People and process

People and process

  • The Healthify app library is a New Zealand-based resource to help New Zealanders identify safe, useful and relevant health apps.
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The NZ Health App Library is a collection of reviews of consumer-focused health apps for a wide range of health needs. The library also has helpful tips on how to use apps safely. The apps in the library are reviewed by our team and then independently reviewed by clinicians in the relevant field. This makes it quick and easy for you to find trusted apps you can use to help make a difference to your health. This initiative is supported by Health New Zealand | Te Whatu Ora and is overseen by the NZ App Library Advisory Group.

App selection

Apps are organised into categories relating to a health condition or aspect of healthy living. The categories chosen are in response to requests from the Healthify team, clinicians and consumers or from searching other independent app review websites. For example, the group of apps for women's health, includes categories for endometriosis, fertility, period tracking and PCOS apps.

Once a category has been chosen, we search for apps and decide which ones to include. We find new apps in a number of different ways, including:

  • a literature review of research papers
  • published reviews of apps on other independent app review websites
  • searches on Apple and Google Play app stores
  • trending apps on social media and popular news
  • being alerted by app developers about new, relevant apps
  • through our supporter organisations and networks
  • through website users, including consumers using the apps.

Inclusion criteria

The main inclusion criteria are that the app must have an English language option and should be widely available rather than have restricted access.

Both New Zealand and non-New Zealand-based apps are included. We mainly include free apps but also consider some apps that have a cost associated with them.

We want to review apps that are most relevant to New Zealanders. Therefore, our policy is to prioritise New Zealand-developed apps over international apps, as well as apps focused on Māori and Pacific Peoples that have been co-designed with consumers and clinicians. We also prioritise apps that aim to meet a key area of need and that have an evidence base or evaluation of effectiveness, acceptability and usability, as well as a privacy policy. 

New Zealand-developed apps
If you're a developer and would like your app reviewed, please complete the app screening tool(external link).

App assessment

Apps are assessed mainly for their usefulness and safety by a clinical subject matter expert or health professional working in the relevant clinical area.

The assessment includes a review of the features, functionality and information quality of the app, with consideration of the app's main purpose and its target audience.

A summary of the pros and cons or likes and dislikes of the app is also included.

The reviewer also assesses the relevance of the app to a New Zealand audience. This also highlights aspects of the app that may not be relevant to New Zealand users, such as different units of measurement or products not available in New Zealand, or information that may not be in keeping with New Zealand best practice.

Based on the clinical review and overall impression of the app, the clinical reviewer assigns a score to the app (5 = very good, 4 = good, 3 = neutral, 2 = poor, 1 = very poor and therefore not recommended). This is displayed as a star rating on the app review or as 'not recommended'.

Exclusion criteria

Apps are excluded if they're considered to be clinically unsafe or potentially harmful to users. Other reasons for excluding apps include incomplete content, functionality issues and security or privacy concerns. 

Additional information

We offer more than reviews. Based on our findings from literature searches, we provide guidance on what users need to consider when selecting an app and how to use apps safely, eg, tips when using blood pressure apps. In addition, we've created a few plain language resources:

Limitations

Despite our efforts to provide you with the information you need to choose a health app, there are some limitations to this process.

Firstly, although we download and test apps, we also rely on the description on the app website and developer-provided documentation. We don't do independent testing to validate claims. Secondly, the health app space is ever changing and health apps come and go, and whilst we aim to keep reviews current and up to date, it can be difficult to keep up with this.

Thirdly, as with all reviews, each review reflects the opinion of the reviewer, in this case a clinician with relevant expertise.

If you're unsure whether an app is right for you, you can discuss this with your healthcare provider.

The New Zealand Health App Library Advisory Group meets 3 times per year to provide advice and insights on the ongoing development of the New Zealand Health App Library.

This group is made up of a wide range of expertise and professions, from academia and people with lived experience, through to primary and secondary care. We're very fortunate to have such a talented group of people supporting us with this work.

Current members of the New Zealand Health App Library Group are:

  • Rebecca Grainger, Professor and Rheumatologist, University of Otago
  • Demi Meiklejohn, Standards Analyst / Data Standards, Health NZ | Te Whatu Ora
  • Sally McAra, Health Coach, Fresh Minds
  • Amy Wilson, Innovation and Engagement Manager, Mercy Radiology
  • Carol Neki, Practice Manager, Mangere Health Centre
  • Ruth McKenzie, Nurse Lead, Mangere Health Centre
  • Chris Baty, Lived experience / consumer consultant, Independent 
  • Dr Robyn Whittaker, Director Evidence Research and Clinical Trials, Health NZ | Te Whatu Ora
  • Frances King, Equity Lead, HNCT

Health Navigator Charitable Trust has led the development of a Digital Health Accreditation Pathway in New Zealand. This pathway was co-designed through focus groups and consultation with subject matter experts, people with lived experience and cultural expertise, and then beta tested with developers. We also partnered with the Organisation for the Review of Care and Health Apps (ORCHA) in the UK who are internationally recognised for their quality assurance processes to introduce digital health safely.

Why is it important to have a Digital Health Accreditation Pathway?

Digital health offers a huge opportunity to help us prevent, self-manage or treat health conditions. There are more than 350,000 digital health technologies available, and over 5 million people downloading one every day (ORCHA, n.d.) worldwide, yet here in New Zealand there is no way of determining which ones are safe. The DHAP is a robust assessment process that scores an app / digital solution against a series of domains (see below).

What does the DHAP assess?

Outlined below is summary of the Digital Health Accreditation Pathway framework. The assessment is managed by Health Navigator Charitable Trust (who co-ordinate a range of experts to cover all domains listed below).

 

 

Want to know more?

If you'd like to know more about the DHAP, you can contact the Health Navigator team through our Contact us form.

If you're unsure about how to choose a health app, need information on how to improve your safety and security when using an app, or are thinking of developing a health app, check out the following Healthify guides.

Guides to choosing an app

Safety and security

Developing a health app

Sign up for our free newsletter

The NZ Health App Library newsletter provides a brief update on recently added app reviews, interesting papers and what to know if you're thinking of creating an app. Click here to subscribe.

Disclaimer: The NZ Health App Library is a free consumer service to help you decide whether a health app would be suitable for you. Our review process is independent. We have no relationship with the app developers or companies and no responsibility for the service they provide. This means that if you have an issue with one of the apps we have reviewed, you will need to contact the app developer or company directly.

Factsheets – using health apps safely

How to choose a health app
Healthify He Puna Waiora, NZ

Credits: Healthify Editorial Team. Healthify is brought to you by Health Navigator Charitable Trust.

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