Smartphone Apps - Evidence Based | APA Convention - August 4, 2013


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"Empirical Validation for Smartphones and Mobile Device Apps" presentation at the American Psychological Association Annual Meeting, August 4, 2013.

Topics covered include women, technology, psychology, mental health, feminism, feminist issues.

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Smartphone Apps - Evidence Based | APA Convention - August 4, 2013

  1. 1. Empirical Validation for Smartphones and Mobile Device Apps August 4, 2013 Marlene M. Maheu, Ph. D. Allison Herman, Ph. D. Julie T. Kinn, Ph. D. mmaheu@te| ehea| th. org
  2. 2. 5 Disclaimer & Slides WHO I AM: I am a licensed psychologist, not an attorney, physician, marketing or information technology (IT) professional. MY GOAL: My goal is educational only. No warranty, guarantee, or representation is made as to the accuracy or sufficiency of the information contained in my presentation for your specific circumstance. Slides: www. te| ehea| th. org[APA2013 Password: APA2013
  3. 3. 3.. . , _ = _n§ _i. §e __, :.__ 3, Baaaamafis , . — 4 HER? -E55555 I, - i ‘- I . Iig5_u_m= :g§; fi j I. I . .l. I :7 M l I I w_. __. :.. _ M. .._, ._. . . ... e_. ._. H.. u__»__. ~I. D.
  4. 4. INTERNET USAGE STATISTICS The Internet Big Picture World Internet Users and Population Stats WORLD INTERNET USAGE AND POPULATION STATISTICS June 30, 201 2 lntemet Users Growth Users ‘I. Dec. 31, 2000 (7. Population) 2000-2012 o1 Table 4,514,400 157,335,070 3,606.7 % 7.0 % 1,075,501,059 841.9 % 518,512,109 3934 % 90,000,455 2.6399 % 273,785,413 153 3 % 254,915,745 1,310.8 % 7,620,480 24,257,919 218.7 % 350,935,492 2,405,518,316 m 555.4 % NOTES: (1) Internet Usage and World Population Statistics are for June 30, 2012, (2) CLICK on each world region name for detailed regional usage information, (3) Demographic (Population) numbers are based on data from the US Census Bureau and local census agencies. (4) Internet usage information comes from data published by Nielsen Online, by the International Telecommunications Union, by GfK, local ICT Regulators and other reliable sources. (5) For definitions, disclaimers, navigation help and methodology, please refer to the Site Surfing Guide, (6) Information in this site may be cited, giving the due credit to www, internetwor| dstats, com, Copyright © 2001 - 2013, Miniwatts Marketing Group, All rights reserved worldwide, Population ( 2012 Est. ) 1,073,380,925 World Regions ii 1: 3,922,066,987 114,304,000 448 % Egg 820,918,446 Middle East 223,608,203 348,280,154 593,688,638 35,903,569 7,01 7,845,922 105,096,093 3,284,800 108,096,800 18,068,919 21.5 % 3.7 % North America 11 4 % Latin America I Caribbean 10.6 % Oceania I Australia 10 % 100.0 ‘/ -
  5. 5. mHea| th ° Mobile phones are the predominant form of communication in 3”‘ world countries — landlines are extremely limited — broadband lags behind in development Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  6. 6. Time Magazine, March 25, 2013 More People Have Cell Phones Than Toilets, U. i~! . Study Shows Out of the world’s estimated 7 billion people, 6 billion have access to mobile phones. Only 4.5 billion have access to working toilets Yue Wang I‘: 1: I" I ‘I 3 23 Comments 1:3 Like 3.5l-( Tweet 1,235 - I 317 [Lu Share 54 Read Later On the eve of World Water Day last week. the U. N. offered a sobering statistic: according to its recent study. more people on earth have access to cell phones than toilets. Out of the world‘s estimated 7 billion people. 6 billion have access to mobile phones. Far fewer — only 4.5 billion people — have access to working toilets. Of the 2. 5 billion who don’t have proper sanitation. 1.1 billion defecate in the open. according to the study. U. N. Deputy Secretary—General Jan Eliasson said in a statement that this is a global crisis that people ‘‘don’t like to talk about. " He said the U. N. is trying to cut in half the number of people without access to clean toilets by 2015 and eliminate by 2025 the practice of open defecation, which is linked to many diseases. (MORE: Are Toilets a Feminist Issue? ) ' - I
