scholarly journals Recommendations for Designing Health Information Technologies for Mental Health Drawn from Self-Determination Theory and Co-Design with Culturally Diverse Populations: Template Analysis (Preprint)

10.2196/23502 ◽  
2020 ◽  
Author(s):  
Vanessa Wan Sze Cheng ◽  
Sarah E Piper ◽  
Antonia Ottavio ◽  
Tracey Davenport ◽  
Ian B Hickie
Keyword(s):  
Mental Health ◽  
Health Information ◽  
Culturally Diverse ◽  
Information Technologies ◽  
Self Determination Theory ◽  
Self Determination ◽  
Diverse Populations ◽  
Health Information Technologies ◽  
Template Analysis ◽  
Culturally Diverse Populations

scholarly journals Recommendations for Designing Health Information Technologies for Mental Health Drawn From Self-Determination Theory and Co-design With Culturally Diverse Populations: Template Analysis (Preprint)

2020 ◽  
Author(s):  
Vanessa Wan Sze Cheng ◽  
Sarah E Piper ◽  
Antonia Ottavio ◽  
Tracey A Davenport ◽  
Ian B Hickie
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Culturally Diverse ◽  
Information Technologies ◽  
Self Determination Theory ◽  
Self Determination ◽  
Health Information Technologies ◽  
Template Analysis ◽  
Diverse Groups

BACKGROUND Culturally diverse populations (including Aboriginal and Torres Strait Islander people, people of diverse genders and sexualities, and culturally and linguistically diverse people) in nonurban areas face compounded barriers to accessing mental health care. Health information technologies (HITs) show promising potential to overcome these barriers. OBJECTIVE This study aims to identify how best to improve a mental health and well-being HIT for culturally diverse Australians in nonurban areas. METHODS We conducted 10 co-design workshops (N=105 participants) in primary youth mental health services across predominantly nonurban areas of Australia and conducted template analysis on the workshop outputs. Owing to local (including service) demographics, the workshop participants naturalistically reflected culturally diverse groups. RESULTS We identified 4 main themes: control, usability, affirmation, and health service delivery factors. The first 3 themes overlap with the 3 basic needs postulated by self-determination theory (autonomy, competence, and relatedness) and describe participant recommendations on how to <i>design</i> an HIT. The final theme includes barriers to adopting HITs for mental health care and how HITs can be used to support care coordination and delivery. Hence, it describes participant recommendations on how to <i>use</i> an HIT. CONCLUSIONS Although culturally diverse groups have specific concerns, their expressed needs fall broadly within the relatively universal design principles identified in this study. The findings of this study provide further support for applying self-determination theory to the design of HITs and reflect the tension in designing technologies for complex problems that overlap multiple medical, regulatory, and social domains, such as mental health care. Finally, we synthesize the identified themes into general recommendations for designing HITs for mental health and provide concrete examples of design features recommended by participants. CLINICALTRIAL

scholarly journals Understanding Technology Preferences and Requirements for Health Information Technologies Designed to Improve and Maintain the Mental Health and Well-Being of Older Adults: Participatory Design Study

JMIR Aging ◽  
10.2196/21461 ◽  
2021 ◽  
Vol 4 (1) ◽  
pp. e21461
Author(s):  
Haley M LaMonica ◽  
Tracey A Davenport ◽  
Anna E Roberts ◽  
Ian B Hickie
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Information ◽  
Technology Use ◽  
Participatory Design ◽  
Information Technologies ◽  
Well Being ◽  
Health Information Technologies ◽  
Use Of Technology ◽  
Health And Well Being

