Mobile apps exploit embedded sensors and wireless connectivity of a device to empower users with portable computations, context-aware communication, and enhanced interaction. Specifically, mobile health apps (mHealth apps for short) are becoming integral part of mobile and pervasive computing to improve the availability and quality of healthcare services. Despite the offered benefits, mHealth apps face a critical challenge, i.e., security of health-critical data that is produced and consumed by the app. Several studies have revealed that security specific issues of mHealth apps have not been adequately addressed. The objectives of this study are to empirically (a) investigate the challenges that hinder development of secure mHealth apps, (b) identify practices to develop secure apps, and (c) explore motivating factors that influence secure development. We conducted this study by collecting responses of 97 developers from 25 countries - across 06 continents - working in diverse teams and roles to develop mHealth apps for Android, iOS, and Windows platform. Qualitative analysis of the survey data is based on (i) 8 critical challenges, (ii) taxonomy of best practices to ensure security, and (iii) 6 motivating factors that impact secure mHealth apps. This research provides empirical evidence as practitioners' view and guidelines to develop emerging and next generation of secure mHealth apps.

Mobile systems offer portable and interactive computing, empowering users, to exploit a multitude of context-sensitive services, including mobile healthcare. Mobile health applications (i.e., mHealth apps) are revolutionizing the healthcare sector by enabling stakeholders to produce and consume healthcare services. A widespread adoption of mHealth technologies and rapid increase in mHealth apps entail a critical challenge, i.e., lack of security awareness by end-users regarding health-critical data. This paper presents an empirical study aimed at exploring the security awareness of end-users of mHealth apps. We collaborated with two mHealth providers in Saudi Arabia to gather data from 101 end-users. The results reveal that despite having the required knowledge, end-users lack appropriate behaviour , i.e., reluctance or lack of understanding to adopt security practices, compromising health-critical data with social, legal, and financial consequences. The results emphasize that mHealth providers should ensure security training of end-users (e.g., threat analysis workshops), promote best practices to enforce security (e.g., multi-step authentication), and adopt suitable mHealth apps (e.g., trade-offs for security vs usability). The study provides empirical evidence and a set of guidelines about security awareness of mHealth apps.