  7. 7. limb FFF. -_l7f"‘3’ti“-ll? Cell phone ownership hits 91% of adults am I In For the first time, the Pew Research Center’s Internet & American Life Project has found that cell phone ownership among adults has cellphone Ownefship, exceeded 90%. Cell phones are now being used by 91% of adults, according to the survey conducted between April 17 and May 19 of 2,252adults. D V D Q t D 1»‘ti'ci vitriol u, "_~I, ~.u i'it1'. '.': t'lt: ’i. lr; ~ it ‘:0 ('I; l‘i‘l 17 (C ll ilrllf, l'. 't 91% Vt’hile the adoption figures are stunning by every measure—' I May 2013 I t: i---—’ _’: :l ll 1_: *'r-13:-: >tl~-till: -—: l~ii‘. ‘i-7‘ lg’ . :. Til” : :i: i— there are some demographic groups whose 65% ‘ , ~- ‘ . . V‘ l embrace of the cell phone is somewhat less avid than others. http: //www. pewresearch. org/ fact-tank/
  8. 8. V» Demographics http: //www. pewresearch. org/ Cell phone ownership by demographic group 96 within each group who own acell phone Own a cell phone ; Lessthan high school 33 High school grad I i 88 — Some college 92” Co| |ege+ : ,;‘J. ‘ 95" $30,000-549.9991 l’ ' $50,000-$74,999: 575,000+ 3,. “ Source: Pew Research Centers Internet 84 American Life Project, April 17-May 19,2013 Tracking Survey. Interviews were conductedin English and Spanish and on Iandline and cell phones. Margin oferroris +/ -2.3 percentage points
  9. 9. :. t-mi-inc . '.i; mi, -,i; iw / ‘ ‘EV-J, -New CONSISTENTLY AMAZING ‘*F‘. ' ': OI. lKI—§TFTE DRIVE UK’ ’H‘? FJCI ‘SP7? 5'3 ‘ : !l'I'eJI(l-Ye : i,1a: -xi. ..-. u,i. .¢~ I0 . . l': ]I- -7” , w-I7, I ‘. , . "~l! (=ul')-T '. 'I-. i:. I can 4-: SY5-CON MEDIA Authors: News Feed Item Research and Markets: 'Mobile Health App Categorization & Best Practices — 2013 Report’ Covers Different Types of Mobile Healthcare Applications and mHealth Potential it ’. ‘:‘&*&*. ’.}*1} 212 . i_, 7, « I / Research and Markets (httpz, m‘. ‘. researchandmarketsccrm research I 3mmv8‘ mot: -He-_l1ealtl1_app) has announced the addition of the “_to'oile Health App (‘ategorizatori & Best Practices" report to their ciftering. / Z’ Business‘~‘r'rre' V‘ . -v This report categorizes mflealth applications into 4 main categories and 14 sub-categories. Each category is described in detail and contains best—practice exani iles. : nHealth applications are clustered into . ; categories: — General healthcare and fitness - Medical Information » Remote Monitoring. Collaboration and Consultation — Healthcare Mariagerizient ese categories difier gre = ‘!j: in their use cases. reach and relevance in today's Elvautv‘ 'i'luln: - nui -. n'[-Ht. CLx ; UD' 'n[e| oourui No =3o': AMr ‘ rcimciiv l‘)‘: ‘ ' : “': l:ll= ' I I - i: r~ir1:‘ t1:' ' ‘lair ‘II :11: l‘ "1! '. 'i irt »: . L; ..1;; . ii Comments A Drag-Drop Row Inclicator For Data'indors By Ryan A. Mercer read more 5.: ENE you rear: page stories ~1Ii. rl respond . ,,, ‘; front . >Ad«nl'A LOW E R OVERAEL . -.3‘ .44» "'~_J~ I Breaking Java News The UK Gets an Innovative Pregnancy Service
  10. 10. fiifilsel] I»IEI~IsI. IIIIIa= E nEr~: ;:»Ia~I“s SI‘§'ILI_I'IItCII“IS Tkj= F"IEI‘J ABI‘. j,. II. ,.II “L-, - . -_ , 1. 4en. ».. - . .x. g&k<§s: ~_- MOBILE MAJORITY: U. S. SMARTPHONE OWNERSHIP TOPS 60% MOBILE I 06.06.2013 I? V 850 Smartphone usage contrnues to cIImb In the U S More than three out offrve (61%) mebrle subsr: IIbers In the U S owned a smartphpne dunng the most recent three-month pencrd (II.1aI‘ch-may 2013)‘ up more than 10 percent smce smanphones became the mobzte InaIorIty In earty 2012 When It comes operatnng system preference‘ Apple remarned the top smartphone manntacttrrer In the U S whrte the marontv of smartphdne owners used Androtd OS handsets FIttv—three percent of smartphone owners used the AndI'eId OS and 40 percent owned Phones Compared wIth the same pendd a year ear'EIer_ Apples share of the U S srnartphpne market grew 7 percent poInts. whIIe Android S market share expanded 2 percent In March 2012. 50 percent of meme subsmbers used Smartphpnes, makung up the majonty for the that tune
