Feasibility and Acceptability of the Aboriginal and Islander Mental Health Initiative for Youth App: Nonrandomized Pilot With First Nations Young People
BackgroundDespite young First Nations Australians being typically healthy, happy, and connected to family and culture, high rates of emotional distress, suicide, and self-harm are also observed. Differing worldviews of service providers and First Nations young people regarding illness and treatment...
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ftdoajarticles:oai:doaj.org/article:6b04d9b893964f6da633d136d35b02d6 2023-10-01T03:55:58+02:00 Feasibility and Acceptability of the Aboriginal and Islander Mental Health Initiative for Youth App: Nonrandomized Pilot With First Nations Young People Kylie M Dingwall Josie Povey Michelle Sweet Jaylene Friel Fiona Shand Nickolai Titov Julia Wormer Tamoor Mirza Tricia Nagel 2023-06-01T00:00:00Z https://doi.org/10.2196/40111 https://doaj.org/article/6b04d9b893964f6da633d136d35b02d6 EN eng JMIR Publications https://humanfactors.jmir.org/2023/1/e40111 https://doaj.org/toc/2292-9495 2292-9495 doi:10.2196/40111 https://doaj.org/article/6b04d9b893964f6da633d136d35b02d6 JMIR Human Factors, Vol 10, p e40111 (2023) Medical technology R855-855.5 article 2023 ftdoajarticles https://doi.org/10.2196/40111 2023-09-03T00:53:10Z BackgroundDespite young First Nations Australians being typically healthy, happy, and connected to family and culture, high rates of emotional distress, suicide, and self-harm are also observed. Differing worldviews of service providers and First Nations young people regarding illness and treatment practices, language differences, culturally inappropriate service models, geographical remoteness, and stigma can all inhibit access to appropriate mental health support. Mental health treatments delivered digitally (digital mental health; dMH) offer flexible access to evidence-based, nonstigmatizing, low-cost treatment and early intervention on a broad scale. There is a rapidly growing use and acceptance of these technologies among young First Nations people. ObjectiveThe objective was to assess the feasibility, acceptability, and use of the newly developed Aboriginal and Islander Mental Health Initiative for Youth (AIMhi-Y) app and determine the feasibility of study procedures in preparation for future assessments of effectiveness. MethodsThis was a nonrandomized pre-post study using mixed methods. First Nations young people aged 12-25 years who provided consent (with parental consent where appropriate) and possessed the ability to navigate a simple app with basic English literacy were included. Researchers conducted one face-to-face 20-minute session with participants to introduce and orient them to the AIMhi-Y app. The app integrates culturally adapted low-intensity cognitive behavioral therapy (CBT), psychoeducation, and mindfulness-based activities. Participants received supportive text messages weekly throughout the 4-week intervention period and completed assessments of psychological distress, depression, anxiety, substance misuse, help-seeking, service use, and parent-rated strengths and difficulties at baseline and 4 weeks. Qualitative interviews and rating scales were completed at 4 weeks to gain feedback on subjective experience, look and style, content, overall rating, check-ins, and involvement in the ... Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles JMIR Human Factors 10 e40111 |
institution |
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Directory of Open Access Journals: DOAJ Articles |
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Medical technology R855-855.5 |
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Medical technology R855-855.5 Kylie M Dingwall Josie Povey Michelle Sweet Jaylene Friel Fiona Shand Nickolai Titov Julia Wormer Tamoor Mirza Tricia Nagel Feasibility and Acceptability of the Aboriginal and Islander Mental Health Initiative for Youth App: Nonrandomized Pilot With First Nations Young People |
topic_facet |
Medical technology R855-855.5 |
description |
BackgroundDespite young First Nations Australians being typically healthy, happy, and connected to family and culture, high rates of emotional distress, suicide, and self-harm are also observed. Differing worldviews of service providers and First Nations young people regarding illness and treatment practices, language differences, culturally inappropriate service models, geographical remoteness, and stigma can all inhibit access to appropriate mental health support. Mental health treatments delivered digitally (digital mental health; dMH) offer flexible access to evidence-based, nonstigmatizing, low-cost treatment and early intervention on a broad scale. There is a rapidly growing use and acceptance of these technologies among young First Nations people. ObjectiveThe objective was to assess the feasibility, acceptability, and use of the newly developed Aboriginal and Islander Mental Health Initiative for Youth (AIMhi-Y) app and determine the feasibility of study procedures in preparation for future assessments of effectiveness. MethodsThis was a nonrandomized pre-post study using mixed methods. First Nations young people aged 12-25 years who provided consent (with parental consent where appropriate) and possessed the ability to navigate a simple app with basic English literacy were included. Researchers conducted one face-to-face 20-minute session with participants to introduce and orient them to the AIMhi-Y app. The app integrates culturally adapted low-intensity cognitive behavioral therapy (CBT), psychoeducation, and mindfulness-based activities. Participants received supportive text messages weekly throughout the 4-week intervention period and completed assessments of psychological distress, depression, anxiety, substance misuse, help-seeking, service use, and parent-rated strengths and difficulties at baseline and 4 weeks. Qualitative interviews and rating scales were completed at 4 weeks to gain feedback on subjective experience, look and style, content, overall rating, check-ins, and involvement in the ... |
format |
Article in Journal/Newspaper |
author |
Kylie M Dingwall Josie Povey Michelle Sweet Jaylene Friel Fiona Shand Nickolai Titov Julia Wormer Tamoor Mirza Tricia Nagel |
author_facet |
Kylie M Dingwall Josie Povey Michelle Sweet Jaylene Friel Fiona Shand Nickolai Titov Julia Wormer Tamoor Mirza Tricia Nagel |
author_sort |
Kylie M Dingwall |
title |
Feasibility and Acceptability of the Aboriginal and Islander Mental Health Initiative for Youth App: Nonrandomized Pilot With First Nations Young People |
title_short |
Feasibility and Acceptability of the Aboriginal and Islander Mental Health Initiative for Youth App: Nonrandomized Pilot With First Nations Young People |
title_full |
Feasibility and Acceptability of the Aboriginal and Islander Mental Health Initiative for Youth App: Nonrandomized Pilot With First Nations Young People |
title_fullStr |
Feasibility and Acceptability of the Aboriginal and Islander Mental Health Initiative for Youth App: Nonrandomized Pilot With First Nations Young People |
title_full_unstemmed |
Feasibility and Acceptability of the Aboriginal and Islander Mental Health Initiative for Youth App: Nonrandomized Pilot With First Nations Young People |
title_sort |
feasibility and acceptability of the aboriginal and islander mental health initiative for youth app: nonrandomized pilot with first nations young people |
publisher |
JMIR Publications |
publishDate |
2023 |
url |
https://doi.org/10.2196/40111 https://doaj.org/article/6b04d9b893964f6da633d136d35b02d6 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
JMIR Human Factors, Vol 10, p e40111 (2023) |
op_relation |
https://humanfactors.jmir.org/2023/1/e40111 https://doaj.org/toc/2292-9495 2292-9495 doi:10.2196/40111 https://doaj.org/article/6b04d9b893964f6da633d136d35b02d6 |
op_doi |
https://doi.org/10.2196/40111 |
container_title |
JMIR Human Factors |
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10 |
container_start_page |
e40111 |
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1778524913376690176 |