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Analysis of institutional authors

Grijalvo, MercedesCorresponding AuthorOrdieres-Mere, JoaquinAuthorUche-Soria, ManuelAuthorTabuenca, BernardoAuthor

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December 3, 2025
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Apps and knowledge contributing to creating value for ehealth solutions

Publicated to: JOURNAL OF INNOVATION & KNOWLEDGE. 12 100886- - 2026-03-26 12(), DOI: 10.1016/j.jik.2025.100886

Authors:

Grijalvo, Mercedes; Ordieres-Mere, Joaquin; Uche-Soria, Manuel; Tabuenca, Bernardo; Aladro-Benito, Yolanda
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Affiliations

European Univ Madrid, Fac Biomed & Hlth Sci, Madrid, Spain - Author
Hosp Univ Getafe, Multiple Sclerosis Unit, Carr Madrid Toledo,Km 12,500, Getafe 28905, Madrid, Spain - Author
Univ Politeccn Madrid, Dept Ind Management, Calle Ramiro Maeztu 7, Madrid 28040, Madrid, Spain - Author
Univ Politeccn Madrid, Dept Informat Syst, Calle Ramiro Maeztu 7, Madrid 28040, Madrid, Spain - Author
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Abstract

Mobile applications for multiple sclerosis (MS) hold growing potential for self-management and remote monitoring. However, research on how they generate value for patients and other stakeholders remains limited. Existing studies emphasize usability or adoption, while overlooking their role within broader healthcare ecosystems. This study investigates how MS-related apps generate value across stakeholders and explores adoption patterns among Spanish patients through an ecosystem-based perspective. A systematic review of MS-related apps available in Spain, a national survey of patients, and semi-structured interviews with clinicians and developers were conducted. This triangulated design enables a multi-actor analysis of app functionalities, adoption levels, and perceived value within the digital health ecosystem. Findings reveal that most apps offer basic functionalities, such as symptom tracking and medication reminders, but are underutilized by patients. Adoption is concentrated on a few platforms, while several apps show limited engagement. Barriers include usability challenges, a lack of integration with healthcare providers, and language limitations. Notably, patients expressed strong interest in features such as cognitive training and IoT-based monitoring, yet actual usage remains low. Interviews with stakeholders highlight structural misalignments and governance issues that hinder clinical adoption and coordinated value creation. This study underscores the need for coordinated, stakeholder-informed development strategies that bridge the gap between patient needs, app functionalities, and clinical workflows. While limited to Spanish-speaking users and self-reported data, the findings of this study offer strategic insights for ecosystem-wide adoption and engagement.
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Keywords

Apps in multiple sclerosisArtificial-intelligenceDigital ecosystemsDigital transformationEcosystemsEhealthFrameworkHealthMultiple-sclerosisPatient engagementPeopleValue co-creation

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal JOURNAL OF INNOVATION & KNOWLEDGE due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2026, it was in position 2/316, thus managing to position itself as a Q1 (Primer Cuartil), in the category Business. Notably, the journal is positioned above the 90th percentile.

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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-25:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 32.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 20 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 1.
  • The number of mentions on the social network X (formerly Twitter): 1 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
  • Assignment of a Handle/URN as an identifier within the deposit in the Institutional Repository: https://oa.upm.es/93878/

As a result of the publication of the work in the institutional repository, statistical usage data has been obtained that reflects its impact. In terms of dissemination, we can state that, as of

  • Views: 41
  • Downloads: 53
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Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (GRIJALVO MARTIN, MARIA MERCEDES) .

the author responsible for correspondence tasks has been GRIJALVO MARTIN, MARIA MERCEDES.

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