  11. 11. ltIt‘I*-It'll So who makes up thls growlng group of smartphone owners’? Overall. women make up the majonty of smartphone owners In the U S as more than three out of five use them Ownershlp was hrghest among ltlrliennrals aged 25—34 at 78 percent. and three out of tour mobrle users aged 18—24 already own smartphonest Penetratlon of smaltphones remalned lowest among Amencans aged 55+ (42%), but thls group Is catchlng up fast. as penetration among thIs demographlc has nearly doubled over the past year Smartphone usage also vanes by ethnIcItyc Aslan Amencans had the hrghest rate of smartphone ownershIp (75%) whlle penetratlon among Caucaslans Increased the most over the past year~5E3 percent on average dunng the last three months, up from only 45 percent a year ago http: //www. nielsen. com/ us/ en/ newswire/2013/mobi| e—majority——u—s—— smartphone—ownership—tops—60—. htm|
  12. 12. / / oz , 2; « / A - / . xi"/ ’//1//2‘/ I// ‘// ///3/‘/ /// /2‘ / /=2// J// ,2)/ /,/ /}/9// /2// ' = ,// ; / /Im fl" ‘’ v"! u. Co. DESIGN Co. CREATE Co. EXIST Co. LEAD TECHNOLOGY MOSTINNOVATIVE COMPANIES MAGAZINE Apps to Explode to $38 Billion llllarkei bi/2015 TheWorld'sSOMost aw -'-l, IE’lll cum FEBRLIART 2s, 2Dl1 InI10VatiV€ Companies 2013 FISl'©MPANY IHE llllllllfl'8 IIIIIIIIPIINIES I-l. :it. T'SlTl. I'. ’tIltTl-I II Apple be: big on the App Store——and 350.000 apps later. competitors are struggling to catch '5" Applenm made Fas, Co, ,,pa, ,yS up Now, there‘s Googles Android Market. Blacl<Berry’s App World. mP's Palm App Catalog. K innovation llstln 2008. $1o. ooo and Microsofts Apps Marketplace, But while Apple SIII. leads the pack with an ast: -nishiitg IHVSSYBG "19" WOUIG “EVE been 82 | “3lIEI share. the app race IS far from over ? :VS‘: 'é: r:‘1‘; V:): :‘f‘: L'r"; ::: "S'T‘a‘: e2rg12 According to a new iepoit by Forrester Research. the app market WiII explode to a 538 billion industry by 2015. riding the huge growth in popularity or’ mobile devices from smartphones to tablets to whatever Apple dreams up next in 2010. apps on these devices pulled in $17 billion globally. meaning the market WII‘. blossom exponentialiy in the coming years I
  13. 13. F‘ . . _ ' . . NEWS TOPICS ANALYSIS FEAT , . A‘ Topics: Quality 8. Outcomes Interview: mHealth lacks evidence, culture of evaluation July 16.2013 [By Greg Slabodkin SHARE Better late than never goes the old adage, which is fitting for the authors of a just-published article in the American Journal of Preventive Medicine which Email concludes that "rigorous research is needed to examine the potential‘ as well as the challenges. of utilizing mobile technologies to improve health outcomes " The 13 article is based on the results of an August 16. 2011 mHealth Evidence Workshop at the National Institutes of Health (NIH), which gathered together 50 " tweet researchers. policymakers. govemrrient and regulatory officials from around the Work]. Fi'erceMobi'IeHeaIthcare spoke with Robert M. Kaplan flu 5"“ . * (pictured left). Ph. D_. director of NIH‘s omce of _ Behavioral and Social sciences Research (OBSSR), and '3 4 ; ' . - Wendy Nilsen_ Ph. D.. a health scientist administrator at “HE . _ OBSSR, who co-authored the AJPM article. Dr, Nilsen‘s work in multiple trans~NlH mHealth initiatives include: 0 (", .,‘_%&, ,_k‘ , T I leading the development of the NIH mHeaith Public- ’ ‘k‘-‘-‘, ‘ L‘, [Private Pannershi _ co-leadin the NIH mPower mHealth ? . 4- ~ - '3‘ 'i group. convening meetings to address methodology and barriers to the utilization of mobile technology in research; serving on numerous federal mHeaIth T00‘-5 initiatives: and leading ‘ ’ ‘ ‘ . http: //www. fiercemobileheaIthcare. com/ story/ interview-mhea| th-| acks-evidence- cultu re-evaluation/2013-O7-16
