Mobile health (mHealth) applications are increasingly adopted for chronic disease management, yet they face persistent challenges related to accessibility, inclusivity, and sustained engagement. Patients' needs evolve dynamically with their health progression, adherence, and caregiver support, creating unique requirements engineering (RE) challenges that traditional approaches often overlook. This study introduces ChroniUXMag, a framework for eliciting and analysing inclusivity requirements in mHealth design. Building on InclusiveMag and GenderMag principles, the framework aims to help researchers and practitioners systematically capture and evaluate factors that influence how individuals with chronic conditions perceive, trust, and interact with mHealth systems. The framework was developed through two stages of the InclusiveMag process. In the first stage, inclusivity facets were identified through a systematic literature review, focus groups, interviews, and a large-scale survey. In the second stage, these facets were synthesised into personas representing diverse health situations, attitudes, and digital practices, and integrated into an adapted cognitive walkthrough form. Thirteen facets were identified that capture the socio-technical complexity of mHealth use, including trust, digital literacy, dependency, and cultural context. These facets support structured, persona-driven evaluations that reveal inclusivity barriers often missed by traditional usability assessments. ChroniUXMag contributes to RE by offering a reproducible, evidence-based approach for embedding inclusivity into mHealth requirements. Future work will extend the third stage Apply through practitioner-led evaluation in real-world design contexts.

翻译：移动健康（mHealth）应用在慢性病管理中日益普及，但仍持续面临可访问性、包容性和持续参与度方面的挑战。患者需求随其健康状况进展、治疗依从性及照护者支持而动态演变，这产生了传统方法常忽视的独特需求工程（RE）难题。本研究提出ChroniUXMag框架，用于在mHealth设计中获取和分析包容性需求。该框架基于InclusiveMag和GenderMag原则，旨在帮助研究者和从业者系统性地捕捉与评估影响慢性病患者对mHealth系统感知、信任及交互的因素。框架通过InclusiveMag流程的两个阶段开发：第一阶段通过系统性文献综述、焦点小组、访谈及大规模调查识别包容性维度；第二阶段将这些维度综合为代表不同健康状况、态度和数字实践的人物角色，并整合至改编的认知走查表单中。研究最终确定了十三个维度，涵盖信任、数字素养、依赖性及文化背景等mHealth使用的社会技术复杂性。这些维度支持结构化、基于人物角色的评估，可揭示传统可用性评估常忽略的包容性障碍。ChroniUXMag通过提供可复现、基于证据的方法将包容性融入mHealth需求，为需求工程领域作出贡献。未来工作将在实际设计场景中通过从业者主导的评估，扩展第三阶段（应用）的实施。