Adult obesity is a significant health problem, with nearly a quarter of Hungarian citizens aged 15 years and older being obese in 2019 (KSH, 2019a). The use of mobile devices for health purposes is increasing, and many m-health apps target weight-related behaviours. This study uniquely examines the effectiveness and user satisfaction of health-oriented apps among Hungarian adults, with a focus on health improvement. Using a mixed-methods approach, the study identifies six key determinants of health improvement and refines measurement tools by modifying existing parameters and introducing new constructs. The principal objective was to develop a measurement instrument for the usability of nutrition, relaxation and health promotion applications. The research comprised three phases: (1) qualitative content analysis of 13 app reviews conducted in June 2022; (2) focus group interviews involving 32 students from the fields of business, economics and health management; and (3) an online survey (n = 348 users) conducted in December 2023 that included Strava (105 users), Yazio (109 users) and Calm (134 users). Six factors were identified as determinants of health improvement: physical activity, diet, weight loss, general well-being, progress, and body knowledge. The LAUQ (Lifestyle Application Usability Questionnaire) scale was validated, including ‘ease of use’ (5 items), ‘interface and satisfaction’ (7 items) and ‘modified usefulness and effectiveness’ (9 items), with modifications based on qualitative findings. This research offers valuable insights into the factors influencing health improvement and user satisfaction with healthy lifestyle-oriented applications. It also contributes to the refinement of measurement tools such as the LAUQ, which will inform future studies in health psychology, digital health, and behavioural economics.

The prospects of digital infrastructure in promoting rural economic growth and development are by and large immense. The paper found that rural development is considerably important for economic development and for achievement of sustainable livelihoods that increases people’s ability to achieve good health and wellbeing that enable the achievement of sustainable development. The paper found that digital imbalance and digital illiteracy in the rural areas hinder implementation of digital infrastructure to lead to rural economic growth. Digital infrastructure is the source of economic opportunities that enables local people in the rural areas to be more creative in achieving development success. It enables them to have a unique sense of place and fashioning of vibrant economic and financial opportunities that ensure the achievement of sustainable rural economic development. However, the paper found that the application of digital infrastructure to South Africa’s rural areas in the bid to promote rural economic growth has been hindered by factors like the digital divide, financial constraints, digital illiteracy and the failure to own a smart phone. These factors hinder digital infrastructure from leading to sustainable rural economic development and growth. The paper used secondary data gathered from existing literature. The use of qualitative research methodology and document and content analysis techniques became vital in the process of collecting and analyzing collected data.

The effectiveness of frailty intervention programs for older adults in Korean communities has been inconsistent, posing challenges for public health nurses (PHNs). This study aims to develop an evidence-based intervention using the Intervention Mapping (IM) Protocol. The program followed the IM Protocol’s six steps, which provide a systematic method for developing and implementing theory-based health promotion programs. In Step 1, the needs of the subjects were identified through systematic review and interviews. In Step 3, the theme of the program was established as ‘health promotion for frail older adults’, and the components and scope were confirmed. The contents of the program included concepts of social support and social networks. In Step 4, after conducting a pilot test, the results were reflected and modifications were made. In Step 6, the evaluation tool was revised, and an effective evaluation plan was established. The final program was designed based on the program and interview results. The pilot test in Step 4 involved a one-group pretest-posttest and focus group interview with 15 pre-frail older adults. The IM Protocol-based health promotion program effectively addressed the needs of the subjects and improved frailty issues.

The purpose of the study was to examine the role of personalization in motivating senior citizens to use AI driven fitness apps. Vroom’s expectancy theory of motivation was applied to examine the motivation of senior citizens. The responses from participants were collected through structured interviews. The participants belonged to South Asian origin belonging to India, Bangladesh, Nepal and Bhutan. The authors adopted a content analysis approach where the gathered interview responses were coded in the context of elements of Vroom’s theory. The findings of the study indicated that a highly personalized approach in the context of motivation, expectancy, instrumentality and valence will motivate senior citizens to use AI based fitness apps. The study contributes to the personalization of AI fitness apps for senior citizens.

The rapid advancement of information and communication technology has greatly facilitated access to information across various sectors, including healthcare services. This digital transformation demands enhanced knowledge and skills among healthcare providers, particularly in comprehensive midwifery care. However, midwives in rural areas face numerous challenges such as limited resources, cultural factors, knowledge disparities, geographic conditions, and technological adoption. This research aims to evaluate the impact of AI utilization on midwives’ knowledge and behavior to optimize the implementation of healthcare services in accordance with Delima Midwife Service standards in rural settings. The analysis encompasses competencies, characteristics, information systems, learning processes, and health examinations conducted by midwives in adopting AI. The research methodology employs a cross-sectional approach involving 413 rural midwives selected proportionally. Results from Partial Least Squares Structural Equation Modeling indicate that all reflective evaluation variables meet the required criteria. Fornell-Larcker criterion demonstrates that the square root of AVE is greater than other variables. The primary findings reveal that information systems (0.029) and midwives’ competencies (0.033) significantly influence AI utilization. Furthermore, midwives’ competencies (0.002), characteristics (0.031), and AI utilization (0.011) also significantly impact midwives’ knowledge and behavior. Midwives’ characteristics also significantly affect their competencies (0.000), while midwives’ learning influences health examinations (0.000). Midwives’ knowledge and behavior affect the transformation of healthcare services in rural midwifery (0.022). The model fit results in a value of 0.097, empirically supporting the explanation of relationships among variables in the model and meeting the established linearity test.