  14. 14. Fierce NEWS TOPICS ANALYSIS FEATU SHARE Email 12 Tweet flu Share :30 .1 Lille 0 W-fiefcemobllehealthcafe-C0m sated calls from industrv for scale up of mHealth initiatives across Topics: Quality & Outcomes | Software & Applications mHealth pilots lack evidence, take ‘scatter-shot‘ approach February 17, 2013 | By Greg Slabodkin Despite hundreds of mobile health pilot studies, there has been "insufticient programmatic evidence to inform implementation and scale-up of mHea| th, " according to an article in PLoS Medicine. After more than 500 pilot studies tracked by the World Bank, the article concludes that "we know almost nothing about the likely uptake, best strategies for engagement, efficacy, or effectiveness of these initiatives. " As a result, the authors say mHealth interventions ''lack a foundation of basic evidence, let alone a foundation that would permit evidence-based scale up. " For example. they cite the fact that in Uganda in 2008 and 2009 about 23 of 36 mHealth initiatives did not move beyond the pilot phase. Nevertheless, industry representatives continue to push for mHealth "scale up" which is a cause for concern, warn the authors, especially since "private enterprise has a quite different understanding of what scale up means, with growing market share, rather than improved health outcomes, at the core of their mission " At a recent mHealth conference in South Africa, the authors point out,
  15. 15. .. ., -. ,_. . a. ,, fierce. : ; ' i L. .- a, u-- NEWS TOPICS ANALYSIS FEATUI Topics: Quality & Outcomes for mHealth evidence May 21, 2013 j By Greg Slabodkin Technologies such as kiosks and tablet computers ati 0 convenience for patients; such technologies are evolv streamline worktlow and boost revenue. Register Now! Shades of grey: Beyond peer-reviewed literature SHARE EDlTOR’Sl1 ~ Email ‘ ~ , An exciting resource is being developed by the Center for Y ' ‘R 19 Communication Programs at Johns Hopkins University's I _. _ Bloomberg School of Public Health. it's an online mHealth . . Twee, evidence database that aims to catalog, categorize and grade all of the known peer-reviewed and grey literature on mHealth . “‘ X 12 I" high" mime" a"d '°W'i”°°m° °°”"m°5‘ What will differentiate the mHealth evidence database from existing mHealth [M Share registries and repositories, such as PubMed, that are limited to just Webinari HOW Patient access to ti peer-reviewed literature, is grey literature, which is emerging as an untapped n 4 workflow, boost ROI _ , , , __ resource. While some of the current mHealth evidence resides in the am , PM ET , ,0‘AM pf ‘ peer-reviewed literature, as BonTempo argues, much of it (in many cases, the most timely and relevant aspects) resides in the grey literature--such as evaluations, project reports, white papers, blog posts, discussion boards, etc. Because grey literature is a source of data that does not employ peer review, critics have questioned the validity of its data. There is certainly a snobbery in some circles about studies published in peer-reviewed joumals. However, BonTempo points to a Worid Health Organization task force that is developing creative ways to analyze non-peer reviewed literature and resources, and is coming up with a rubric for determining whether grey literature could qualify as an mHealth evidence source.
