{"id":1287,"date":"2024-01-03T15:15:55","date_gmt":"2024-01-03T18:15:55","guid":{"rendered":"https:\/\/moodrapp.com\/?page_id=1287"},"modified":"2025-04-09T19:00:50","modified_gmt":"2025-04-09T22:00:50","slug":"evidencias-cientificas","status":"publish","type":"page","link":"https:\/\/moodrapp.com\/en\/moodr-para-profissionais-da-saude\/evidencias-cientificas\/","title":{"rendered":"Scientific Evidence"},"content":{"rendered":"
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Scientific Evidence<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Scientific evidence supports the use of Moodr in monitoring the symptoms of mood disorders.<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Changes in the symptoms of patients with Mood Disorders (MD) are accessed in clinical practice systematically and longitudinally through questionnaires and clinical observation.<\/span><\/p>

The logical benefit in the clinical follow-up of patients using the Moodr App is an increase in the quality, quantity and accuracy of the daily information collected about the individual.<\/p>

The probability of improved decision-making with the appropriate detail of this information is also intuitive and obvious.<\/p>

Moodr boasts C-level scientific evidence, case series with hundreds of individuals evaluated and the consequent artisanal improvement of the app over several years.<\/p>

In addition, several of the principles underpinning Moodr have already been proven in Randomized Controlled Studies in the medical literature and have proved to be useful and effective.<\/p>

Apps that record symptoms are the continuation of a long tradition dating back to Kraepelin's (1)<\/a> pioneering studies into bipolar disorder.<\/p>

Moodr is a practical technological update of the mood chart, which comes from a well-established tradition in psychiatry, the self-monitoring (2)<\/a>. Apps are a current trend well accepted by patients, easy to access and use.<\/p>

Daily paper records, such as the LCM-p scale (prospective NIMH Life Chart Method), have been used for many decades, are effective and have been validated (3)<\/a>, including in Brazil (4)<\/a>. They are also highly correlated and concordant (5)<\/a> with traditional scales such as the HAM (Hamilton, 1960) and the Young (Young et al., 1978). However, simplified daily longitudinal self-recording of symptoms is quick, valid (6)<\/a> and better than the scales (7)<\/a>\u00a0 because it is more accurate in measuring instability. The usual scales, despite being the current standard for monitoring mood, are applied weeks apart and are cross-sectional in nature, without capturing the longitudinal course of symptoms between measurements, producing a less reliable summary of the evolution of the disorder. They are also more subject to memory and mood biases on the day of application.<\/p>

On the other hand, some simplified scales such as the LCM-p only use 4 levels of severity for the symptoms: mild, low moderate, high moderate and severe. This requires minimal psychoeducation of the patient on how to fill in the instrument properly. With Moodr we instruct the patient to record the most severe level of mania and\/or depression symptoms that occurred that day. A \u201crecalibration\u201d can be made at each visit according to the successes and failures observed in the diary. The LCM-p has proven its greatest value by providing clinicians and their patients with immediate and very precise graphic visualization of the course of mood symptoms (2)<\/a> over longer periods of time.<\/p>

Electronic records have evidence of being better than those made on paper. The adherence (7)<\/a> to recording mood in the LCM-p in an electronic version was double when compared to the same instrument on paper. The use of mobile apps to record daily mood symptoms reduced the risk of memory bias (4)<\/a>. The fact that the patient clicks on a simplified score that corresponds to their mood that day favors completion (7)<\/a>\u00a0 and is reliable. Cell phone applications filled in daily have adequately captured the symptoms of MD (8)<\/a>.<\/p>

Simplified versions (6) have already been studied<\/a> for 3 mood levels instead of the 4 of the LCM-p scale. The results, using exactly the same principles as Moodr (symptoms can be \u201cmild\u201d, \u201cmoderate\u201d or \u201csevere\u201d), were satisfactory in correlating with the usual scales (HAM and Young). In addition, there was a moderate to high correlation (6)<\/a> between mood symptom scores compared between patients and clinicians. The Moodr way of recording symptoms in 3 levels of severity has already been tested and approved in the literature.<\/p>

