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. 2019 Nov 21;5:2055207619886463. doi: 10.1177/2055207619886463

Table 3.

The mHealth App Trustworthiness (mHAT) checklist.

Question Yes No Not applicable In progress Comments
Informational content
Information accuracy Does the app provide accurate measurements?
Does the app inform end-users about errors in measurements?
Does the app ensure that personalised data tailored to end-users are precise?
Is the information on the app certified by an:
  1. in-house team?

  2. external third-party team?

Is the information provided by the app backed by robust research?
Does the app recommend regular updates to:
  1. fix bugs inherent within the app?

  2. amend app contents based on improved research?

Understandability Is the app accompanied by clear end-user safety guidelines?
Is the research-backed evidence used to create the app easy to locate and understand?
Transparency Does the app highlight potential risks or side-effects resulting from its use?
Are the ‘terms of service’ concise and easy to read?
Does the app require only minimal personal data of end-users?*
Are the privacy policies concise, clear and easy to understand?
Organizational attributes
Brand familiarity Does the company have other reputable products or services to associate the app with?
Reputation Does the company curating the app have clear policies on how to handle end-user data?
Does the company make their data handling history and data breaches available to end-users?
Is the app affiliated with a non-governmental organization or a reputable government agency?*
Does the company value data protection regulations?
Does the company utilise skilled personnel within the app development domain?
Has the company developed similar apps in the past?
Societal influences
Recommendations Can end-users readily suggest the app to others?
Does the app have good reviews?
How easily can end-users locate the app? Does it appear:
  1. in the top results of search engines?

  2. as a featured app in the app store?

Does the app store display how often the app has been downloaded?
External factor Does the app accompany a wearable device?
Technology-related features
Usability Is the app easy to use and have a friendly end-user interface?
Is the app visually appealing (aesthetics)?
Does the app send out a reasonable number of notifications?*
Are the features of the app customisable?
Is the app accessible by its target audience?*
Privacy Is the data generated from the app secured by end-to-end-encryption?
How is the data generated from the app stored:
  1. locally on the device?

  2. encrypted?

Is privacy a core consideration throughout the app design phase, i.e. a privacy by design approach?
Is the data generated from the app anonymised so that individuals are non-identifiable?
Can users easily access all of their data e.g. address, billing information?
User control
Autonomy Do the functions of the app give end-users the overall impression of freedom to control the use of their data?
Empowerment Does the app allow end-users to restrict data sharing to third-parties such as social networking sites?
Do end-users act as the proprietors of the data generated from the app?
Does the app seek explicit end-user permission before sharing data with third-parties?
Does the app allow end-users to opt-in and decide which data can be stored or processed?*
Does the app allow end-users to easily delete their data?

App: application.

Certain items in the checklist have been marked with asterisks to signify that they are context-specific.