  16. 16. caps rsvcriolocizlii sclmcr P-:4', pc<'JvL". c-'i Psych: The Smartphone Psychology Manifesto 7‘ll§’A;33m, . 2012 7-. cpr'i: : an: ;<-rri : : : -1 Lagcpib tori 1-: Ji-i. i!:9r«-riia: iar; my DOI l0|l77.‘l743e9|5!244|1l5 Vlltii ‘ poi ‘. '-. ;c4,ub c-: -7 Geoffrey Miller l3”SAGE University of New Mexico. A buquerque Abstract By 2025. when most of today's psychology undergraduates will be in their mid-30s. more than 5 billion people on our planet Although smartphones were not designed for psychological research. they can collect vast amounts of ecologically valid data. easily and quickly. from large global samples. lf participants download the right "psych apps. " smartphones can record where they are. what they are doing. and what they can see and hear and can run interactive surveys. tests. and experiments through touch screens and wireless connections to nearby screens. headsets. biosensors. and other peripherals. This article reviews previous behavioral research using mobile electronic devices. outlines what sniartphones can do now and will be able to do in the near future. explains how a smartphone study could work practically given current technology (e. g.. in studying ovulatory cycle effects on women's sexuality). discusses some limitations and challenges of smartphone research. and compares smartphones to other research methods. Smartphone research Wlll require new skills in app development and data analysis and will raise tough new ethical issues. but smartphones could transform psychology even more profoundly than PCs and brain imaging did. Keywords mobile computing. telecommunications. digital sensors. CPS/ GIS. behavioral informatics. human subiects/ IRB issues Sniartphoiic< such . lll‘lC iPhuii: . Blackbcny. and Android an: if we grasp their potential and develop the right research not iust new communication tcchnoluuics. Tlicv are an ucc; .i- skills. nsvch . mD. ~. dutu antilvsis tools. and human subiccts
  17. 17. Today's teens use media an average of: * 10 hours and 45 minutes * every day * 7 days per week* *Kaiser Family Foundation, 2010 , H x
  18. 18. Who Owns a Smart Phone? - Whites (53%) - Non-Hispanic blacks , _ (64%) Tfri * - Hispanics (60%) ' http: //www. knightdigitaImediacenter. org/ news/2013/06/who—isnt—using-smartphone-yet
  19. 19. Other Demographics & Smartphone Ownership * 36% of adults with less than a high school education ° 43% of adults with _: "', " _ household annual -7 « - J income under $30,000 xi‘ ii 40% of rural dwellers If ‘ own a smartphone . ‘if, i * 60% for both urban and suburban dwellers http: //www. knightdigitaImediacenter. org/ news/2013/06/who—isnt—using—smartphone—yet
  20. 20. Brand Ownership iPhone Android * 49% of cell owners with a * African-American household income of . 43% of 13-24 year oids $150,000 or more s 42% of non-Hispanic blacks ° only 31% of 18-24 year olds 0 16% of non-Hispanic blacks http: //www. knightdigitaImediacenter. org/ news/2013/06/who—isnt—using—smartphone-yet
  21. 21. ii; Smartphone Activities ° 80% do text messaging - 43% take photos ° 43% download apps ° 50% access mobile e- mail ° 56% use the web browser on their phone http: //www. knightdigita| mediacenter. org/ news/2013/06/who-isnt-using-smartphone-yet
  22. 22. Mobile Subscribers June 2012 - At the end of 2011 there were 4.5 billion mobile subscriptions in the developing world (76 percent of global subscriptions). Mobile penetration in the developing world now is 79 percent. with Africa being the lowest region worldwide at 53 percent. - Portio Research — in the excellent free Mobile Factbook 2012 predicts that mobile subscribers worldwide will reach 65 billion by the end of 2012. 