1. App Overview
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This assessment frameworkA set structure of standards and criteria. begins with the app overview. The criteriaCarefully chosen principles that apps are assessed against. In this document, each criteria is phrased as a question. The list of criteria formulates every standard and makes up the overall assessment framework. listed below (grouped into distinct areas) aim to understand an application’s core purpose and functionality. These include the target audience, the type of data the app collects, and the app’s primary functions and features. Because these criteriaCarefully chosen principles that apps are assessed against. In this document, each criteria is phrased as a question. The list of criteria formulates every standard and makes up the overall assessment framework. do not have scoring implications, the application will not be scored based on its functionality. Instead, the criteriaCarefully chosen principles that apps are assessed against. In this document, each criteria is phrased as a question. The list of criteria formulates every standard and makes up the overall assessment framework. will effectively set the scene and inform the standards criteriaCarefully chosen principles that apps are assessed against. In this document, each criteria is phrased as a question. The list of criteria formulates every standard and makes up the overall assessment framework. that need to be posed for that specific application.
1a — Q1 | Is the application mental health focused? | MHCCThe Mental Health Commission of Canada. |
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1c — Q1 | Does the application contain algorithms? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1c — Q2 | How does the application use the algorithmMathematical calculations that produce outputs, providing further insight into the mental health data it manipulates; for instance, calculating the average mood recorded by the user in a given week.? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1c — Q3 | Does the application appear to use artificial intelligence (AIArtificial intelligence.)? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1c — Q4 | What AIArtificial intelligence. technique is used in the app? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1c — Q5 | Is the AIArtificial intelligence. monitored/maintained? | ORCHAThe Organisation for the Review of Care and Health Apps. |
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1d — Q1 | Is the application designed to provide information or guidance? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1d — Q2 | Does the application provide information that is personalized to an end-user’s specific circumstances? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1d — Q3 | Does the application provide users with information regarding where they are able to find local or suitable support services? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1d — Q4 | Does the application provide information, resources, or activities to the public or clinicians, either about a specific mental health problemA consistently used phrase throughout this framework to denote the full range of mental health conditions that affect people. or general health and lifestyle? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q1 | Is the data the application collects automatically assessed for the purposes of evaluating
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ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q2 | Does the application provide an assessment (of the risk) to an individual based on data input or collected by the application of
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ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q3 | Does the application provide an assessment (of the risk) to a health-care professional based on data input or collected by the application of
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ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q4 | Does the application provide the option for further assessment or analysis by a health-care professional? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q5 | Is the app/does the application include a symptom checker? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q6 | Does the application discuss suicidal ideation? Guidance: The CDC (Centers for Disease Control and Prevention) defines suicidal ideation as thinking about, considering, or planning suicide. Machine learningThis document considers machine learning a technique of AI. After the assessor has determined that an app uses AI, the framework asks which AI technique is involved. Responses include machine learning, natural language processing, etc. techniques that feature engineering or deep learning for automatic detection (based on online social contents) is one means for detecting suicidal ideation. | MHCCThe Mental Health Commission of Canada. |
1e — Q7 | Does the application indicate likelihood of a match for the listed mental health problems? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q8 | Can users filter results to display by highest risk/likelihood/severity? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q9 | Does the application provide treatment recommendations for the listed mental health problems? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q10 | Does the application only signpost the user to suitable care or recommend seeking further advice (e.g., Go to A&E, book an appointment with your family doctor, call 911)? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q11 | Does the application contain a clinical calculator? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q12 | What type of clinical calculator does the application contain? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q13 | How does the application prevent disease? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q14 | What treatment does the application provide? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q15 | Does the application guide the treatment of a mental health problemA consistently used phrase throughout this framework to denote the full range of mental health conditions that affect people.? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q16 | How does the application guide the treatment of the mental health problemA consistently used phrase throughout this framework to denote the full range of mental health conditions that affect people.? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q17 | Who does the application provide the treatment guidance to? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q18 | Is the treatment provided independently of a health-care professional? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q19 | Does the application support health-care professionals’ decisions about treatments? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q20 | Does the application follow the path of a procedure/treatment without making any decisions? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q21 | Does a health-care professional make the final decision regarding treatment based on advice and/or options displayed? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q22 | Does the application automate the treatment pathway for an individual user? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q23 | Is the application intended to (or does the developerThe person or people who created and developed a mobile or web application. claim it can be used to) compensate a mental health problemA consistently used phrase throughout this framework to denote the full range of mental health conditions that affect people.? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q24 | Does the application predict the fertile window? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q25 | Does the application claim to be used to prevent pregnancy or to conceive? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q26 | Does the application use body basal temperature (BBT), recorded through an externally connected thermometer? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q27 | Does the application use rhythm, BBT and cervical mucus methods to prevent pregnancy or to conceive? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q28 | Does the developerThe person or people who created and developed a mobile or web application. claim that the application can be used as a natural method of birth control? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q29 | Is the application intended to be used for the control of conception? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q30 | Is the application used in combination with drugs or medication (e.g., medication reminders)? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1e — Q31 | Is the application a companion of the device, as opposed to having been designed to connect with a third-party manufacturer’s device? | ORCHAThe Organisation for the Review of Care and Health Apps. |
