Lessons learned from designing an asynchronous remote community approach for behavioral activation intervention for teens.

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Publisher: Elsevier Science Publishers
Document Type: Report; Brief article
Length: 394 words

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Keywords Digital mental health; Discover-design-build-test; Asynchronous remote communities; Adolescent depression; Depression treatment; Behavioral activation Highlights * Digital platforms may improve teen access to and engagement in mental health care. * This is a case study of the Discover-Design-Build-Test (DDBT) implementation model. * We applied DDBT to adapt a treatment to an Asynchronous Remote Communities platform. * The DDBT model supported our understanding of prototype requirements. * Future work will test a robust digital platform to improve access and engagement in care. Abstract Adolescent depression is common; however, over 60% of depressed adolescents do not receive mental health care. Digitally-delivered evidence-based psychosocial interventions (EBPIs) may provide an opportunity to improve access and engagement in mental health care. We present a case study that reviews lessons learned from using the Discover - Design - Build - Test (DDBT) model to create, develop, and evaluate a high-fidelity prototype of an app to deliver an EBPI for depression, behavioral activation (BA), on an Asynchronous Remote Communities (ARC) platform (referred to as ActivaTeen). We review work at each stage of the DDBT framework, including initial formative work, iterative design and development work, and an initial feasibility study. We engaged teens with depression, mental health clinicians, and expert evaluators through the process. We found that the DDBT model supported the research team in understanding the requirements for our prototype system, ActivaTeen, and conceiving of and developing specific ideas for implementation. Our work contributes a case study of how the DDBT framework can be applied to adapting an EBPI to a new, scalable and digital format. We provide lessons learned from engaging teens and clinicians with an asynchronous approach to EBPIs and human centered design considerations for teen mental health. Author Affiliation: (a) Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA (b) Department of Informatics, University of California Irvine, Irvine, CA, USA (c) Department of Human Centered Design and Engineering, University of Washington, Seattle, WA, USA (d) Department of Psychology, Georgia State University, Atlanta, GA, USA * Corresponding author. Department of Psychiatry and Behavioral Sciences, University of Washington; Child Health Institute, 6200 NE 74th St. Building 29, Suite 110, Seattle, WA, 98115. Article History: Received 3 June 2021; Revised 28 October 2021; Accepted 12 February 2022 Byline: Jessica L. Jenness [jennessj@uw.edu] (a,*), Arpita Bhattacharya (b), Julie A. Kientz (c), Sean A. Munson (c), Ria R. Nagar (d)

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Gale Document Number: GALE|A696275045