6.9 billion by the end of2013 and 8 billion by the end of2016. - Portio research estimates that Asia Pacific's share ofthe mobile subscribers will rise from 50.7 percent in 2011 to 54.9 percent in 2016, By 2016 Africa and Middle East will overtake Europe as the second largest region for mobile subscribers Africa. - Ericsson (June 2012) believes global mobile penetration reached 87 percent in Q1 2012 and mobile subscriptions now total around 6.2 billion. However. the actual number of subscribers is around 4.2 billion. since many people have several subscriptions. ‘There is a large difference between the number of subscriptions and subscribers. This is due to the fact that many subscribers have several subscriptions. Reasons for this could include users lowering their traffic cost by using optimized subscriptions for different types of calls. maximizing coverage. having different subscriptions for mobile PCs/ tablets and for mobile phones. In addition. it takes time before inactive subscriptions are removed from operator databases. Consequently. subscription penetration can easily reach above 100 percent. which is the case in many countries today. It should however be noted that in some developing regions. it is common for several people to share one subscription. having for example a family or village phone. ’ - Ericsson forecasts that mobile subscriptions will reach 9 billion in 2017. of which 5 billion will be mobile broadband connections.
  23. 23. ’ Tweet 47 C| oiidConrie it September 10-13, 2012 I Chicago I Hvatt l? .egenr: v‘53'Hare fluke 20 msiiare ll 80% Of Doctors Use Mobile Devices At Work Tablets, smartphones become standard medical equipment due to their affordability, convenience. Ev Nicole Lewis LJ lnformationweek Gi: to: er21.: Ei11111UL. I.I Four out offive practicing physicians use smai‘tphones_ computer tablets. various mobile devices. and numerous apps in their customary medical practices. according to a Jackson & Coker report. Several factors have contributed to the popularity of mobile devices. including that they are alfordable. easy to use. and can be easily carried between patient exams to access digitized patient information. which is increasingly being transferred from paper charts. More Healthcare Insights Webcasts - How Healthcare Payers are using Customer Communications to Improve Productivity and Elfectiveness - Strategies forManaging Distributed IT Environments More >> White Papers - Prescription for Change Using Predictive Analytics to Improve Patient Satisfaction . LYNXeon Cyber Analytics More >> Reports _ rs. .- . ..». . mun I i. .,. m.. ... ... run an The report. Aggs Doctors and Digital Devices. relied on research from several studies that investigated the use of smartphones. mobile computing devices such as Apples iPhone and iPad. and a wide variety of software apps by physicians in diflerent specialties. tC= ‘.Ck mag Slideshow: 12 Innovative Mobile Healthcare Apps rge: -. I6“ I [Are your electronic health records as secure as they need to be? Find out how Int Health IT Data Breaches] r ted Sec ri Reduces ‘The common thread is that physicians in all specia| ties~ especially more recent graduates»-are relying more and more on modern technology to advance their concern to provide medical care more efiiciently. cost effectively. and 'creatively' through digital instruments that are readily available. " Edward McEachem. .| q4-kenn R. Cnknfe VP nf mnrkntinn tnlrl Irifnnrinfinnwntalr Don't miss each day's honest technology news, sent directly to your inbox, inctuding occasional breaking news alerts. FEATURED WEBCASTS Whats this? - How Healthcare Payers are using Customer Communications to Improve Productivity and Effectiveness o Strategies for Managing Distributed IT Environments - Forrester Total Economic Impact study of Midrange Storage o Health Insurance Billing Strategies: Preparing for an Uncertain Future I oarn rimu Knttnnnri Health Nntwnrlr mzximnnd
