Using the Mental Health Rating Scales App on the iPad

New Features and Changes for Version 2.2
Security IMPORTANT!
Security Screen
Interface Orientation
Subjects List
Subject Detail View
Scales List
Questions View
BMI View
Clock Test
Test History List
Summary View
Settings
- Contact Information
- Security Settings
- BMI Units
- Appearance
- Terms of Use
Exporting Test Results
About the Tests

New Features and Changes for Version 2.2

- Added the ability to use Touch ID for access control where available. See "Use of Touch ID".

- The list of subjects (people) can now be searched.

- The accent color can now be customized for iOS 7 and later.

If you like 'Mental Health Scales', please take the time to give us a nice review: it really helps.

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Security

ATTENTION: Confidential subject data is stored directly on the device. You are therefore urged to implement the security features available in the application. You should also protect your device by setting a passcode lock in the system Settings application under General settings and enabling Touch ID if available on your device. The operating system will then use the passcode to encrypt the application database.

Within the application itself there are two additional modes of security. When security is in place you must enter a password or answer a security question to gain access to the application. As an alternative on devices with Touch ID you can use Touch ID to control access to the application. WARNING: If you forget the password and the answer to the security question and do not have Touch ID enabled there is no legitimate way to access the application and any stored data will be lost.

When "Secure Mode" is set to "On" there is no way to enter the app without using Touch ID, entering the password, or answering the security question on the Security Screen that comes up when you tap on the app icon on the device's home screen. (See "Security Screen" below.) However, once you are in the program you are free to access any of its screens.

When "Client Mode" is set to "On" it is impossible to access any view other than the Questions View (or clock test view) once a scale has been chosen from the list of scales without knowing the password or the answer to the security question, or using Touch ID if enabled. The Security Screen covers either the left hand column that lists the other scales or subjects in landscape orientation, or the popover that replaces it in portrait orientation. Also, the Settings Icon in the toolbar is disabled, so that the application settings cannot be altered. This allows you to pass the device to a subject to complete a self-reporting scale (or the clock test) without fear of them accessing the information pertaining to other subjects while allowing them to navigate through the scale's questions.

If Client Mode is not already on double tapping with two fingers on the question screen will turn it on.

To regain full access to the application in Client Mode you must enter the password or answer the security question in the Security Screen, or use Touch ID if enabled. (See "Security Screen" below.) If the password is successfully entered or Touch ID succeeds, the Security Screen slides away from the left hand column in landscape orientation, or melts from the popover in portrait orientation, allowing the user to navigate to other areas of the application.

The subject could still exit the program by hitting the device's physical "Home" button, but they could not reenter the program by tapping on its icon without using Touch ID, entering the password, or answering the security question.

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Security Screen

The security screen shows the "Owner's Name" and "Contact" information entered in the Contact Information in Settings, plus a text field for entering the password or answering the security question. If Touch ID is available and succeeds, or the correct password is entered the Security Screen slides away, giving you full access to the application. If you have forgotten the password tap on the "Forgot" button on the alert that appears when you enter an incorrect password. The security question will then appear. If the correct answer is entered in the text field, the Security Screen will slide away. If you have forgotten the password you should immediately enter a new one in the Security Settings.

IMPORTANT NOTE: If you have not chosen a security question and answer, the "Forgot" button will not appear.

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Interface Orientation

The application works in either portrait or landscape orientation, and you can switch from one to the other at any time by rotating the device.

In landscape orientation information is presented in a split view. The left hand column contains one of a list of subjects, a list of mental health rating scales and other tests, or a list of results for a given scale or test. You navigate from one list to the next via the buttons in the navigation bar. The right hand column shows the actual scale questions, and this is where the answers are entered. For the clock test the right hand column contains the drawing area for the test.

In portrait orientation the left hand column is replaced by a button on the left of the toolbar. Tap on the button to reveal the contents of this column in a popover. Navigation proceeds as above, and the label on the button changes to indicate which list will appear when the button is tapped.

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Subjects List

The Subjects List appears in the left hand column in landscape orientation, or in a popover when you tap on the Subjects button in the toolbar in portrait mode.

To add a Subject, tap on the Plus sign at the upper right. This causes the "Subject Detail" view to appear. (See "Subject Detail View" below.) Here you enter the name, date of birth, sex, and optionally an ID code for the subject.

