@文章{信息:doi/10.2196/10016,作者="Zelmer, Jennifer和van Hoof, Krystle和Notarianni, MaryAnn和van Mierlo, Trevor和Schellenberg, Megan和Tannenbaum, Cara",标题="加拿大电子心理健康应用程序的评估框架:改进的德尔菲过程的结果",期刊="JMIR Mhealth Uhealth",年="2018",月="七月",日="09",卷="6",数="7",页数="e10016",关键词="心理健康;手机应用;共识;德尔福过程;评价框架;背景:电子心理健康应用程序的数量正在迅速增加。研究表明,使用一些应用程序是有益的,而其他应用程序则无效或不符合用户的隐私期望。个人和组织,策划,推荐,托管,使用,或支付应用程序有兴趣根据可用性和有效性的共识标准分类应用程序。其他人之前发布了评估健康相关应用程序的建议;然而,这些建议在多大程度上可以在不同人群(如文化、性别和语言)中推广仍不清楚。 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. Methods: We developed an initial set of guiding principles and criteria from a rapid review and environmental scan of pre-existing app assessment frameworks. The initial list was refined through a two-round modified Delphi process. Participants (N=25) included app developers and users, health care providers, mental health advocates, people with lived experience of a mental health problem or mental illness, policy makers, and researchers. Consensus on each guideline or criterion was defined a priori as at least 70{\%} agreement. The first round of voting was conducted electronically. Prior to Round 2 voting, in-person presentations from experts and a persona empathy mapping process were used to explore the perspectives of diverse stakeholders. 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. ", issn="2291-5222", doi="10.2196/10016", url="http://mhealth.www.mybigtv.com/2018/7/e10016/", url="https://doi.org/10.2196/10016", url="http://www.ncbi.nlm.nih.gov/pubmed/29986846" }
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