  24. 24. Barriers to mHealth Lack of data security Difficulties for users in finding mHealth solutions Devices do not meet clinical requirements in terms of hygiene, waterproofing, etc Lack of standardization in terms of hardware and software, slowing down the market dynamic Unknown legitimacy, causing distrust with users Patient information security, encryption and authentication issues Cost of solution Regulation, slowing down innovation and development Patients‘ discomfort with change in their healthcare routine Technology isn't practical and affordable for a large enough market yet Lack of Business Models Resistance from healthca re providers Few members of the target group (elderly/ chronic disease) own a relevant mobile device
  25. 25. 15 Categories of Health Apps* Mental Health / Behavior - Diet ° Smoking Cessation ° Stress ° Sleep - Women's Health ° Medication Adherence - Mental Health Apps — Anger Management — PTSD Brian Dolan, July, 2012, 13,600 iPhone Health & Fitness Apps Medical & Other Health Cardio Fitness Emergency Care Chronic Condition Management Calculator Apps Strength Training Physical Therapy Allergy Professional Office Appointment
  26. 26. flrapiztigiag mHealth Platform mRx"‘ Prescribing Tool App Certification mHealth Zone Blog Contact Us App Certification V HAPPTIQUE CERTIFICATION NOW OPEN PHASE 1: NOW ACCEPTING MEDICAL EDUCATION & NURSING APPS HAPPTIQUE The Happtique Health App Certification Program (HACP) is a voluntary program designed to (ER-"FED help healthcare providers and consumers easily identify medical, health and fitness apps that deliver credible content, contain safeguards for user data, and function as described. HACP evaluates apps against a set of standards and associated perfonnance requirements (HACP Standards) that focus on four key areas:
  27. 27. Standard C1 The app is based on one or more credible information sources such as an accepted protocol, published guidelines, evidence-based practice, peer-reviewed journal, etc. Performance Requirements for Standard C1 If the app is based on content from a recognized source (e. g., guidelines from a public or private entity), documentation (e. g., link to journal article, medical textbook citation) about the information source and copyright compliance is provided. If the app is based on content other than from a recognized source, documentation about how the content was formulated is provided, including information regarding its relevancy and reliability. 0 C1.01 0 C1.02 Standard C2 The app's content reflects up-to-date information (as of the date that the app is submitted for certification). Performance Requirements for Standard C2 Documentation about the source of the app's content and explanation as to why it is deemed to be up-to-date is provided. The date(s)/ source(s) of the app's content is provided through an "About" section (tab, button or equivalent). The App Publisher has a method or protocol for determining if an app's content requires updating in order to remain up-to-date. The App Publisher has a method or protocol for updating the app's content when new or changing information warrants. Updates should include a description of and documentation for each change. 0 C2.01 I C2.02 O C2.03 0 C2.04 Standard C3 For any app that contains content that is derived from a third-party source (e. g., accepted protocol, published guidelines, evidence-based practice, peer-reviewed journal), any significant deviations in an app's content from the original source (e. g., excerpts, abbreviated versions) are indicated and explained. Any such app shall also provide a method or citation to enable the user to locate to the . —.. ... ... .l. .a-. -. . —.. ... s.. ..L