To remove a Subject, tap on the Delete button at the upper left, then tap on the minus button that appears to the left of the Subject you want to delete, then on the Delete button that appears. Tap on the Done button when you are finished deleting. Alternately you can swipe to the left on the Subject's name, then tap on the Delete button that appears on the right. If you change your mind, swipe right to remove the Delete button.

To search for a Subject in the Subject List, swipe downward until the Search field appears. Begin typing the person's name and the list will be successively filtered down with each keystroke.

To examine or edit the details of a Subject at any time, tap on the detail disclosure button to the right of the Subject's name. This brings up the Subject Detail View.

To initiate a test, tap directly on the Subject's name in the list. This causes the Scales List to replace the Subjects List. (See "Scales List" below.) A new test result object is created immediately even before any questions are answered, and will appear in the Test History List. (See "Test History List" below.)

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Subject Detail View

Tap on each field to enter or edit the relevant data. A keyboard or date picker will appear, depending on the data field. When data entry is complete, tap on Save in the upper right. If you have added a new Subject it will be inserted into the list in alphabetical order by last name. Subjects with the same last name will be further sorted by first name.

Use the date picker to enter a birth date for the Subject. Note that the date field changes as the picker wheels are spun. Tap in another field, or hit the Confirm button to leave the date field.

Tap either "M" or "F" on the keyboard to select "Male" or "Female" in the Sex field.

The ID field allows you to have an alternate, anonymous reference to the Subject. This is important for emailing test results, as emails cannot be guaranteed to be private. The app will automatically generate an ID using a combination of Subject initials and year and month of birth. If you wish to change the ID, just tap in the field and enter the new ID. NOTE: If you change the initial letters of the subject's name, or birth date, and re-save, the ID field will not change even if you have chosen to keep with the automatically generated ID.

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Scales List

The Scales List shows a list of all of the currently available scales and tests as well as the number of existing results for each scale or test. It replaces the Subjects List when you tap directly on the name of a subject.

To initiate a test for the selected user, tap on the test name. To see a history of test results for that user, tap on the numbered button to the right of the scale name. (See "Test History List" below.)

In addition to the set of mental health rating scales (and the clock test) there is a separate entry for Body Mass Index (BMI). Use it to create a history of BMI and waist measurements for the subject. (See "BMI View" below.)

To the upper right of the Scales List in the navigation bar is a button showing a padlock. If the padlock is "locked" the app is in Client Mode, if it is unlocked Client Mode is not active. (See "Security" for an explanation of Client Mode.) You can toggle Client Mode on and off by tapping on the padlock. If Client Mode is active the user is restricted to accessing only the Questions View (or clock test or BMI view) without using Touch ID if available or entering a password.

Whenever you select a scale from the Scales List while Client Mode is active the application automatically reverts to Client Mode behavior regardless of whether or not you have previously entered the password in the Security Screen. The Settings button becomes disabled and the Security Screen covers the left hand column in landscape orientation or the equivalent popover in portrait orientation.

Client Mode does NOT become active when you select a test result from the Test History list. If you want a subject to complete a previously started test you can enter Client Mode by double tapping on the test screen with two fingers after you have selected the test result from the Test History list.

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Questions View

The Questions view occupies the right hand column in landscape orientation, or the full screen in portrait orientation.

Questions for the chosen scale appear sequentially in the Questions view. You navigate through the questions using the single and double arrow buttons at the bottom of the screen. From left to right, the segments send you to the first, previous, next, and last question view. Alternately, you can swipe with one finger from right to left to advance to the next question, or left to right to go to the previous question, just as you would swipe through the pages of a physical book. Two finger swipes will go the the first or last question.

The Questions view will either show an instruction to the user, or a question with multiple choice answers. Tap on an answer to select that answer, then move to the next question as described above.

The final view will show any final instructions, and a list of all questions not answered. You can go back to a particular question and answer it or change your answer at any time. If Client Mode is Off, you will also see a Summary button. When you are done with the test, tapping on the Summary button will take you to the Summary View. (See "Summary View" below.)

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BMI View

Enter the height, weight, and waist circumference of the subject. You can use inches and pounds or centimeters and kilograms depending on the settings you have chosen in the Settings. The Body Mass Index is automatically calculated and displayed with a color code - mauve for below normal, green for normal, orange for above normal, and red for obese. The measurement units used by default are the ones chosen in the BMI Units view under Settings, but you can change them on this view at any time.

You can email or print the result of the measurement directly from the test screen. See "Exporting Test Results" below.

