eng Oriental Scientific Publishing Company Biomedical and Pharmacology Journal 0974-6242 2026-09-30 19 3 2411 2419 10.13005/bpj/3503 73268 article Zahraa Alkhafaje 1 Fadya Al-Hamadani 2 Anmar Thiaa Aldeen 3 Clinical Pharmacy Department, College of Pharmacy, Al-Farahidi University, Baghdad, Iraq Clinical Pharmacy Department, College of Pharmacy, University of Baghdad, Baghdad, Iraq Diabetes and Endocrinology Center, Al-Kindi Teaching Hospital, Baghdad, Iraq Daily diabetes management requires more than simple adherence to a routine; it involves ongoing cognitive and emotional effort that frequently leads to diabetes-related distress. While smartphone applications offer potential solutions for alleviating this burden through streamlined self-monitoring and emotional support, there remains a notable scarcity of mHealth tools tailored for Arabic-speaking users. To address this, a cross-sectional study was performed at the Endocrinology and Diabetes Center in Al-Rusafa, Baghdad, Iraq, involving 76 adult patients. Participants were divided into three age groups (30–45, 46–60, and 61–75 years) to assess the "Edarat Alsukari" app, focusing on its usability, cognitive demand, and variations in user experience across different ages. Following a six-month usage period, the 18-item mHealth App Usability Questionnaire (MAUQ) was administered. Respondents generally provided positive ratings (mean = 5.37, SD = 0.3). The app performed particularly well regarding its operational functionality, specifically in Ease of Use (mean = 5.94) and Interface and Satisfaction (mean = 5.40), which helped minimize technological fatigue. Conversely, perceived usefulness scores were moderate (mean = 4.86). The evaluation highlighted two distinct limitations: inadequate integration with healthcare services (mean = 1.72) and a lack of progress acknowledgment (mean = 2.49), indicating insufficient clinical connectivity. Although sex did not significantly impact usability ratings, perceived usefulness demonstrated a consistent decline among older demographics (dropping from 5.30 in the 30–45 age bracket to 4.62 in the 61–75 cohort). In summary, although "Edarat Alsukari" provides a highly accessible user interface for the Arabic-speaking demographic, the absence of interactive feedback mechanisms and direct medical connectivity restricts its ability to deliver psychological reassurance. This drawback is predominantly experienced by older users. https://biomedpharmajournal.org/vol19no3/addressing-diabetes-distress-and-usability-in-arabic-mhealth-user-experience-psychological-reassurance-and-age-related-dynamics/ Age Variations Cognitive Accessibility Diabetes Distress MAUQ MHealth Psychological Reassurance