Laura Ospina?Pinillos|Tracey A Davenport|Antonio Mendoza Diaz|Álvaro Andrés Navarro-Mancilla|Elizabeth Scott|Ian B. Hickie
Using Participatory Design Methodologies to Co-Design and Culturally Adapt the Spanish Version of the Mental Health eClinic: Qualitative Study
University of Sydney|Pontificia Universidad Javeriana|University of Sydney|UNSW Sydney|Autonomous University of Bucaramanga|University of Sydney|The University of Notre Dame Australia|University of Sydney
mental health eclinic mhec aims deliver bestpractice clinical services young people experiencing mental health problems making clinical care accessible affordable available young people whenever wherever need original mhec consists home page visible triage system requiring urgent help online physical mental health selfreport assessment results dashboard booking videoconferencing system generation personalized wellbeing plan populations speak english reside englishspeaking countries less likely receive mental health care australia international students identified disadvantaged compared peers weaker social support networks higher rates psychological distress scenario acquiring significant relevance spanishspeaking migration rapidly growing australia mental health services culturally linguistically diverse populations limited spanish version mhecs mental health eclinic would greatly benefit studentswe used participatory design methodologies users young people aged 1630 years supportive others health professionals 1 conduct workshops users codesign culturally adapt mhec 2 inform development mhecs alpha prototype 3 test usability mhecs alpha prototype 4 translate culturally adapt facevalidate mhecs selfreport assessment 5 collect information inform beta prototypea research development cycle included several participatory design phases codesign workshops knowledge translation language translation cultural adaptation rapid prototyping user testing mhecs alpha prototypewe held 2 codesign workshops 17 users 10 young people 7 health professionals total 15 participated oneonone user testing sessions 7 young people 5 health professionals 3 supportive others collected 225 source documents thematic analysis resulted 5 main themes helpseeking barriers technology platform functionality content user interface random sample 106 source documents analyzed 2 independent raters revealed almost perfect agreement functionality kappa86 p001 content kappa92 p001 substantial agreement user interface kappa785 p001 random sample annotations coded helpseeking barriers technology platform language identified main barrier getting medical psychological services smartphones mostused device access internet acceptability adequate prototypes 5 main elements home page triage system selfreport assessment dashboard results booking video visit system personalized wellbeing plan data also revealed gaps alpha prototype need tailored assessment tools greater integration spanishspeaking services communities spanishlanguage apps etools well online mental health information lackingthrough research development process codesigned culturally adapted developed user tested evaluated mhecs translating culturally adapting mhec spanish aimed increase accessibility availability emental health care developing world assist vulnerable populations migrated englishspeaking countries