Acceptability of Mental Health Apps for Aboriginal and Torres Strait Islander Australians: A Qualitative Study

Povey, Josie; Mills, Patj Patj Janama Robert; Dingwall, Kylie; Lowell, Anne; Singer, Judy; Rotumah, Darlene; Bennett–Levy, James; Nagel, Tricia

doi:10.2196/jmir.5314

Cited by 114 publications

(202 citation statements)

References 25 publications

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“…Participants observed that SEWB interventions needed to be more accessible, with greater effort put into appropriate marketing, ensuring that community members were aware of initiatives (Povey et al, ), and creating safe environments. Inappropriate engagement strategies, including physical environments, language, communication methods and even visual imagery caused a disconnect; “They've got the paintings that don't culturally connect with Indigenous [people].…”

Section: Resultsmentioning

confidence: 99%

Aboriginal perceptions of social and emotional wellbeing programs: A systematic review of literature assessing social and emotional wellbeing programs for Aboriginal and Torres Strait Islander Australians perspectives

Murrup-Stewart

Searle

Jobson

et al. 2019

Australian Psychologist

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Australian Aboriginal and Torres Strait Islander communities have been targets of social and emotional wellbeing programs for many years. However, the few health‐care programs and services that are evaluated rarely provide insight into the participants' perspectives of program success or failure. This systematic review assessed 33 social and emotional wellbeing programs across Australia to better understand what Aboriginal community members think about the programs and how they could be improved. Results highlighted the interesting and valuable insights provided by Aboriginal participants, including what kinds of program activities and approaches are most suitable, what program characteristics are successful or desired, and their experiences of wellbeing change before and after program participation. They likewise voiced opinions about poorly received programs, culturally inappropriate services and negative experiences. This review highlighted how health and wellbeing programs must better engage Aboriginal and Torres Strait Islander clients to ensure that services are culturally safe, holistic, integrate appropriate staffing, include culturally relevant activities and value patient/participant experiences. These findings have significant implications for the health and wellbeing sector; specifically, research, policy, program design and implementation, evaluation methods, and self‐determination.

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Section: Resultsmentioning

confidence: 99%

Aboriginal perceptions of social and emotional wellbeing programs: A systematic review of literature assessing social and emotional wellbeing programs for Aboriginal and Torres Strait Islander Australians perspectives

Murrup-Stewart

Searle

Jobson

et al. 2019

Australian Psychologist

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“…To date, there has been limited research on the co-design and evaluation of culturally appropriate technology-based health approaches for older Aboriginal people. One study (29), explored Aboriginal experiences of using two e-mental health APPS, which were developed through extensive community consultation -the AIMhi Stay Strong APP and the ibobbly suicide prevention APP. Participants in these studies expressed strong support for the concept of an APP.…”

Section: Technology As a Platform For Program Deliverymentioning

confidence: 99%

“…The barrier of having lesser technical ability can be overcome by designing app characteristics, such as graphics and ease of use, to accommodate older people (29,68,69). When designed to support Aboriginal people's needs, technology-based health interventions could add an important element to improving the healthy ageing of Aboriginal people.…”

Section: Health Education and Empowermentmentioning

confidence: 99%

Older Aboriginal Australians’ Health Concerns and Preferences for Healthy Ageing Programs

Wettasinghe

Allan

Garvey

et al. 2020

Preprint

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BackgroundWhile there is strong evidence of the need for culturally appropriate healthy ageing programs for older Aboriginal Australians, there are few such available programs. There is also emerging potential and advantages of using technology as a platform for program delivery. It is important to understand older Aboriginal Australians’ perceptions of healthy ageing in order to co-design culturally appropriate healthy ageing programs, including views on technology use in this context.MethodsSemi-structured interviews were conducted with 34 Aboriginal Australians aged 50 years and older from regional and urban communities to explore participants’ main health concerns, preferred approaches to developing healthy ageing programs, and receptiveness to technology. Qualitative data were analysed using a grounded theory approach. ResultsThis study found that older Aboriginal Australians are concerned about chronic health conditions; social and emotional wellbeing; and difficulties accessing health services. Barriers to participation in current health programs included unappealing programs, disengagement due to past negative experiences, shame or stigma, and a sense of disempowerment. Flexibility of attendance and social aspects emerged as enablers. From the perspective of older Aboriginal people, a successful model of a healthy ageing program is one that comprises physical and cognitive activities, social interaction and health education, while providing culturally safe care and transport. Such a model should maintain family, community, cultural identity and empowerment regarding ageing well as its central tenets. This study also provides preliminary evidence of the viability of technology as a platform for health program delivery amongst older Aboriginal people in urban and regional settings. ConclusionFuture research may apply these findings in the implementation and evaluation of culturally appropriate healthy ageing programs for older Aboriginal people.

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“…Fewer studies have been conducted with Indigenous populations; however a recent literature review of international studies suggests usefulness of eMH approaches for Indigenous populations, globally [7]. Similarly, ndings within Australia suggests that eMH approaches are perceived to be acceptable, feasible, and appropriate for Aboriginal and Torres Strait Islander people (the term Indigenous Australians is used hereafter; with acknowledgement and recognition of the diversity of Aboriginal and Torres Strait Islander languages and traditions), by both community members and service providers [8][9][10][11].…”

mentioning

confidence: 99%

Evaluation of a three-phase implementation program in enhancing e-mental health adoption within Indigenous primary healthcare organisations

Raphiphatthana

Sweet

Puszka

et al. 2020

Preprint

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Background: A three-phase implementation program was carried out to support Indigenous primary healthcare organisations in Australia to integrate e-mental health approaches into the day-to-day practice. The present study aimed to evaluate the process and the effectiveness of the program. Methods : A concurrent triangulation design was employed to collect and compare quantitative and qualitative data from organisations that participated in the implementation program (case studies) to those that participated in training only (non-case studies). Quantitative methods, i.e., t-tests and descriptive statistics, were used to measure outcomes relating to the frequency of e-mental health usage and levels of organisational readiness. Qualitative data were analysed separately, using theoretical thematic analysis, to gain an in depth understanding of the implementation process. The findings were integrated and interpreted within the implementation science literature.Results : The case studies evidenced greater use of e-mental health approaches than the non-case studies. They also demonstrated increased organisational readiness over the course of the implementation program. The program helped organisations to work and improve on essential aspects within the organisation so that they better supported e-mental health adoption. The key areas addressed were Information Technology resources and infrastructure, leadership and support, policy and protocols around e-mental health utilisation and its integration into practice.Conclusions : By addressing and improving essential aspects relating to e-mental health implementation, the program helped organisations to increase organisational readiness and enhanced uptake of e-mental health approaches.

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Acceptability of Mental Health Apps for Aboriginal and Torres Strait Islander Australians: A Qualitative Study

Cited by 114 publications

References 25 publications

Aboriginal perceptions of social and emotional wellbeing programs: A systematic review of literature assessing social and emotional wellbeing programs for Aboriginal and Torres Strait Islander Australians perspectives

Aboriginal perceptions of social and emotional wellbeing programs: A systematic review of literature assessing social and emotional wellbeing programs for Aboriginal and Torres Strait Islander Australians perspectives

Older Aboriginal Australians’ Health Concerns and Preferences for Healthy Ageing Programs

Evaluation of a three-phase implementation program in enhancing e-mental health adoption within Indigenous primary healthcare organisations

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