Table 4.1.

Considerations for Evaluating Digital Health Interventions (DHIs).

Category	Evaluation questions
Efficacy	Does the DHI use evidence-based techniques? Has the DHI been evaluated in clinical trials in the same patient population? Are there real-world evaluations? Has the DHI been reviewed by credible sources?
Privacy and security	Is there a clear privacy and security policy? Is password protection or authentication included? What personal information does the DHI collect? Can personal data be deleted upon request? Will any personal data be shared or sold to a third party?
Risks	Will using the DHI delay proper assessment and treatment? Is harmful, inaccurate, or inconsistent advice given? For guided DHIs, what is the training and supervision policy for therapists/coaches? Will users feel worse if they are not able to complete the DHI? What is the procedure if users experience a crisis?
Access	Are there upfront or ongoing costs? Are there digital divide challenges? Are there accessibility issues (e.g., language, visual or typing barriers)? How much time does it take to use the DHI? Can reports or summaries be shared with the clinician?