A systematic review of electronic mental health interventions for Indigenous youth: Results and recommendations

Kowatch, Kristy R.; Dalicandro, Lauren; McConkey, Stephanie; Hopkins, C. A.; Mushquash, Christopher

doi:10.1177/1357633x19899231

Cited by 29 publications

(23 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Language, which is simple, concrete, confident, hopeful, nonclinical, nonbiased, and matched to the literacy level of intended end users, promotes access and adherence to dMH tools [ 44 ]. Mechanisms that support and promote literacy, such as audio options, visual prompts, and metaphors, can improve understanding [ 75 , 80 ]. In addition, integration of Indigenous languages can aid communication and engagement for Indigenous people [ 71 , 75 ].…”

Section: Resultsmentioning

confidence: 99%

Determining Priorities in the Aboriginal and Islander Mental Health Initiative for Youth App Second Phase Participatory Design Project: Qualitative Study and Narrative Literature Review

Povey¹,

Sweet²,

Nagel³

et al. 2022

JMIR Form Res

View full text Add to dashboard Cite

Background Digital mental health tools can promote access to culturally safe early intervention mental health services for Aboriginal and Torres Strait Islander young people. Participatory design methodology facilitates user engagement in the co-design of digital resources. However, several challenges have been identified that limit the methodological rigor of this approach. Objective This paper aims to present an in-depth account of the second phase of participatory design in the development of the Aboriginal and Islander Mental Health Initiative for Youth (AIMhi-Y) app. Methods A first idea storyboard, generated from a formative phase of the AIMhi-Y project, was refined through a series of youth co-design workshops and meetings. A narrative review of the literature, 6 service provider interviews, and engagement with an expert reference group also informed the design process. Generative design activities, storyboarding, discussions, and voting strategies were used. Results The participatory design process identified the app features preferred by young people and service providers and assessed their alignment with current recommendations from the scientific literature. Findings from the co-design process are presented across 9 app characteristic domains. Integration of findings into app design proved complex. Although most preferred features identified by young people were included to some degree, other inclusions were restricted by budget, time, and the need to integrate best practice recommendations. A process of prioritization was required. Conclusions Participatory design is often cited in the development of digital mental health resources; however, methods are diverse and often lack detailed descriptions. This study reports the outcomes and strategies used to determine priorities in the second phase of the development of the AIMhi-Y app. We provide an example and the key learnings to inform others seeking to use participatory design with a similar cohort.

show abstract

Section: Resultsmentioning

confidence: 99%

Determining Priorities in the Aboriginal and Islander Mental Health Initiative for Youth App Second Phase Participatory Design Project: Qualitative Study and Narrative Literature Review

Povey¹,

Sweet²,

Nagel³

et al. 2022

JMIR Form Res

View full text Add to dashboard Cite

show abstract

“…Similarly, Toombs et al [48] conducted a systematic review of electronic mental health interventions for Indigenous youth. Only ten studies were identified to meet the criteria, half of the studies were qualitative, three were quantitative, and two were research proposals with no data.…”

Section: Treatment Outcomes For Indigenous Peoplesmentioning

confidence: 99%

Psychological research involving Indigenous people: Australia and Aotearoa (New Zealand)

2022

View full text Add to dashboard Cite

In this article, we discuss the current state of psychological research with Indigenous peoples, with a specific focus on research including Aboriginal and Torres Strait Islander peoples of Australia and the Māori people of Aotearoa (New Zealand). We identify how the mental health of Indigenous people is often significantly poorer than non-Indigenous people and could be contributing to the increased prevalence of comorbidity between mental health and substance abuse. However, we also show that there are concerns about the reliability of these data and that comparing Indigenous to non-Indigenous data is contested and often unreliable. The gap between Indigenous and non-Indigenous people is discussed within the context of competencies required for psychologists within Australia and Aotearoa (New Zealand), concerning their relevant National Psychology Boards accreditation standards, and core competencies for clinicians. Finally, we show that there is a paucity of research measuring the effectiveness of Western developed psychotherapies with Indigenous people, question their relevance and note the conspicuous silence around Indigenous psychological knowledge. In conclusion, we show that Aboriginal and Torres Strait Islander Peoples are lagging in most health statistics compared to Maori people and other Indigenous peoples which may reflect different experiences of colonisation in each country. However, these statistics also show that progress is possible to help Indigenous people, globally, to achieve their mental health goals.

show abstract

“…A summary of the mobile applications that can be found currently for Indigenous communities is found in Table 1 below. Despite the examples we have provided, e-Health psychological interventions for Indigenous youth seem to have very little progression beyond feasibility or acceptability, with little to no research done in the areas of community preferences, current resilience practices, cost-effectiveness, and outcome measures that reflect culturally relevant measurements of resilience and direct measurements of youth service recipients, as compared to service providers (Toombs et al, 2020). Specific to mental health apps for Indigenous communities in Canada, a recent scoping review by Noronha et al (2020) examined existing Indigenous mental health mobile apps available for download in Canada.…”

Section: Current Literature On Mobile Apps X Indigenous Communitiesmentioning

confidence: 99%

The Use of Mobile Applications to Support Indigenous Youth Wellbeing in Canada

Noronha

Hill

Hill³

et al. 2021

IJCAR

View full text Add to dashboard Cite

In Canada, Indigenous youth have remained resilient despite being confronted with a wide range of structural and systemic risks, such as long-lasting boil water advisories, over-representation in the child welfare system, and injustices related to land treaties. As people of the land, all disruptions to ecological health are a disruption to personal and community holistic health. Land-based activities and cultural continuity strengthen pathways of perseverance for Indigenous youth (Toombs et al., 2016). For youth, cultural self-expression and personal agency are enhanced with digital platforms, which are well-suited to Indigenous people’s strengths in art, music, and oral forms of passing on knowledge. The field of mental health has turned to e-supports such as mobile applications (apps) that can provide easy-to-access intervention, when needed. To date, resilience interventions have received comparatively less attention than the study of resilience factors and processes. It is timely to review the extant literature on mental health apps with Indigenous youth as, currently, Indigenous apps are in early research stages. Critically reviewing work to date, it is argued that an inclusive and expansive concept of resilience, coherent with Indigenous holistic health views, is well-positioned as a foundation for collaborative resilience app development. To date, few mental health apps have been researched with Indigenous youth, and fewer have been co-constructed with Indigenous youth and their community members. The current literature points to feasibility in terms of readiness or potential usage, and functionality for promoting an integrated cultural and holistic health lens. As this effort may be specific to a particular Indigenous nation’s values, stories, and practices, we highlight the Haudenosaunee conceptual wellness model as one example to guide Indigenous and non-Indigenous science integration, with a current project underway with the JoyPopTM mHealth app for promoting positive mental health and resilience.

show abstract

A systematic review of electronic mental health interventions for Indigenous youth: Results and recommendations

Cited by 29 publications

References 41 publications

Determining Priorities in the Aboriginal and Islander Mental Health Initiative for Youth App Second Phase Participatory Design Project: Qualitative Study and Narrative Literature Review

Determining Priorities in the Aboriginal and Islander Mental Health Initiative for Youth App Second Phase Participatory Design Project: Qualitative Study and Narrative Literature Review

Psychological research involving Indigenous people: Australia and Aotearoa (New Zealand)

The Use of Mobile Applications to Support Indigenous Youth Wellbeing in Canada

Contact Info

Product

Resources

About