BACKGROUND
Globally, mental health problems increasingly affect young people, contributing significantly to disability and disease. In low- and middle-income countries (LMICs) like Colombia, barriers to accessing care exacerbate the treatment gap. Additionally, the lack of widespread digital interventions further deepens the digital health divide between the Global North and South, limiting equitable access to innovative mental health solutions
OBJECTIVE
The objective of this study was to co-design a mental health platform using participatory design methodologies and to conduct a 15-month naturalistic observational trial to assess its feasibility in supporting help-seeking behaviors among Colombian youth.
METHODS
A mixed-methods approach was used, following a Research and Development (R&D) cycle. Co-design workshops identified user needs. Usability testing (alpha and beta stages) used the System Usability Scale (SUS). A naturalistic observational trial from July 2022 to October 2023 collected data on user interactions and engagement. Quantitative and qualitative data were analyzed using thematic analysis and descriptive statistics.
RESULTS
A total of 146 individuals participated in workshops, and 36 in usability testing. The trial included 435 users, with 314 registered and 121 anonymous users. Emotional distress was prevalent, with 66% of registered and 61% of anonymous users reporting distress, measured by the Kessler 6 scale. A total of 102 participants requested telecounseling, but only 27% completed a session. Usability testing showed a median SUS score of 85·0, with minimal task difficulty. However, only 19% of users continued engagement after the first day.
CONCLUSIONS
This study shows that co-creating a mental health platform that aligns with young people's needs in Colombia is feasible. The participatory approach ensured meaningful user involvement, resulting in high usability. Challenges remain in sustaining engagement and addressing privacy concerns, especially for younger users.
CLINICALTRIAL
