Evaluating AppsEdwin D. Boudreaux, PhD

Disclosures

I have consulted and own shares of Polaris Health Directions, a small business that creates e-health interventions.

Objectives

To be familiar with important considerations when evaluating apps.

To learn about rating or evaluation agencies and websites.

To evaluate some specific apps. Mood management Tobacco

To be able to start using at least 1 app on Monday when you return to work

Evaluating Apps: Basics

What is the target behavior, disorder, or symptom?

Dumbphone vs. smartphone Text only for dumbphone Android vs. iPhone

What features does the app have? Tracking Intervention

Evaluating Apps: Usability

Usability No universal metric but it is really

important Initial usability▪ Can the individual learn to use it within 5

minutes? Long-term sustainability▪ Fatigue and desensitization is a problem

You can often test drive them on the computer

Evaluating Apps: Theory Based?

Not theory based Theory informed

Reference to a theory but not clear exactly how it’s linked

Theory driven Clearly linked to a specific theory or

theories

Evaluating Apps: Evidence Base?

Not rooted in any evidence Evidence informed

App itself hasn’t been studied but it is rooted in traditions that have.

Empirically supported App has been found to be superior to a

control condition at modifying target.

Evaluating Apps: Customer Driven

# of downloads

User ratings (’s)

“Rating” Agencies

This aspect is in it’s infancy. Health On Net – Internet

www.hon.ch/ Consumer reports

http://news.consumerreports.org/health/2009/10/there-really-is-an-app-for-that-health-interestor-will-be.html

“Rating” Agencies: Happtique www.happtique.com

http://www.happtique.com/wp-content/uploads/App-Certification-Standards-final.pdf

Operability Privacy Security Content

C1. App is based on one or more credible information sources such as an accepted protocol, published guidelines, evidence-based practice, peer-reviewed journal, etc.

C1.01 Source is documented C1.02 If based on other than recognized source,

documentation about how the content was formulated is provided.

Good Vetting Websites

National Center for telehealth and technology

http://t2health.org/products/mobile-apps iMedicalApps

http://www.imedicalapps.com/filter/?cat-medical-specialty20=3378

Good Vetting Websites

Telemental Health comparisons http://www.telementalhealthcomparisons

.com

Mobihealthnews http://mobihealthnews.com/research/

ABCT Technology and Behavior SIG http://www.techandbehavior.com/wordpr

ess

Mood Management Apps

Commercially available Search iTunes and Google Play

Depression Anxiety

Compiled top downloaded apps Described them based on their features Chose 5 to complete an in depth eval on

1 Text 2 iPhone 2 Android

Mood Management Apps

Mood Management Apps

Mood247

https://www.mood247.com

Practical mood monitoring text program Asks for mood rating 1 time a day (0 – 10) Allows journaling Must go on-line to see graph

Patient and provider on-line viewing capabilities

Mood247

https://www.mood247.com/home

Irrational Thinking CBT Test https://play.google.com/store/apps/details?id=co

m.excelatlife.cbttest&hl=en 110 item test to map cognitive styles, CBT

related articles

Irrational Thinking CBT Test

PROS Intuitive interface

Theory driven (CBT)

Evidence informed

Combined with Cognitive Diary CBT app it’s more powerful

CONS Interface

aesthetics are a bit crude

Limited features – “one time app”

Only available in English

Positive Activity Jackpot

https://play.google.com/store/apps/details?id=t2.paj&hl=en

Suggestions and monitoring for positive activities, including “random”

Positive Activity Jackpot

PROS Intuitive interface

Complex but easy-to-follow

Theory driven (BT)

Evidence informed (Lewinsohn, Linehan both referenced)

Activities can be done alone, in pairs, or groups (~400 activities)

Can generate activities based on proximity (GPS)

Interconnectity with Facebook and Twitter

CONS

Only available in English

Could potentially exhaust realistic options

Time investment necessary to get full functionality

T2 Mood Tracker

https://itunes.apple.com/us/app/t2-mood-tracker/id428373825?mt=8

Track and share mood ratings with provider

T2 Mood Tracker

PROS Intuitive interface

Theory driven (CBT)

Evidence informed

Many features to allow customization of ratings, prompts, access of support

Generates pdf or CSV reports to print or email to provider

CONS

Predominately centered on rating and journaling

Only available in English

Time investment necessary to get full functionality

eCBT Mood

https://itunes.apple.com/us/app/ecbt-mood/id324060472?mt=8

Track and share mood ratings with provider Psychoeducation

eCBT Mood

PROS Intuitive interface

Theory driven (CBT)

Evidence informed

Ratings can be shared with provider, others

Helps to ID and challenge automatic thoughts

CONS

Only available in English

Time investment necessary to get full functionality

Thank You!