Background Worldwide, the population is aging rapidly; therefore, there is a growing interest in strategies to support and maintain health and well-being in later life. Although familiarity with technology and digital literacy are increasing among this group, some older adults still lack confidence in their ability to use web-based technologies. In addition, age-related changes in cognition, vision, hearing, and perception may be barriers to adoption and highlight the need for digital tools developed specifically to meet the unique needs of older adults. Objective The aim of this study is to understand the use of technology by older adults in general and identify the potential barriers to and facilitators of the adoption of health information technologies (HITs) to support the health and well-being of older adults to facilitate implementation and promote user uptake. In addition, this study aims to co-design and configure the InnoWell Platform, a digital tool designed to facilitate better outcomes for people seeking mental health services, to meet the needs of adults 50 years and older and their supportive others (eg, family members, caregivers) to ensure the accessibility, engagement, and appropriateness of the technology. Methods Participants were adults 50 years and older and those who self-identified as a supportive other (eg, family member, caregiver). Participants were invited to participate in a 3-hour participatory design workshop using a variety of methods, including prompted discussion, creation of descriptive artifacts, and group-based development of user journeys. Results Four participatory design workshops were conducted, including a total of 21 participants, each attending a single workshop. Technology use was prevalent, with a preference indicated for smartphones and computers. Factors facilitating the adoption of HITs included personalization of content and functionality to meet and be responsive to a consumer’s needs, access to up-to-date information from reputable sources, and integration with standard care practices to support the relationship with health professionals. Concerns regarding data privacy and security were the primary barriers to the use of technology to support mental health and well-being. Conclusions Although HITs have the potential to improve access to cost-effective and low-intensity interventions at scale for improving and maintaining mental health and well-being, several strategies may improve the uptake and efficacy of technologies by the older adult community, including the use of co-design methodologies to ensure usability, acceptability, and appropriateness of the technology; support in using and understanding the clinical applications of the technology by a digital navigator; and ready availability of education and training materials.

scholarly journals Understanding Technology Preferences and Requirements for Health Information Technologies Designed to Improve and Maintain the Mental Health and Well-Being of Older Adults: Participatory Design Study (Preprint)

2020 ◽  
Author(s):  
Haley M LaMonica ◽  
Tracey A Davenport ◽  
Anna E Roberts ◽  
Ian B Hickie
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Information ◽  
Technology Use ◽  
Participatory Design ◽  
Information Technologies ◽  
Well Being ◽  
Health Information Technologies ◽  
Use Of Technology ◽  
Health And Well Being

BACKGROUND Worldwide, the population is aging rapidly; therefore, there is a growing interest in strategies to support and maintain health and well-being in later life. Although familiarity with technology and digital literacy are increasing among this group, some older adults still lack confidence in their ability to use web-based technologies. In addition, age-related changes in cognition, vision, hearing, and perception may be barriers to adoption and highlight the need for digital tools developed specifically to meet the unique needs of older adults. OBJECTIVE The aim of this study is to understand the use of technology by older adults in general and identify the potential barriers to and facilitators of the adoption of health information technologies (HITs) to support the health and well-being of older adults to facilitate implementation and promote user uptake. In addition, this study aims to co-design and configure the InnoWell Platform, a digital tool designed to facilitate better outcomes for people seeking mental health services, to meet the needs of adults 50 years and older and their supportive others (eg, family members, caregivers) to ensure the accessibility, engagement, and appropriateness of the technology. METHODS Participants were adults 50 years and older and those who self-identified as a supportive other (eg, family member, caregiver). Participants were invited to participate in a 3-hour participatory design workshop using a variety of methods, including prompted discussion, creation of descriptive artifacts, and group-based development of user journeys. RESULTS Four participatory design workshops were conducted, including a total of 21 participants, each attending a single workshop. Technology use was prevalent, with a preference indicated for smartphones and computers. Factors facilitating the adoption of HITs included personalization of content and functionality to meet and be responsive to a consumer’s needs, access to up-to-date information from reputable sources, and integration with standard care practices to support the relationship with health professionals. Concerns regarding data privacy and security were the primary barriers to the use of technology to support mental health and well-being. CONCLUSIONS Although HITs have the potential to improve access to cost-effective and low-intensity interventions at scale for improving and maintaining mental health and well-being, several strategies may improve the uptake and efficacy of technologies by the older adult community, including the use of co-design methodologies to ensure usability, acceptability, and appropriateness of the technology; support in using and understanding the clinical applications of the technology by a digital navigator; and ready availability of education and training materials.

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