ArticleJMIR serious games2018
How LGBT+ Young People Use the Internet in Relation to Their Mental Health and Envisage the Use of e-Therapy: Exploratory Study.
Article in JMIR serious games, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Digital intervention in improving the outcomes of mental health among LGBTQ+ youth: a systematic review.Frontiers in psychology · 2023Pooled it
- Conceptual Ambiguity Surrounding Gamification and Serious Games in Health Care: Literature Review and Development of Game-Based Intervention Reporting Guidelines (GAMING).Journal of medical Internet research · 2021Pooled it
- Effectiveness, Acceptability, and Feasibility of Digital Health Interventions for LGBTIQ+ Young People: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Young People's Perspectives on Age Verification for Online Pornography in Australia: Cross-Sectional Online Survey.Journal of medical Internet research · 2026Article
- Immediate Effects and Experiences of a Digital Single-Session Behavioural Activation Based Intervention for Adolescents: A Single Arm Pre-post Programme Evaluation of Project ABC in the UK.Clinical child psychology and psychiatry · 2026Article
- Optimizing Engagement with Digital Mental Health Resources Among Sexual and Gender Minority Users: Protocol for a Series of Microrandomized Trials.JMIR research protocols · 2026Article
- Using Digital Mental Health and Measurement-Based Care With Youth Experiencing Suicidal Thoughts and Behaviors: Qualitative Study of Clinician Barriers and Facilitators.JMIR human factors · 2026Article
- Gender Differences in Trajectories of Depressive Symptoms Among Talkspace Clients: Naturalistic Observational Study.JMIR formative research · 2025Observational
- Adult stakeholders' perspectives on supporting or undermining the mental health of sexual and gender minoritised adolescents.Psychology and psychotherapy · 2025Article
- A Nunavut community-directed Inuit youth mental wellness initiative: making I-SPARX fly.International journal of circumpolar health · 2024Article
- Setting the Game Agenda: Reviewing the Emerging Literature on Video Gaming and Psychological Well-Being of Sexual and Gender Diverse Youth.Games and culture · 2024Review
- Self-management, self-care, and self-help in adolescents with emotional problems: a scoping review.European child & adolescent psychiatry · 2024Article
- Breaking the Binary: Unveiling Gender-specific Norms in Internet Addiction.Indian journal of psychological medicine · 2024Article
- Ethical and methodological challenges conducting participative research with transgender and gender-diverse young people: a systematic review.International journal of transgender health · 2024Review
- Enhancing an online cognitive behavioural therapy intervention for depression: Harnessing the feedback of sexual and gender minority youth to help improve SPARX.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2023Article
- Evaluating the Utility of a Psychoeducational Serious Game (SPARX) in Protecting Inuit Youth From Depression: Pilot Randomized Controlled Trial.JMIR serious games · 2023Article
- Article
- Exploring the mental health experiences of young trans and gender diverse people during the Covid-19 pandemic.International journal of transgender health · 2023Article
- Coping Strategies to Enhance the Mental Wellbeing of Sexual and Gender Minority Youths: A Scoping Review.International journal of environmental research and public health · 2022Article
- Need for Inclusive Consideration of Transgender and Gender Diverse People in E-Health Services: A Systematic Review.Journal of clinical medicine · 2022Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLesbian, gay, bisexual, and transgender (LGBT) youth and other young people diverse in terms of their sexuality and gender (LGBT+) are at an elevated risk of mental health problems such as depression. Factors such as isolation and stigma mean that accessing mental health services can be particularly challenging for LGBT+ young people, and previous studies have highlighted that many prefer to access psychological support on the Web. Research from New Zealand has demonstrated promising effectiveness and acceptability for an LGBT+ focused, serious game-based, computerized cognitive behavioral therapy program, Rainbow Smart, Positive, Active, Realistic, X-factor thoughts (SPARX). However, there has been limited research conducted in the area of electronic therapy (e-therapy) for LGBT+ people.
objectiveThis study aimed to explore how and why LGBT+ young people use the internet to support their mental health. This study also sought to explore LGBT+ young people's and professionals' views about e-therapies, drawing on the example of Rainbow SPARX.
methodsA total of 3 focus groups and 5 semistructured interviews were conducted with 21 LGBT+ young people (aged 15-22 years) and 6 professionals (4 health and social care practitioners and 2 National Health Service commissioners) in England and Wales. A general inductive approach was used to analyze data.
resultsLGBT+ youth participants considered that the use of the internet was ubiquitous, and it was valuable for support and information. However, they also thought that internet use could be problematic, and they highlighted certain internet safety and personal security considerations. They drew on a range of gaming experiences and expectations to inform their feedback about Rainbow SPARX. Their responses focused on the need for this e-therapy program to be updated and refined. LGBT+ young people experienced challenges related to stigma and mistreatment, and they suggested that strategies addressing their common challenges should be included in e-therapy content. Professional study participants also emphasized the need to update and refine Rainbow SPARX. Moreover, professionals highlighted some of the issues associated with e-therapies needing to demonstrate effectiveness and challenges associated with health service commissioning processes.
conclusionsLGBT+ young people use the internet to obtain support and access information, including information related to their mental health. They are interested in LGBT-specific e-therapies; however, these must be in a contemporary format, engaging, and adequately acknowledge the experiences of LGBT+ young people.
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