The use of mood records has been associated with an increase in euthymic periods and a decrease in days in depression, mania and hypomania (4)<\/a>. The use of systematic daily follow-ups on paper has improved the treatment of MD. Mobile apps have the same technical principles as successful paper diaries. However, they have some better comparative results and clear advantages in terms of practicality of use and availability, with the potential to positively influence the outcomes of MD.<\/p>

Moodr was developed and adapted to the most important clinical needs of the initial phase of treatment, mainly the evaluation of the response to the proposed drugs and their side effects.<\/p>

Environmental factors were also highlighted.\u00a0<\/p>

Suggestions from the literature such as passive measures that don't require effort from the patient (automatic measurement of daily steps in the case of Moodr) have been added to the app (10).<\/a><\/p>

The final product, continually revised, remains based on:<\/p>

1. Being simple, intuitive, easy and quick to complete;
<\/span>2. Being constantly revised in line with the relevant literature;
3. Be intended for use at the beginning of the treatment of mood disorders;
4. Its main purpose should be to monitor and assist in the process of stabilizing the condition;
5. Be focused on the beginning of treatment. Moodr is essentially an \u201cattack\u201d app, for use in the office during the initial unstable phase of treatment, after which it can be \u201cpaused\u201d;
6. In its simplicity, Moodr differs from academic apps used to study the details of mood disorders. Requirements such as daily logging of various mood moments, prolonged use over months or years and the violation of privacy rules under particular scientific conditions are common in academic apps. These requirements are not accepted by platforms such as IOS (which prevents GPS records, voice recording, frequency of use on social media, etc.) The conditions necessary for academic study are inappropriate in everyday clinical outpatient care;
7. Moodr's clinical focus is evident in the choice of characteristics that are symptoms of Mood Disorders but are also side effects of the medications used, such as changes in libido, sleep and appetite;
8. These characteristics (along with mood) are fundamental to the choice of treatments and a more accurate assessment of the response to them, potentially affecting the patient's acceptance of and adherence to the therapies employed and probably affecting their quality of life.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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References:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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  1. Kraepelin, Emil. Manic-Depressive Insanity and Paranoia. Edinburgh: Livingstone, 1921.<\/a><\/li>
  2. Yatham, LN et al. 2018. CANMAT. Bipolar disorders, 20(2), 97\u2013170.\u00a0<\/a><\/li>
  3. Koenders MA et al. 2015. The use of the prospective NIMH Life Chart Method as a bipolar mood assessment method in research: a systematic review of different methods, outcome measures and interpretations. J Affect Disord. (175), 260-8.\u00a0<\/a><\/li>
  4. Costa DB et al. 2022. National Institute of Mental Health Life Chart Method Self\/Prospective (NIMH-LCM-S\/P\u2122): translation and adaptation to Brazilian Portuguese. Trends Psychiatry Psychother. 44, e20200140.<\/a><\/li>
  5. Born C et al. 2009. Preliminary results of a fine-grain analysis of mood swings and treatment modalities of bipolar I and II patients using the daily prospective life-chart-methodology. Acta Psychiatr Scand. (120), 474-80.\u00a0<\/a><\/li>
  6. Born C et al. 2014. Saving time and money: a validation of the self ratings on the prospective NIMH Life-Chart Method (NIMH-LCM). BMC Psychiatry. 7(14), 130.\u00a0<\/a><\/li>
  7. Parker G et al. 2007. The validity and utility of patients’ daily ratings of mood and impairment in clinical trials of bipolar disorder. Acta Psychiatr Scand. 115(5), 366-71.<\/a>\u00a0<\/li>
  8. Lieberman DZ et al. 2010. A randomized comparison of online and paper mood charts for people with bipolar disorder. J Affect Disord, 124(1-2):85-9.\u00a0<\/a><\/li>
  9. Faurholt-Jepsen M et al. 2014. Smartphone data as objective measures of bipolar disorder symptoms. Psychiatry Res. 217, 124\u2013127.\u00a0<\/a><\/li>
  10. Anmella G, Faurholt-Jepsen M, Hidalgo-Mazzei D et al. Smartphone-based interventions in bipolar disorder: Systematic review and meta-analyses of efficacy. A position paper from the International Society for Bipolar Disorders (ISBD) Big Data Task Force. Bipolar Disord. 2022 Sep;24(6):580-614. doi: 10.1111\/bdi.13243.<\/a><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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    Evidence Based on Reason<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    This is Moodr, based on common sense.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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    This is the reconstruction of Puertasaurus based on 3% of its skeleton. (ReYOUniverse YouTube channel)<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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    This is Sue, the most complete (80%) T. Rex skeleton ever found.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    Which of these examples is more reliable in relation to the real animal?<\/span><\/i>\u00a0<\/span><\/p>

