Evidence map›Paper›PMID 34401392›Full record

ArticleInternet interventions2021

Terms and conditions apply: Critical issues for readability and jargon in mental health depression apps.

Sagar Jilka, Sara Simblett, Clarissa M Odoi, Janet van Bilsen, Ania Wieczorek, Sinan Erturk, Emma Wilson, Magano Mutepua, Til Wykes

Abstract read
In one paragraph

Article in Internet interventions, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sagar JilkaInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Sara SimblettInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Clarissa M OdoiInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Janet van BilsenInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Ania WieczorekInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Sinan ErturkInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Emma WilsonInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Magano MutepuaInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Til WykesInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health services are turning to technology to ease the resource burden, but privacy policies are hard to understand potentially compromising consent for people with mental health problems. The FDA recommends a reading grade of 8.

objectiveTo investigate and improve the accessibility and acceptability of mental health depression app privacy policies.

methodsA mixed methods study using quantitative and qualitative data to improve the accessibility of app privacy policies. Service users completed assessments and focus groups to provide information on ways to improve privacy policy accessibility, including identifying and rewording jargon. This was supplemented by comparisons of mental health depression apps with social media, music and finance apps using readability analyses and examining whether GDPR affected accessibility.

resultsService users provided a detailed framework for increasing accessibility that emphasised having critical information for consent. Quantitatively, most app privacy policies were too long and complicated for ensuring informed consent (mental health apps mean reading grade = 13.1 (SD = 2.44)). Their reading grades were no different to those for other services. Only 3 mental health apps had a grade 8 or less and 99% contained service user identified jargon. Mental health app privacy policies produced for GDPR weren't more readable and were longer.

conclusionsApps specifically aimed at people with mental health difficulties are not accessible and even those that fulfilled the FDA's recommendation for reading grade contained jargon words. Developers and designers can increase accessibility by following a few rules and should, before launching, check whether the privacy policy can be understood.

Indexed as

JargonMental health appsPrivacy policiesReadabilityService users

Identifiers

PMID34401392
PMCPMC8350589

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.