mCARE has provisions for evaluating itself by the caregivers. During the enrollment and end of the study, mCARE collects satisfaction, cost improvement, and knowledge base
improvement from caregivers. This feedback will help to evaluate the impact after deployment.
7.2 Extensibility
The design of mCARE is highly extensible. Adding a new parameter to the system will not require any development changes. Developing for a new smartphone platform will also be easy, because the APIs of mCARE are platform-independent. Minimal changes would be needed to deploy mCARE to a new country with a different language. Translation of a new language can be easily be added in the model layer, and only configuration change will be required to make mCARE usable for a different environment.
7.3 Application
As mentioned before (3), the development of mCARE is part of an NIH research grant; mCARE is currently deployed as part of that research. Caregivers and practitioners are already using the service of mCARE. Currently, practitioners of four organizations are using it. A total of 300 patients have already been enrolled and are using it properly, which also proves the
competency of the system.
7.4 Limitations
mCARE currently only supports only the Android app. If some caregiver uses the iOS operating system supported device, they need to use the SMS service for now. Using the app is more flexible than the SMS service. The gateway service has a limitation to send a single message in five minutes because the operator doesn’t support frequent message sending. For this throttle, mCARE requires multiple gateway devices.
We have shown that mCARE support features can reduce the gap between deprived families and practitioners to get treatment by enrolling children with ASD under the service. A lot
of patients who are unable to visit psychiatrists for distance, cost, and negligence can get proper treatment.
7.5 Impacts
Though the application is currently deployed in Bangladesh, it can be easily deployed in other countries. Apart from LMICs, developed countries like the US can also benefit from this system. Families living in rural areas will not be required to visit psychiatrists frequently, as they will be able to provide information remotely, get regular updates and can monitor their status.
7.6 Future Work
mCARE has room to improve. The most important issue is an application supporting iOS devices. In developed countries like the US, a large number of people use iOS devices. mCARE can also provide smartphone app support by developing an iOS supported version.
Secondly, mCARE supports only greater comparison criteria to generate triggers (5.1.8). There could be some parameter which might require less comparison criteria.
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APPENDIX A
APPENDIX