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A Qualitative Investigation into LGBTQA+ People's Perceptions Toward Digital, Self-Guided Mental Health Programs
James A Fowler1, Lisa Buckley1,2, Shelley Viskovich3
1Faculty of Medicine, School of Public Health, The University of Queensland, Brisbane, Queensland, Australia.
Journal of Homosexuality
|January 13, 2026
Summary
Digital mental health programs can help LGBTQA+ individuals, but effective tailoring requires understanding diverse needs. Co-creation with the community is key to designing inclusive and safe digital mental health solutions.
Area of Science:
- Digital mental health
- LGBTQA+ health
- Health technology
Background:
- Digital, self-guided mental health programs show promise for LGBTQA+ individuals.
- Tailoring these programs to specific LGBTQA+ experiences is crucial but challenging due to identity diversity.
Purpose of the Study:
- To explore LGBTQA+ individuals' perceptions of digital, self-guided mental health programs.
- To understand their views on program tailoring for diverse needs.
Main Methods:
- Semi-structured interviews with 24 Australian LGBTQA+ adults (aged 17-53).
- Participants recruited from a larger randomized control trial.
- Data analyzed using reflexive thematic analysis.
Main Results:
- No single "perfect" design exists for digital mental health programs.
- Meaningful tailoring to LGBTQA+ experiences is vital, but needs fluctuate individually.
- Programs perceived as safe, necessitating robust risk management.
Conclusions:
- Community co-design is essential for developing effective and inclusive digital mental health programs.
- Acknowledging heterogeneity within LGBTQA+ communities is critical for successful tailoring.
- Safety and risk management are paramount for digital mental health interventions.
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