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

BackgroundCulturally 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 (...

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Main Authors: Cheng, Vanessa Wan Sze, Piper, Sarah E, Ottavio, Antonia, Davenport, Tracey A, Hickie, Ian B
Format: Article
Language:English
Published: JMIR Publications 2021-02-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2021/2/e23502
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author Cheng, Vanessa Wan Sze
Piper, Sarah E
Ottavio, Antonia
Davenport, Tracey A
Hickie, Ian B
author_facet Cheng, Vanessa Wan Sze
Piper, Sarah E
Ottavio, Antonia
Davenport, Tracey A
Hickie, Ian B
author_sort Cheng, Vanessa Wan Sze
collection DOAJ
description BackgroundCulturally 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. ObjectiveThis study aims to identify how best to improve a mental health and well-being HIT for culturally diverse Australians in nonurban areas. MethodsWe 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. ResultsWe 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 design 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 use an HIT. ConclusionsAlthough 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.
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spelling doaj.art-3607fe87d3e149ca964936097d3ad8442022-12-21T20:15:29ZengJMIR PublicationsJournal of Medical Internet Research1438-88712021-02-01232e2350210.2196/23502Recommendations for Designing Health Information Technologies for Mental Health Drawn From Self-Determination Theory and Co-design With Culturally Diverse Populations: Template AnalysisCheng, Vanessa Wan SzePiper, Sarah EOttavio, AntoniaDavenport, Tracey AHickie, Ian BBackgroundCulturally 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. ObjectiveThis study aims to identify how best to improve a mental health and well-being HIT for culturally diverse Australians in nonurban areas. MethodsWe 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. ResultsWe 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 design 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 use an HIT. ConclusionsAlthough 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.https://www.jmir.org/2021/2/e23502
spellingShingle Cheng, Vanessa Wan Sze
Piper, Sarah E
Ottavio, Antonia
Davenport, Tracey A
Hickie, Ian B
Recommendations for Designing Health Information Technologies for Mental Health Drawn From Self-Determination Theory and Co-design With Culturally Diverse Populations: Template Analysis
Journal of Medical Internet Research
title Recommendations for Designing Health Information Technologies for Mental Health Drawn From Self-Determination Theory and Co-design With Culturally Diverse Populations: Template Analysis
title_full Recommendations for Designing Health Information Technologies for Mental Health Drawn From Self-Determination Theory and Co-design With Culturally Diverse Populations: Template Analysis
title_fullStr Recommendations for Designing Health Information Technologies for Mental Health Drawn From Self-Determination Theory and Co-design With Culturally Diverse Populations: Template Analysis
title_full_unstemmed Recommendations for Designing Health Information Technologies for Mental Health Drawn From Self-Determination Theory and Co-design With Culturally Diverse Populations: Template Analysis
title_short Recommendations for Designing Health Information Technologies for Mental Health Drawn From Self-Determination Theory and Co-design With Culturally Diverse Populations: Template Analysis
title_sort recommendations for designing health information technologies for mental health drawn from self determination theory and co design with culturally diverse populations template analysis
url https://www.jmir.org/2021/2/e23502
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