    The answer is obvious: the more complete the skeleton, the better the accuracy and detail in describing these magnificent animals.<\/p>

    Just as with fossils, in the psychiatric clinic the greater and more complete our knowledge of the case, the greater the refinement, precision and the chance of better informed decisions.\u00a0<\/i><\/p>

    In a return psychiatric consultation, Mrs. Maria might respond about how she is doing in the following terms:<\/p>

    \u201cI think I'm doing a little better...\u201d<\/i><\/p>

    We could then ask her to open her Moodr, in which we invested precious<\/i> time during the initial consultation so that it could be filled in properly<\/i>, obtaining an accurate visual<\/i> response, a much more precise<\/i> \u201cskeleton\u201d of the patient's condition.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    Screenshot of a real case in an earlier version of Moodr.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    And the consultation would continue to be more <\/span>qualified<\/span><\/i> than usual, with hundreds of <\/span>reliable<\/span><\/i> pieces of information quickly <\/span>at hand<\/span><\/i>. A welcome <\/span>return<\/span><\/i> on the time previously <\/span>invested<\/span><\/i> in the app.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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    Why does dermatology matter?<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    Moodr brings psychiatry closer to dermatology.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    Every doctor knows: dermatology reverses the traditional logic of the consultation. Normally, we collect the history first and then perform the physical examination. Psychiatry, in general, focuses on the mental state examination. Dermatology reverses this scenario \u2013 the dermatologist examines the lesion first and then moves on to the history of the condition, having already ruled out many diagnostic possibilities.<\/span><\/p>

    The dermatologist first looks.\u00a0<\/span><\/p>

    With Moodr, something similar happens in psychiatry.<\/span><\/p>

    When the patient returns, in general, we ask <\/span>\u201chow are you?\u201d.<\/span><\/i>.<\/span><\/p>

    The answer is usually vague: <\/span>\u201cso-so\u201d,<\/span><\/i>, <\/span>\u201ca little better\u201d,<\/span><\/i>, <\/span>\u201cworse\u201d,<\/span><\/i>etc.<\/span><\/p>

    What is the advantage and similarity to dermatology that Moodr provides?
    <\/span>
    <\/span>Reverse the logic of the consultation: <\/span>\u201cMrs. Mary, let's take a look at Moodr\u201d.<\/span><\/i> Thus, if well prescribed and properly filled out, a new world unfolds in the psychiatric consultation. The questions become guided by what we are<\/span> seeing.<\/b>We will be faced with dozens or hundreds of data points to question the patient and guide treatment decisions.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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    In this example, the anxious patient recorded some hypomanic symptoms on a particular day, symptoms that would never have been identified without the input in the app. This is the accuracy beyond the traditional consultation that Moodr provides. In this way, psychiatry approaches dermatology with its advantages.<\/span><\/p>

    The consultation is no longer guided solely by memory and is instead built on objective images \u2014 moodcharts that reveal the course of symptoms, their probable causes, and their developments.<\/span><\/p>

    It is not a substitute for the doctor, but rather a tool that enhances our accuracy. It is not a substitute for the traditional consultation, but an additional resource.<\/span><\/p>