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1f — Q1 | Does the application allow the monitoring of key health information? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1f — Q2 | Does the application involve the recording of relevant data over time for the user to access and review (with no “intelligent” manipulation of that data by the app)? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1f — Q3 | Does the application involve the automated assessment or interpretation of relevant data to deliver alerts, insights, reminders, or adjustments regarding the management of a specific mental health problemA consistently used phrase throughout this framework to denote the full range of mental health conditions that affect people.? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1f — Q4 | Is the application simple self-management, enhanced self-management, or advanced self-management? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1f — Q5 | Is the output of the application’s monitoring intended to affect the treatment of an individual? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1f — Q6 | Does the application allow others (i.e., not the user) to monitor or view the health data captured? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1f — Q7 | Does the application automatically measure and/or record data about a user’s specified mental health problemA consistently used phrase throughout this framework to denote the full range of mental health conditions that affect people. and transmit the data to a professional, carer, or third-party organizationA company, charity, insurer, or provider involved in the mental health and physical health care or therapeutic space. without any input from the user? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1f — Q8 | Does the application generate any alarms or alerts from the data recorded by the application or a connected device? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1f — Q9 | Are the alarms generated by user-defined filtering rules? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1f — Q10 | What type of intervention or treatment does the application provide? | ORCHAThe Organisation for the Review of Care and Health Apps. |
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1g — Q1 | Can the application be used by users to have online consultations, conversations, or related health-care services with a health-care professional? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1g — Q2 | Is this through video consultation? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1g — Q3 | Does the application allow health-care professionals to provide clinical advice, as opposed to the application providing advice itself? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1g — Q4 | If the application allows health-care professionals to provide clinical advice through the app, rather than the application providing the advice itself, how does it do this? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1g — Q5 | Are licensed health-care professionals involved in the delivery of the app? |
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1h — Q1 | Is this an administrative application which does not directly impact user care? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1h — Q2 | What administrative functions does the application provide? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1h — Q3 | Is the application used to facilitate communication between health-care professionals other than for consultation or the delivery of advice? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1h — Q4 | Does the application allow users to book appointments with a health-care professional? | ORCHAThe Organisation for the Review of Care and Health Apps. |
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1i — Q1 | Does the application allow users to order and request prescriptions? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1i — Q2 | Does the application constitute a pharmacy service? | ORCHAThe Organisation for the Review of Care and Health Apps. |
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1j — Q1 | Does the application send push notifications? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1j — Q2 | Does the application send email notifications? | ORCHAThe Organisation for the Review of Care and Health Apps. |
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1k — Q1 | Is the application’s main functionality dependent on the user having one of the devices to connect with the app? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1k — Q2 | Do any of the features or functions of the application appear to allow it to be used to control a device? | ORCHAThe Organisation for the Review of Care and Health Apps. |
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1l — Q1 | Are there opportunities to link with other users (buddying, forums, or group education)? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1l — Q2 | Does the application provide an internally hosted forum or online communityA social unit with commonality such as norms, religion, values, customs, or identity. for their users? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1l — Q3 | Does the application link to a third-party service to host a forum or online communityA social unit with commonality such as norms, religion, values, customs, or identity. for their users? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1l — Q4 | Does the application allow two-way communication between citizens or health-care professionals? | ORCHAThe Organisation for the Review of Care and Health Apps. |
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1m — Q1 | Does the application provide gamification or goal-setting features for the user? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1m — Q2 | Does the application set goals for the user? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1m — Q3 | Does the application allow the user to set goals for themselves? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1n — Q1 | Can the application presentation be customized by the user? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1n — Q2 | Does the application respond to preferences in the device? | ORCHAThe Organisation for the Review of Care and Health Apps. |
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1o — Q1 | Is the application totally free? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1o — Q2 | How is the application funded? | ORCHAThe Organisation for the Review of Care and Health Apps. |
1o — Q3 | Does the application contain advertisements? | ORCHAThe Organisation for the Review of Care and Health Apps. |