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Sinasprite is a multi-platform game designed to help users practice a variety of tools for managing stress and anxiety. Upon opening the app, users are prompted to create an account with their name and e-mail address, and to choose an affiliated Sinasprite Clinic. Once an account has been created, users are invited to the “Oracle of Truth” where they “introduce” themselves to Socks the Fox by answering questions about their thoughts, feelings, and behaviors. Completing the questions unlocks the “Meditation” section of the app. Sinasprite includes a variety of other coping tools and activities, including, photo/image galleries, journaling options, and the option to create a social circle within the app, with whom users can photograph and/or share things they are grateful for. At various points through the user’s interactions with Socks the Fox, Socks encourages the user to “take deep breaths with [Socks]”, while the animated fox takes deep breaths too. When entering information into the Journal, users can indicate that a particular stressor is something they do, or do not, have control over. If a user indicates that they do have control over a stressor, Socks will drop the “worry” into a locked chest on the screen, and encourages the user to revisit the worry another time. If a user indicates that they do not have control over the stressor, Socks will tie a balloon to the worry, and encourage the user to watch the worry float away. Other features include a “Shrine”, where users can save images, paintings, and gratitudes in the virtual gallery; and a “Butterfly Walk”, allowing users to capture butterflies on their smartphone screen using augmented reality technology.

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Credibility

Overall Score: 2.85/5.00

Research Base: 1/2
Research Funding: 2/2
Proposed Intervention: 2/3
Consumer Ratings: 1/3
Clinical Input in Development: 1/1
Software Support: 2/2

Total: 8/14

Date of Rating: January 2018


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User Experience

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Transparency

Overall Score: Unacceptable

Overall Score: Unacceptable

Does the app have a privacy policy?:Yes
Does the privacy policy describe the information storage and sharing procedures related to user entered information, OR state that user information is stored locally?:Yes
Does the privacy policy state that the app/server encrypts/de-identifies the entered data OR state that user information is stored locally?:No/Can’t Tell
Does the app provide the option of a pin entry or log-in process to view and enter user data?:Yes
Does the privacy policy state whether or not users can use the app WITHOUT entering identifiable information, OR state that user information is stored locally?:No/Can’t Tell
Does the privacy policy state whether or not users can delete entered information OR state that user information is stored locally?:No/Can’t Tell
Does the privacy policy state whether or not users can edit entered information OR state that user information is stored locally?:No/Can’t Tell


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More Information

Available for: iOS 8.1 or later. Compatible with iPhone, iPad, and iPod touch; Android 2.3 and up
Company Name: Litesprite
Type of Treatment: Cognitive Behavioral Principles, Mindfulness, Psychoeducation/Informational
Targeted conditions: Mood disorders, Stress & Anxiety
Target audience: Not specified
Designed to be used in conjunction with a healthcare professional:
Yes
Get it on: iTunes, Google Play
Cost: Free

Research on this App

In a 6-week retrospective study of 24 Sinasprite users, self-directed use of the mobile app resulted in significant improvements in self-reported questionnaire scores reflecting depression, anxiety, and confidence in coping skills (Silva et al, 2018). A pilot feasibility study of Sinasprite was also conducted with 4 military personnel. The study involved a 12-week intervention with baseline evaluation, followed by 6 weeks of active app use and an additional 6 week follow up. Results showed mild improvements from baseline to 6-week-follow up on the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder 7 (GAD-7), Perceived Stress Scale (PSS), Coping Self-efficacy Scale (CSES) and Lie Satisfaction- 9 (LISAT-9). This suggests that Sinaspritemay be an effective tool for reducing stress, depression and anxiety in soldiers & dependents.

 

Learn More: 
Silva Almodovar A, Surve S, Axon DR, Cooper D, Nahata MC, Self-Directed Engagement with a Mobile App (Sinasprite) and Its Effects on Confidence in Coping Skills, Depression, and Anxiety: Retrospective Longitudinal Study (2018), JMIR Mhealth Uhealth 2018;6(3):e64, DOI: 10.2196/mhealth.9612 (Link)