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Clock Test

Tap on Clock Test in the Scales List to initiate a clock test. The Clock Test view occupies the right hand column in landscape orientation, or the full screen in portrait orientation and appears with a circle pre-drawn in it. For new tests the instructions view appears above the Clock Test view. Follow these instructions to have the subject complete the test.

When the subject has completed the test retrieve the iPad and swipe upwards on the screen with two fingers to bring up the scoring view, then select the appropriate score by tapping on it. The score and drawing are automatically saved.

You can email or print the result of the test directly from the scoring view. See "Exporting Test Results" below.

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Test History List

Tapping on the numbered button to the right of its name for any scale or test in the left hand column in landscape orientation or in the equivalent Scales popover in portrait orientation shows a list of test results by date and time (in reverse chronological order, latest to earliest) for the chosen scale or test. Tapping on a test result brings up the Questions view (or clock test or BMI view) in the right hand column in landscape orientation or in the whole screen in portrait orientation, allowing you to review the results of the test.

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Summary View

The summary view for a scale shows the date and time of the test, and the final score, followed by a list of unanswered questions, then a summary of each question and the answer (if any) given.

You can email or print the result of the test directly from the Summary screen. See "Exporting Test Results".

If for some reason you need to return to the test, swipe one finger from left to right on the screen, or you can tap on the Results button in the toolbar in landscape mode and re-select the test. Swiping will put you at the final question screen, while tapping the button will put you at the first question screen.

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Settings

Tapping on the Settings button (gear) in the toolbar brings up the Settings popover, which allows access to three or four sets of actual settings.

Tap on "Contact Information" to enter the contact information for the user or owner of the device. This includes a name, a contact telephone number or email address, and an email address to send test results to. Tapping on "Done" to dismiss the keyboard saves any changes.

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Tap on "Security Settings" to enter a password, choose a security question and answer, and set the security modes.

The app has two security modes, Secure Mode and Client Mode, each with a distinct purpose. These are set by two switches at the bottom of the Security Settings screen and allow you to control access to all or part of the app. (See "Security" for further details.)

If Touch ID is both available on the device and enabled you will see a third switch labeled "Use Touch ID". If "Use Touch ID" is set to On you can use it for access control instead of the password or security question when Secure and/or Client Mode are enabled. You will be presented with the standard Touch ID dialog above the Security Screen, which includes options to type in your app password or to cancel.

The password allows you to dismiss the Security Screen to enable access to all or part of the app when one or both of the security modes are turned on. You must verify your new password by retyping it in the Verify Password field before you can leave the security settings screen.

The security question provides an alternate way to dismiss the Security Screen in case you forget the password. Choose one (and only one) of the three questions to select it, and enter its answer. You can change which security question you want to use at any time. If you want to turn off this feature once set, just tap on the selected question.

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Tap on "BMI Units" to choose the units for height, weight, and waist measurement for the BMI test. You can choose inches or centimeters for height and waist, pounds or kilograms for weight.

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Tap on "Appearance" to customize the accent color of the app (iOS 7 or later). You can select the new color by moving the Red, Green, and Blue sliders or typing a number between 0 and 255 in the adjacent text field. A square above the sliders changes color to reflect your choices. If you hit "Apply" the accent color for the app will change to that color. If you tap "Reset" the accent color will revert to the preset color. NOTE: To avoid a nearly or pure white accent color, which would cause some parts of the app to disappear, the sliders cannot have values that all exceed 240 at the same time.

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Tap on "Terms of Use" to review the Terms of Use you agreed to before being allowed to run the application for the first time.

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Exporting Test Results

Test results can be either emailed or printed to an AirPrint compatible printer on the local area network. The Summary and BMI views both contain two icons, one for emailing and one for printing. The clock test scoring view contains a system action button on the lower left that shows a menu of options when tapped. (Swipe up with two fingers on the clock test view to bring up the scoring view.)

Tap on the Email icon (or choose 'Email PDF' from the action button's menu for the clock test) to construct an email message ready to send with the summary of the test. The email's "Subject" line contains the name of the test plus the ID chosen or supplied for the (human) Subject. The email's "To:" field is automatically set up to send to the Email Address specified in the Contact Information screen under Settings (if specified), but you can add to or change this before sending.

NOTE: You cannot construct an email message unless the device (iPhone, iPod Touch, or iPad) has its email settings configured in the system Settings app accessed from the device's home screen.

Tap on the Print icon (or choose 'Print PDF' from the action button's menu for the clock test) to print to an AirPrint compatible printer on your local area network. Select the desired printer from the list presented and tap Print.

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About the Tests