluated by 10 users. In conclusion, the users are satisfied to used BeHabit to change their bad habits. Emotional and persuasive features that are integrated into BeHabit are the key to help patients to change their bad habits. BeHabit and the integrated feature can be used as a guideline for healthcare developers and providers for the improvement of mHealth services.


 Ahmad, Z., Blin, J., & Mohtarrudin, N. (2020). Cardiac related mortality trends in forensic department of Hospital Serdang, Selangor, Malaysia. Malaysian Journal of Medicine and Health Sciences, 16(SUPP9), 64-68. 
App Store. (2019a). Azumio Inc, ‎Instant Heart Rate: HR Monitor. Retrieved 28 October 2019 from https://apps.apple.com/us/app/instant-heart-rate-hr-monitor/id409625068 
App Store. (2019b). Cardiio, Inc, Cardiio: Heart Rate Monitor. Retrieved 28 October 2019 from https://apps.apple.com/us/app/cardiio-heart-rate-monitor/id542891434
App Store. (2019c). Fitdigits Inc, ‎iCardio Workout Tracker. Retrieved 28 October 2019 from https://apps.apple.com/us/app/icardio-workout-tracker/id314841648
Caldeira, C., Chen, Y., Chan, L., Pham, V., Chen, Y., & Zheng, K. (2017). Mobile apps for mood tracking: an analysis of features and user reviews. AMIA Annual Symposium Proceedings, 
Clark, R. A., Inglis, S. C., McAlister, F. A., Cleland, J. G., & Stewart, S. (2007). Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis. Bmj, 334(7600), 1-9. https://doi.org/10.1136/bmj.39156.536968.55 
Fogg, B. J. (1998). Persuasive computers: perspectives and research directions Proceedings of the SIGCHI conference on Human factors in computing systems, Los Angeles, California, USA. 
Fuezeki, E., Engeroff, T., & Banzer, W. (2017). Health benefits of light-intensity physical activity: a systematic review of accelerometer data of the National Health and Nutrition Examination Survey (NHANES). Sports Medicine, 47(9), 1769-1793. https://doi.org/10.1007/s40279-017-0724-0 
Gersh, B. J., Simari, R. D., Behfar, A., Terzic, C. M., & Terzic, A. (2009). Cardiac cell repair therapy: a clinical perspective. Mayo Clinic Proceedings, 
Google Play. (2019a). iCardio Workout Tracker & Heart Rate Trainer Retrieved 28 October 2019 from https://play.google.com/store/apps/details?id=com.fitdigits.icardio.app&hl=en
Google Play. (2019b). Instant Heart Rate: HR Monitor & Pulse Checker. Retrieved 28 October 2019 from https://play.google.com/store/apps/details?id=si.modula.android.instantheartrate&hl=en
Keikhosrokiani, P. (2019a). Chapter 4 - Behavioral intention to use of Mobile Medical Information System (mMIS). In Perspectives in the Development of Mobile Medical Information Systems: Life Cycle, Management, Methodological Approach and Application (pp. 57-57). Academic Press. 
Keikhosrokiani, P. (2019b). Chapter 6 - Emotional-persuasive and habit-change assessment of mobile medical information Systems (mMIS). In Perspectives in the Development of Mobile Medical Information Systems: Life Cycle, Management, Methodological Approach and Application (pp. 101-109). Academic Press. 
Keikhosrokiani, P. (2019c). Perspectives in the Development of Mobile Medical Information Systems: Life Cycle, Management, Methodological Approach and Application. Academic Press. 
Keikhosrokiani, P., Mustaffa, N., & Zakaria, N. (2018). Success factors in developing iHeart as a patient-centric healthcare system: A multi-group analysis. Telematics and Informatics, 35(4), 753-775. https://doi.org/10.1016/j.tele.2017.11.006 
Keikhosrokiani, P., Mustaffa, N., Zakaria, N., & Abdullah, R. (2019). Assessment of a medical information system: the mediating role of use and user satisfaction on the success of human interaction with the mobile healthcare system (iHeart). Cognition, Technology & Work, 1-25. 
Keikhosrokiani, P., Mustaffa, N., Zakaria, N., & Baharudin, A. S. (2019). User behavioral intention toward using mobile healthcare system. In Consumer-driven technologies in healthcare: breakthroughs in research and practice (Management Association ed., pp. 429-444). IGI Global. https://doi.org/10.4018/978-1-5225-6198-9.ch022 
Keikhosrokiani, P., Mustaffa, N., Zakaria, N., & Sarwar, M. I. (2012). A proposal to design a Location-based Mobile Cardiac Emergency System (LMCES). Stud Health Technol Inform, 182, 83-92. 
Keikhosrokiani, P., Zakaria, N., Mustaffa, N., & Venkat, I. (2014). Study of the effective factors in Mobile health-care success: sociotechnical perspective. mHealth Multidisciplinary Verticals, 237. 
Keikhosrokiani, P., Zakaria, N., Mustaffa, N., Wan, T.-C., Sarwar, M. I., & Azimi, K. (2015). Wireless networks in mobile healthcare. In Mobile Health (pp. 687-726). Springer. 
Lee, H., Aman, A., Kamaruddin, K., Ali, A., & Yusof, H. (2020). Ethnic differences on cardiovascular disease risk and quality of life in Selangor. Food Research, 4(4), 1272-1286. https://doi.org/10.26656/fr.2017.4(4).035 
Lehto, T., & Oinas-Kukkonen, H. (2011). Persuasive features in web-based alcohol and smoking interventions: a systematic review of the literature. Journal of medical Internet research, 13(3), e46. https://doi.org/10.2196/jmir.1559 
MedlinePlus. (2019). Being active when you have heart disease: MedlinePlus Medical Encyclopedia. Retrieved 30 November 2019 from https://medlineplus.gov/ency/patientinstructions/000094.htm
Nilsen, W., Kumar, S., Shar, A., Varoquiers, C., Wiley, T., Riley, W. T., Pavel, M., & Atienza, A. A. (2012). Advancing the science of mHealth. Journal of health communication, 17(sup1), 5-10. https://doi.org/10.1080/10810730.2012.677394 
World Health Organization. (2020). The top 10 causes of death. Retrieved 15 December 2020 from https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death.