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Foundations Review

Foundations Screenshots


4.67 / 5.00

Overall Score: 14/15

Consumer Ratings: 1/2
Clarity of Purpose: 2/2
Mechanism of Action: 1/1
Software Updates: 2/2
Clinical Input in Development: 1/1
Research on Development Process: 1/1
Efficacy of Other Products: 1/1
Research Independence and Review: 2/2
Research Base: 3/3

Rating Date: December 2021

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User Experince

User Experience

4.29 / 5.00

Engagement: 3.50 Functionality: 4.56 Aesthetics: 4.67 Information: 4.43 Subjective quality score: 3.56 Perceived impact score: 4.00 Rating date: June 2021 Rated by: Queensland Univeristy

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Professional Reviews

Professional Review

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Foundations is a mental wellness app designed to help users reduce the impact of mental health conditions. The app’s treatment is based in Cognitive Behavioral Thearpy (CBT), Mindfulness/Meditation, and Positive Psychology. Foundations features programs such as Challenging Thoughts and My Strengths which consist of a number of tools such as readings, audio clips, and exercises. Users can access these programs and other tools in the Library section of the app. Other areas of focus include relaxation techniques, sleep, and relating to others. The app also allows users to review their history of assessments, activities within the app, and badges they’ve earned.

Technical Details

Available for iPhone Requires iOS 10.0 or later; Android 5.0 and up; Web
Developer: Koa Health
Type of Treatment: Cognitive Behavioral Principles, Mindfulness, Assessment/Screening, Psychoeducation & Information, Positive Psychology
Targeted Conditions: Stress and Anxiety, Sleep
Target Audience: Not Specified
Designed to be used in conjunction with a professional? Recommended
Languages Available: English, Spanish
Cost: Free
Get it on: Apple App Store, Google Play, Web

Research on this App

The Koa Health/Foundations team ran a four week study of adults (N=136; male=63, female=73, mean age=40;) with mild to severe anxiety and moderate to high levels of stress randomized to two groups. The Foundations group (n=62) used the app for four weeks, for the first two of which activities were prescribed, with free choice thereafter. The control group (n=74) received no intervention, only the surveys. Six outcomes were measured – stress (PSS-10); anxiety (GAD-7); sleep problems (MISS); life satisfaction (ONS-4); wellbeing (WHO-5); and resilience (CD-RISC-10). Foundations produced statistically significant greater improvements vs the control in all measures but stress. For stress, the improvement was statistically significant pre vs post intervention in those using Foundations.

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We look at the research supporting the technology and the credibility of the development process.



We review privacy policies to see if key pieces of information about what happens with entered data are addressed.


User Experience

We explore how fun, functional, easy-to-use, engaging, and interesting the technology is.


Professional Reviews

A professional in a relevant field downloads and uses the technology and writes a narrative review, highlighting pros & cons and some recommendations for use.

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