RT Journal Article SR Electronic T1 The Performance of Fertility Awareness-based Method Apps Marketed to Avoid Pregnancy JF The Journal of the American Board of Family Medicine JO J Am Board Fam Med FD American Board of Family Medicine SP 508 OP 511 DO 10.3122/jabfm.2016.04.160022 VO 29 IS 4 A1 Duane, Marguerite A1 Contreras, Alison A1 Jensen, Elizabeth T. A1 White, Amina YR 2016 UL http://www.jabfm.org/content/29/4/508.abstract AB Introduction: In recent years there has been an explosion in the development of medical apps, with more than 40,000 apps now available. Nearly 100 apps allow women to track their fertility and menstrual cycles and can be used to avoid or achieve pregnancy. Apps offer a convenient way to track fertility biomarkers. However, only some use evidence-based fertility awareness-based methods (FABMs), which with ideal use have rates of effectiveness similar to those of commonly used forms of hormonal birth control. Since having a baby or preventing a pregnancy are important responsibilities, it is critical that women and couples have access to reliable, evidence-based apps that allow them to accurately track their fertility.Methods: We developed a tool to evaluate and rate fertility apps. This tool is specifically designed to help couples avoid pregnancy.Results: Results showed that the majority of fertility apps are not based on evidence-based FABMs or include a disclaimer discouraging use for avoiding pregnancy. However, at least 1 app in each FABM category (except symptohormonal methods) had a perfect score on accuracy.Conclusion: Relying solely on an app to use an FABM, without appropriate training in the method, may not be sufficient to prevent pregnancy.