    What the patient says is always important. However, Moodr enhances this information by presenting it in a concentrated and detailed form, covering all the previous days, which is more accurate than what the patient's memory can provide on the day of the consultation.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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    Applying the criteria<\/a> from the American Psychiatric Association (APA) to evaluate Moodr<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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    Step 1: Access and Background<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app identify ownership? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app identify funding sources and conflicts of interest? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app come from a trusted source? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes is claim to be medical? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tAre there additional or hidden costs? - No! \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app work offline? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app work on the iPhone\/Android operating systems? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes it work on a desktop computer? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app work with accessibility features of the iPhone\/android? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tIs it accessible for those with impaired vision or other disabilities? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tHas the app been updated in the last 180 days?\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
    \n\t\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t

    Step 2: Privacy and Security<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tIs there a transparent privacy policy that is clear and accessible before use?\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app declare data use and purpose? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app describe use of PHI? Deidentified vs. anonymous?\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tCan you opt out of data collection or delete data? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tAre data maintained in the device or on the web? - Only on the web!\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app explain security systems used?\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app collect, use, and\/or transmit sensitive data? If yes, does it claim to do so securely?\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tWhat third parties does the app share data with? - Nobody!\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tIf appropriate, is the app equipped to respond to potential harms or safety concerns? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
    \n\t\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t

    Step 3: Clinical Foundation<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app appear to do what it claims to do?\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tIs the app content correct, well-written, and relevant?\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tWhat are the relevant sources or references supporting the app use cases?\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tIs there evidence of specific benefit from academic institutions, publications, end user feedback, or research studies?\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tIs there evidence of effectiveness\/efficacy? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tWas there an attempt to validate app usability and feasibility? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app have a clinical\/recovery foundation relevant to your intended use? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
    \n\t\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t

    Step 4: Usability<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tWhat are the main engagement styles of the app? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDo the app and its features align with your needs and priorities? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t
    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tIs it customizable? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app clearly define functional scope?\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
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    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app seem easy to use? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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    Step 5: Data Integration Towards Therapeutic Goal<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
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    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDo you own your data?\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tCan data be easily shared and interpreted in a way that's consistent with the stated purpose of the app? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
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    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tCan the app share data with EMR and other data tools (apple Healthkit, FitBit)? \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tIs the app for individual use or to be used in collaboration with a provider? - Individual! \t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
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    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app lead to any positive behavior change or skill acquisition?\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
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    \n\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t
    \n\n\t\t\t\t\t\t\t\t\t
    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tDoes the app improve therapeutic alliance between patient and provider?\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
    \n\t\t\t\t\t
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    \n\t\t\t\t\t\t\t
    \n\n\t\t\t\t\t\tNote<\/span>\n\t\t\t\n\t\t\t\t\t\tThere are not necessarily right and wrong answers for each criterion. Their purpose is to give the healthcare professional and patient enough information to make an informed decision about choosing and using a particular healthcare app.<\/span>\n\t\t\t\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

    Evid\u00eancias Cient\u00edficas Evid\u00eancias cient\u00edficas que embasam o uso do Moodr no acompanhamento dos sintomas dos transtornos de humor. As mudan\u00e7as nos sintomas dos pacientes com Transtornos de Humor (TH) s\u00e3o acessadas na pr\u00e1tica cl\u00ednica sistem\u00e1tica e longitudinalmente atrav\u00e9s de question\u00e1rios e observa\u00e7\u00e3o cl\u00ednica. O benef\u00edcio l\u00f3gico no acompanhamento cl\u00ednico dos pacientes com o uso do […]<\/p>","protected":false},"author":1,"featured_media":0,"parent":563,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1287","page","type-page","status-publish","hentry"],"rankMath":{"parentDomain":"moodrapp.com","noFollowDomains":[],"noFollowExcludeDomains":[],"noFollowExternalLinks":false,"featuredImageNotice":"The featured image should be at least 200 by 200 pixels to be picked up by Facebook and other social media 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