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"You can't categorize lived experiences": Understanding youth engagement in mobile health in an integrated youth
Xiaoxu Ding1, Liisa Holsti1, Julia Schmidt1
1Department of Occupational Science & Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Objective:
Youth mental health is a global challenge often compounded by fragmented services limiting access. In Canada, Integrated Youth Services (IYS) provide centralized access to youth health services, with youth engagement playing a key role during development and implementation. This study aims to identify key factors influencing youth engagement in mobile health (mHealth) development within an IYS setting.
Methods:
We conducted 23 semi-structured interviews with youth, clinical service providers, and non-clinical staff involved in mHealth services at Foundry. The Consolidated Framework for Implementation Research guided deductive thematic analysis.
Results:
We identified key facilitators and barriers across five domains: Recognizing core value of engagement, improving external coordination, addressing internal organizational challenges, mitigating power imbalances, and tailoring implementation strategies.
Conclusion:
The findings highlight the need for inclusive approaches, regulatory frameworks, and strategies to engage underrepresented youth. Future efforts should prioritize iterative learning systems and safe, supportive spaces for meaningful youth engagement.
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