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    Breathe, Think, Do with Sesame® Evaluation

    "A resource app for you to share with your child to help teach skills such as problem solving, self-control, planning, and task persistence." Evaluated: December 2019

    The below evaluation is an example of the types of information you may find when using our Model to assess specific apps. This sample evaluation is not intended to enable you to make a decision about choosing these specific apps for actual use, as such a decision is a personal one that you will make based on your own unique preferences, needs, and evaluation. We strongly encourage you to download these apps for yourself and use our Model to conduct your own assessment.

    This evaluation was completed December 6th and 7th, 2019, and is based on publicly available information found by our Panel at that time. In June 2020, APA's contacted the app developers and offered to them an opportunity to provide feedback on these assessments. Comments from developers who responded are included here. These comments do not necessarily reflect publicly available information at the time of the original assessment or presently.

     Access & Background

    On which platforms/operating systems does the app work? Does it also work on desktop?

    iOS and Android

    Has the app been updated in the last 180 days?

    No, last updated May 2019

    Does the app identify ownership?

    Sesame Street

    Does the app identify funding sources and conflicts of interest?

    Yes, funded by Sesame Street. Their full financials are available on their website.

    Does the app come from a trusted source?

    Yes, Sesame Street is a global non-profit educational organization.

    Does the app claim to be medical?

    No

    Are there additional or hidden costs?

    No

    Does the app work offline?

    Yes

    Does the app work with accessibility features of the iPhone/Android? Is it accessible for those with impaired vision or other disabilities?

    No app accessibility settings are apparent within the app to this reviewer.

     Privacy & Safety

    Is there a transparent privacy policy that is clear and accessible before use?

    Yes, it is comprehensive and covers the app and its associated website.

    Does the app collect, use, and/or transmit sensitive data? If yes, does it claim to do so securely?

    Not on the app, but the website does.

    Does the app declare data use and purpose?

    The app does not collect data.

    Does the app describe use of PHI?

    The app does not collect PHI.

    Can you opt out of data collection or delete data?

    No, the app does not collect data.

    Is data maintained in the device or on the web?

    Neither, the app does not collect data.

    Does the app explain security systems used?

    The app does not collect data, and additional parental protections are in place.

    What third parties does the app share data with?

    None, the app does not collect data.

    If appropriate, is the app equipped to respond to potential harms or safety concerns?

    Answer is not readily apparent to reviewer.

     Clinical Foundation

    Does the app appear to do what it claims to do?

    Yes, the app offers breathing exercises to assist with coping skills.

    Is there evidence of specific benefit from academic institutions, publications, end user feedback or research studies?

    Not directly, however it has been compared to similar apps in a peer-reviewed article.

    Does the app have a clinical/recovery foundation relevant to your intended use?

    Not explicitly. However appears to be informed by principles of mindfulness and CBT.

    Is the app content correct, well-written, and relevant?

    Yes, activities are simple, well-written, age-appropriate, and easy to understand.

    What are the relevant sources or references supporting the app use cases?

    A peer reviewed article comparing similar apps.

    Was there an attempt to validate app usability and feasibility?

    The reviewer was unable to find evidence to support validation for usability and feasibility.

    Is there evidence of effectiveness/efficacy?

    No.

     Usability

    Does the app seem easy to use?

    Yes, and has higher-complexity controls for parents.

    What are the main engagement styles of the app?

    Video and gamification

    Do the app and its features align with your needs and priorities?

    Yes, with respect to the needs and priorities of this reviewer.

    Is it customizable?

    Users can choose which skills to work on

    Does the app clearly define its functional scope?

    Yes, this is an app to practice breathing techniques and assist with coping skills.

     Therapeutic Goal

    Can data be easily shared and interpreted in a way that's consistent with the stated purpose of the app?

    There is no data to share on the app.

    Do you own your data?

    The app does not collect data.

    Can the app share data with EMR and other data tools (Apple HealthKit, FitBit)?

    No, the app does not collect data.

    Is the app for individual use or to be used in collaboration with a provider? If intended to be used with a provider, does the app have the ability to export or transfer data?

    The app is for individual and parental use.

    Does the app lead to any positive behavior change or skill acquisition?

    The app is intended for learning and practicing breathing techniques.

    Does the app improve therapeutic alliance between patient and provider?

    That is not the app's intended purpose.

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