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Designing Asynchronous Remote Support for Behavioral Activation in Teenagers With Depression: Formative Study.

Arpita Bhattacharya¹, Ria Nagar^2,3, Jessica Jenness³

¹Department of Informatics, University of California, Irvine, Irvine, CA, United States.

JMIR Formative Research

|July 13, 2021

Summary

Teenagers with depression need accessible mental health care. This study explored using internet-based behavioral activation (BA) with asynchronous communities, finding it beneficial but requiring attention to safety and privacy concerns.

Keywords:

asynchronous remote communities behavioral activation mental health teens

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Area of Science:

Digital mental health
Adolescent psychology
Human-computer interaction

Background:

Many US teenagers struggle with depression and lack access to mental health care.
Behavioral activation (BA) interventions can improve mood by linking activities and emotions.
Internet-based platforms offer a potential solution to increase access to mental health support for adolescents.

Purpose of the Study:

To understand teen and clinician needs for remote depression management.
To involve users in designing an internet-based intervention using asynchronous remote communities.
To explore adapting behavioral activation (BA) for online delivery to teens with depression.

Main Methods:

Utilized private, internet-based Slack groups for 10 clinicians and 8 teens.
Conducted 10 weeks of 20-minute design activities.
Followed up with interviews to gather user experiences.

Main Results:

Participants desired internet-based BA support as a supplement to in-person therapy.
The asynchronous format was seen as accessible, but safety, privacy, and moderation were key concerns.
Balancing these concerns is crucial for leveraging benefits like coping skills and increased access.

Conclusions:

Designing digital mental health tools requires balancing privacy and safety with the benefits of remote care.
Integrating evidence-based practices like BA into online platforms is key for treating teen depression.
Asynchronous remote communities show promise for supporting adolescent mental health care.