That's great to hear. Kudos to your wife! Koko works well outside of the USA (but is English only). One of our earliest users, from London, is now a member of our core team.
We regularly consult clinical advisors (listed here: https://www.kokocares.org/our-team)
I made some comments on outcome measures in another comment you can find here, but you can also see some of our papers here: https://www.kokocares.org/research