Background: The number of e-mental health apps is increasing rapidly. Studies have shown that the use of some apps is beneficial, whereas others are ineffective or do not meet users' privacy expectations. Individuals and organizations that curate, recommend, host, use, or pay for apps have an interest in categorizing apps according to the consensus criteria of usability and effectiveness. Others have previously published recommendations for assessing health-related apps; however, the extent to which these recommendations can be generalized across different population groups (eg, culture, gender, and language) remains unclear. This study describes an attempt by Canadian stakeholders to develop an e-mental health assessment framework that responds to the unique needs of people living in Canada in an evidence-based manner.
Objective: The objective of our study was to achieve consensus from a broad group of Canadian stakeholders on guiding principles and criteria for a framework to assess e-mental health apps in Canada.
Results: Of all respondents, 68% (17/25) in Round 1 and 100% (13/13) in Round 2 agreed that a framework for evaluating health apps is needed to help Canadian consumers identify high-quality apps. Consensus was reached on 9 guiding principles: evidence based, gender responsive, culturally appropriate, user centered, risk based, internationally aligned, enabling innovation, transparent and fair, and based on ethical norms. In addition, 15 informative and evaluative criteria were defined to assess the effectiveness, functionality, clinical applicability, interoperability, usability, transparency regarding security and privacy, security or privacy standards, supported platforms, targeted users, developers' transparency, funding transparency, price, user desirability, user inclusion, and meaningful inclusion of a diverse range of communities.
Conclusions: Canadian mental health stakeholders reached the consensus on a framework of 9 guiding principles and 15 criteria important in assessing e-mental health apps. What differentiates the Canadian framework from other scales is explicit attention to user inclusion at all stages of the development, gender responsiveness, and cultural appropriateness. Furthermore, an empathy mapping process markedly influenced the development of the framework. This framework may be used to inform future mental health policies and programs.
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@Grmacjon-MSFT , any news and ETA about this issue for Azure Static web apps? it's been more than a year... It's mandatory for some of my customers for data and source code to be hosted in Canada only (per example Banks, government applications, etc). Thanks!
I 100% agree - in the Medical Education field, data and code HAS to physically be within Canada. So static web apps only hostable within the US are useless to us. Not the mention the egress/ingress costs (and connection delays) having US based static web app having to go across 'border' to get at data.
Canadian users spent an average of 4.6 hours on mobile each day in 2022, according to data.ai. This has increased by 1.4 hours since 2019 as users turned to mobile throughout coronavirus pandemic restrictions.- Advertisement - Consumer spending on dating, short video and audio book apps grew in 2022, despite some economic stagnation. Travel apps also grew in popularity as international restrictions eased.
In June 2023, the Canadian parliament passed a law requiring online platforms to pay news publishers for content shared on their websites. This followed concern from the media industry over access to online advertising and market share. In light of the legislation, Facebook and Instagram have removed news content from their apps in Canada.
Users can become familiar with the standards for mental health apps, as developed through evidence-informed research, in-depth consultations with stakeholders (including those with lived and living experience), and public consultation.
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