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Developing culturally-adapted mobile mental health interventions: a mixed methods approach.

Henry A Willis1, Enrique W Neblett2

  • 1University of Pennsylvania, School of Social Policy and Practice, Philadelphia, PA, USA.

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PubMed
Summary

Black young adults need culturally adapted mobile health (mHealth) interventions to address mental health disparities. This study explored their needs and preferences for mHealth, finding positive attitudes and a desire for tailored digital tools.

Keywords:
African American young adultsMobile-health (mHealth)health disparitiesracial discriminationracial identity

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Area of Science:

  • Digital Health
  • Mental Health Disparities
  • Health Equity

Background:

  • Black young adults experience significant psychological distress and face barriers to effective mental healthcare.
  • Mobile-health (mHealth) technology offers a promising avenue to bridge these mental healthcare gaps and reduce disparities.
  • Existing disparities necessitate the development of culturally-tailored digital interventions.

Purpose of the Study:

  • To explore the needs and preferences of Black young adults for culturally-adapted mHealth interventions.
  • To inform the design and development of future mHealth tools for this demographic.
  • To understand attitudes towards mental health and mHealth among Black young adults.

Main Methods:

  • A mixed-methods approach combining qualitative (mini focus groups, n=11) and quantitative (self-report surveys, n=38) data.
  • Thematic analysis was used for qualitative data, and correlational analyses for quantitative data.
  • Participants were African American young adults aged 21 on average.

Main Results:

  • Sociocultural experiences significantly influence mental health and treatment-seeking attitudes.
  • Participants expressed clear desires for specific features and content in culturally-adapted mHealth interventions.
  • Positive attitudes towards mental health and mHealth were prevalent, with a strong desire for culturally-tailored digital solutions.
  • Vicarious online racial discrimination and racial identity correlated significantly with mHealth attitudes.

Conclusions:

  • There is a critical need for culturally-adapted mHealth interventions for Black young adults' mental health.
  • Study findings provide essential considerations for features, content, and design of future mHealth tools.
  • Addressing disparities requires developing and implementing tailored digital mental health solutions.