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Adjunctive Mobile Technologies for CBT: Part 3. Ryan Hansen, M.S. Ohio State University Hansen.282@osu.edu. A very important question:. Why?. Good Reasons:. Interactivity Reminders Proximity Navigation of Information Communication Psychoeducation. Bad Reasons:. To replace therapists
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Adjunctive Mobile Technologies for CBT: Part 3 Ryan Hansen, M.S. Ohio State University Hansen.282@osu.edu
A very important question: • Why?
Good Reasons: • Interactivity • Reminders • Proximity • Navigation of Information • Communication • Psychoeducation
Bad Reasons: • To replace therapists • To duplicate worksheets • To duplicate webpages
The Mathew Effect in Market Share • Android and iOS Dominate • Less incentive for developers to make apps for other markets • Fewer Apps in other markets • Less reason to buy other phones • Android and iOSDominate
Operating Systems are like Languages IOS Android
IOS • Objective C (Free) • X-Code (Free) • *need a mac with OS 10 or higher • iOSDeveloper Program ($99/Year) • Must use Developer Certificate in Testing • Submission to App Store • Apple gets a cut of all sales and subscriptions
Android • Java (Free) • Eclipse (Free) • Can test apps without account • Submit to Google Play (One time $25 fee, instantaneous publishing) • Google Play gets a cut of all sales and subscriptions
HTML5 • Free (but requires hosting) • No software needed, but it helps • No curated market (both good and bad) • Able to work offline (if bookmarked) • Able to access many features on newer devices • Sandboxed • No Fees attached • Public doesn’t understand it • www.codecademy.com
Native Wrappers • Phonegap • Titanium • appMobi • Create native apps using HTML5 • Provide API’s (Hooks to get out of the sandbox) • Work across platforms (mostly) • Can be submitted to app stores
Limitations of Native Wrappers • Integration with SDK’s (like Google Analytics) • Efficiency • Memory Leaks/Garbage Collection Problems • Difficult to orchestrate large projects • Poor Documentation
Hiring Someone Else • Apps are expensive ($5,000-$30,000) • Look at their portfolio • Can you talk to them in plain English? • How will you maintain the app? • How will you host the app? • Pitfalls of hiring students/neighbors/nieces • Longer production • Not knowing what you don’t know • Hit by a truck?
DIY apps • High learning curve • Simpler is better • HTML5/Javascript is the easiest language to learn • Google can help • Follow the examples online and modify them • Plan out your app on paper first • Spend time on User Interface Design • Write out all the functions in plain English first. • Test it on as many phones as possible
Confidentiality 4.01 Maintaining Confidentiality Psychologists have a primary obligation and take reasonable precautions to protect confidential information obtained through or stored in any medium, recognizing that the extent and limits of confidentiality may be regulated by law or established by institutional rules or professional or scientific relationship.
Security • Where is the data stored? • Locally • Password Protection? • Encryption? • Backed up on iTunes/internet? • Texting? • Viruses? • Remotely • How is it getting there? • HTTP vs HTTPS • WiFivs Cell Connection • How is it stored there? • What is their privacy policy? • How secure are their servers? • How much information do they have about your client? • Is your location or IP being tracked? • Email
Ethical Questions • What if your client is tracking illegal activity? • HIPPA • Does it fall under the FDA? • “Suicidal Siri” • What data is collected by the app about the client? • Who is that data shared with? • Advertising?
Legal Considerations • Does your employer own the app? • What liability goes along with making and distributing an app? • What liability goes along with recommending an app or using it in therapy?
Gamification Zombies, Run! Endomondo
Suicide Prevention Apps • ASK • Guard Your Buddy • RUOK:OSU
PTSD • PTSD Coach • PECoach