EHealth technologies have been increasingly used to foster proactive self-management skills for patients with chronic diseases. However, it is challenging to provide each user with their desired support due to the dynamic and diverse nature of the chronic disease and its impact on users. Many such eHealth applications support aspects of “adaptive user interfaces”—interfaces that change or can be changed to accommodate the user and usage context differences. To identify the state of the art in adaptive user interfaces in the field of chronic diseases, we systematically located and analysed 48 key studies in the literature with the aim of categorising the key approaches used to date and identifying limitations, gaps, and trends in research. Our data synthesis is based on the data sources used for interface adaptation, the data collection techniques used to extract the data, the adaptive mechanisms used to process the data, and the adaptive elements generated at the interface. The findings of this review will aid researchers and developers in understanding where adaptive user interface approaches can be applied and necessary considerations for employing adaptive user interfaces to different chronic disease-related eHealth applications.

Mobile Health (mHealth) applications have demonstrated considerable potential in supporting chronic disease self-management; however, they remain underutilized due to low engagement, limited accessibility, and poor long-term adherence. These issues are particularly prominent among users with chronic disease, whose needs and capabilities vary widely. To address this, Adaptive User Interfaces (AUIs) offer a dynamic solution by tailoring interface features to users’ preferences, health status, and contexts. This article presents a two-stage study to develop and validate actionable AUI design guidelines for mHealth applications. In stage one , an AUI prototype was evaluated through focus groups, interviews, and a standalone survey, revealing key user challenges and preferences. These insights informed the creation of an initial set of guidelines. In stage two , the guidelines were refined based on feedback from 20 end users and evaluated by 43 software practitioners through two surveys. This process resulted in nine finalized guidelines. To assess real-world relevance, a case study of four mHealth applications was conducted, with findings supported by user reviews highlighting the utility of the guidelines in identifying critical adaptation issues. This study offers actionable, evidence-based guidelines that help software practitioners design AUI in mHealth to better support individuals managing chronic diseases.

MHealth interventions hold promise for supporting the self-management of chronic diseases, yet their limited utilisation remains a problem. Given the significant variability among individuals with chronic diseases, tailored approaches are imperative. Adaptive User Interfaces (AUIs) may help to address the diverse and evolving needs of this demographic. To investigate this approach, we developed an AUI prototype informed by existing literature and used it as the basis for a focus group and interview study involving 22 participants. Concurrently, a quantitative survey was carried out to extract preferences for AUIs in chronic disease related applications with 90 participants. Our findings reveal that user engagement with AUIs is influenced by individual capabilities and disease severity. Additionally, we explore user preferences for AUIs, expanding the adaptation literature by uncovering usage challenges, proposing practical strategies for enhanced AUI design, and acknowledging potential trade-offs between usability and adaptation. Lastly, we present design considerations for AUIs in chronic disease applications, aiming to prevent user overload and maintain critical software functionality and usability aspects.

The COVID-19 pandemic changed the way we live, work and the way we conduct research. With the restrictions of lockdowns and social distancing, various impacts were experienced by many software engineering researchers, especially whose studies depend on human participants. We conducted a mixed methods study to understand the extent of this impact. Through a detailed survey with 89 software engineering researchers working with human participants around the world and a further nine follow-up interviews, we identified the key challenges faced, the adaptations made, and the surprising fringe benefits of conducting research involving human participants during the pandemic. Our findings also revealed that in retrospect, many researchers did not wish to revert to the old ways of conducting human-orienfted research. Based on our analysis and insights, we share recommendations on how to conduct remote studies with human participants effectively in an increasingly hybrid world when face-to-face engagement is not possible or where remote participation is preferred.