1. Edwin D. Boudreaux, PhD

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

3.  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

4.  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

5.  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

6.  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

7.  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.

8.  # of downloads  User ratings (  ’s)

9.  This aspect is in it’s infancy.  Health On Net – Internet www.hon.ch/www.hon.ch/  Consumer reports  http://news.consumerreports.org/health/2009/10/ there-really-is-an-app-for-that-health-interestor- will-be.html

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

11.  National Center for telehealth and technology  http://t2health.org/products/mobile-apps http://t2health.org/products/mobile-apps  iMedicalApps  http://www.imedicalapps.com/filter/?cat-medical- specialty20=3378 http://www.imedicalapps.com/filter/?cat-medical- specialty20=3378

12.  Telemental Health comparisons  http://www.telementalhealthcomparisons.com http://www.telementalhealthcomparisons.com  Mobihealthnews  http://mobihealthnews.com/research/ http://mobihealthnews.com/research/  ABCT Technology and Behavior SIG  http://www.techandbehavior.com/wordpress http://www.techandbehavior.com/wordpress

13.  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

16.  https://www.mood247.com 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

17.  https://www.mood247.com/home https://www.mood247.com/home

18.  https://play.google.com/store/apps/details?id=com.excelatlif e.cbttest&hl=en https://play.google.com/store/apps/details?id=com.excelatlif e.cbttest&hl=en  110 item test to map cognitive styles, CBT related articles

19. 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

20.  https://play.google.com/store/apps/details?id=t2.paj&hl=en https://play.google.com/store/apps/details?id=t2.paj&hl=en  Suggestions and monitoring for positive activities, including “random”

21. 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

22.  https://itunes.apple.com/us/app/t2-mood- tracker/id428373825?mt=8 https://itunes.apple.com/us/app/t2-mood- tracker/id428373825?mt=8  Track and share mood ratings with provider

23. 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

24.  https://itunes.apple.com/us/app/ecbt- mood/id324060472?mt=8 https://itunes.apple.com/us/app/ecbt- mood/id324060472?mt=8  Track and share mood ratings with provider  Psychoeducation

25. 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