  28. 28. Norberg et al, J Addict Behav Ther Rehabil 2013, S:1 http: //dxdoi. orgI10.4172I2324—9005.S1-001 Rapid Communication The First mHealth App for Managing Carmabis Use: Gauging its Potential Helpfulness Melissa M Norberg", Sally E Rooke‘, Lucy Albertella‘, Jan Copeland‘. David J Kavanagh’ and Annie Y 5 Law‘ Abstract Cannabis use disorder is both common and costly. The impact of standard senrices for treating cannabis use and related problems has been inhibited by supply, accessibility, and perceived stigma. Thus, private, readily accessible methods of delivering evidence- based treatment on a large scale and at low cost are urgently needed. Accordingly, we developed the first mHealth smartphone app for managing cannabis use (Assess, Plan, Track, Tips; APTT). This study examines 10 cannabis users’ (50% men, aged 17-33) reactions to APTT alter participating in a 2-hour in-house testing session. Eligibility criteria required participants to be interested in evaluating, reducing, or ceasing their cannabis use. Participants were satisfied with APTT overall, but rated its ease of use slightly higher than its helpfulness. Specifically, participants gave higher ratings of its goal monitoring and tracking of cannabis use than of its ability to increase insight and provide motivation or strategies to address cannabis use. Qualitative responses suggested that the helpfulness of APTT may be increased by providing more infomiation about hanns from using cannabis and benefits of _ . .4_- _u_, :4- i__, _, _. __. ____ x__ ____ , __i_, _.: ._ __: _n_. |__ Journal of Addictive Behaviors, Therapy & Rehabilitation AScllEl: lllll)lJ0lllllllL combined with cognitive-behavioural therapy (CBT) effectively reduces cannabis use [6.7]. Unfortunately, less than oneathird of the cannabis dependent people seek professional help [8I. Factors that inhibit treatment seeking include perceived stigma and limited accessibility Developing new platforms to deliver MET combined with CBT that do not rely on faceetoaface contact with a therapist may increase treatment uptake and stimulate behavior change for cannabis users who have not connected with professional services. Smartphone apps may be such a plaifonn, as they can make evidence~based interventions more widely available and accessible. be discreet, and allow people to integrate treatment into their everyday lives. In 20 I i. global Smartphone subscriptions reached approximately 700 million, with subscriptions expected to reach 3 billion by 2017 [10]. Not only are Smanphones popular, but Smartphone owners also are quite attached to their phones. Over 40% use their apps before they get out of bed [10] and most are within an arm's length of their phone over half of the day [it]. The attachment that individuals have for their Smariphoncs may encourage acceptance of an app~based carmabis use intervention [12]. Although mHealth has the potential to revolutionize health service delivery I13], the potential of Smartphone apps has not been realised in the substance use field Currently available apps for substance use reduction generally lack evidence-based development approaches and scientific evaluation. Two reviews assessing alcohol and tobacco apps found that these apps applied few evidencebased principles and that many did not adhere lo clinical practice guidelines [i4,lS]. As we did not find apps addressing cannabis use problems in the iTunes store. we conducted a social marketing survey to gauge
  29. 29. "It would be strange, and embarrassing, if clinical psychologists, supposedly sophisticated methodologically and quantitatively trained, were to lag behind internal medicine, investment analysis, and factory operations control in accepting the computer revolution. " - Paul Meehl, 1987 Please sign Our petition: www. stp-apa. netg SOCIETY FOR .9, L J’ TECHNOLOGY AND f PSYCHOLOGY T
  30. 30. Questions? Thank. uou Marlene M. Maheu, Ph. D. Te| eMenta| Health Institute, Inc. Phone: 619-255-2788 Email: mmaheu@te| ehea| th. ORG Copyright 2D12Te| eMenta| Health Institute, Inc. All rights reserved.