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Currently accepted at: JMIR Formative Research

Date Submitted: Sep 27, 2019
Open Peer Review Period: Sep 27, 2019 - Nov 11, 2019
Date Accepted: Nov 11, 2019
(closed for review but you can still tweet)

This paper has been accepted and is currently in production.

It will appear shortly on 10.2196/16424

The final accepted version (not copyedited yet) is in this tab.

Development and assessment of Mozzify app: an integrated mHealth for Dengue reporting and mapping, health communication and behavior modification




Dengue fever (DF), the world’s most rapidly spreading mosquito-borne disease, causes approximately 50 million cases a year, putting an estimated 2.5 billion people at risk in 128 countries. For the last 10 years, mobile phones have provided the global health community with innovative and cost-effective strategies to address the challenges in the prevention and management of DF.


In this paper, we have introduced and described the design and development process of Mozzify, an integrated mobile health (mHealth) application that features real-time DF cases reporting and mapping system, health communication (real-time reporting and mapping of DF cases, real-time worldwide news and chat forum (timeline), within-app educational videos, local and international health agencies websites and interactive signs and symptoms checker and hospital directions system), and behavior modification (reminders alert program on the preventive practices against DF). We also sought to assess Mozzify in terms of engagement and information-sharing abilities, functionality, aesthetic, subjective quality and perceived impact.


We have developed and designed a mobile application, Mozzify, which main goals were to increase awareness, knowledge and attitude on DF, increase healthcare-seeking behavior and increase intention to change behavior on preventive practices against DF among users. It was initially assessed using the Mobile Application Rating Scale (MARS), among 50 purposively sampled individuals which were consisted of public health experts (PHE) (n = 5), environment and health-related researchers (EHR) (n = 23) and non-clinical (end-users) (n = 22) participants.


High acceptability and excellent satisfaction ratings (≥4.0 mean scores out of 5) based from the MARS subscales indicate that the app has excellent user design, functionality, usability, engagement, and contains relevant information system, app subjective and specific quality among PHE, HER and end-users. Some issues and suggestions were raised during the focus group and individual discussions on the availability of the app in Android; language options limitations, provision on predictive surveillance, and inclusion of other mosquito-borne diseases.


We have learned that, Mozzify can be a promising integrated strategic health intervention system in DF cases reporting and mapping system, raising knowledge, awareness and attitude and disseminating and sharing information on DF among general population and health experts and can be an effective aid in the successful translation of knowledge on preventive measures against DF to practice.


Please cite as:


Development and assessment of Mozzify app: an integrated mHealth for Dengue reporting and mapping, health communication and behavior modification

JMIR Formative Research. (forthcoming/in press)

DOI: 10.2196/preprints.16424


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