Evidence map›Paper›PMID 35547091›Full record

ArticleFrontiers in digital health2022

A Call to Action: Using and Extending Human-Centered Design Methodologies to Improve Mental and Behavioral Health Equity.

Colleen Stiles-Shields, Caroline Cummings, Enid Montague, Jill M Plevinsky, Alexandra M Psihogios, Kofoworola D A Williams

Open access · goldAbstract read
In one paragraph

Article in Frontiers in digital health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
9.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 67 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Colleen Stiles-ShieldsSection of Community Behavioral Health, Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, United States.
Caroline CummingsDepartment of Psychological Sciences, Texas Tech University, Lubbock, TX, United States.
Enid MontagueCollege of Computing and Digital Media, DePaul University, Chicago, IL, United States.
Jill M PlevinskyPediatric Transplant Center, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Alexandra M PsihogiosDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Kofoworola D A WilliamsCenter for Behavioral Intervention Technologies, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.
University of Pennsylvania · USDePaul University · USNorthwestern University · USRush University Medical Center · USTexas Tech University · US

Funding

Technology Enabled Services for Coordinated Care of Depression in Healthcare SettingsP50MH119029 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Rachel Kornfield · 2020 to 2026
$10.7M
Multidisciplinary Training Program in Digital Mental HealthT32MH115882 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Darren Gergle, DAVID CURTIS MOHR · 2018 to 2026
$2.4M
Using Real Time Mobile Health Approaches to Understand and Promote Oral Chemotherapy Adherence in Adolescents and Young Adults with LeukemiaK08CA241335 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PSIHOGIOS, ALEXANDRA · 2019 to 2024
$737k
Supporting Mental Health in Underserved Youth: Engagement with Digital Mental Health Technologies in Pediatric Primary CareK08MH125069 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI STILES-SHIELDS, COLLEEN · 2021 to 2024
$628k
NCI NIH HHS K08 CA241335NIMH NIH HHS K08 MH125069NIMH NIH HHS P50 MH119029NIMH NIH HHS T32 MH115882
6 · The paper itself

Abstract

Mental health disparities directly tie to structural racism. Digital mental health (DMH), the use of technologies to deliver services, have been touted as a way to expand access to care and reduce disparities. However, many DMH fail to mitigate the persistent disparities associated with structural racism that impact delivery (e.g., costs, dependable internet access)-and may even exacerbate them. Human-centered design (HCD) may be uniquely poised to design and test interventions alongside, rather than "for," marginalized individuals. In employing HCD methodologies, developers may proceed with a vested interest in understanding and establishing empathy with users and their needs, behaviors, environments, and constraints. As such, HCD used to mindfully address structural racism in behavioral health care may address shortcomings of prior interventions that have neglected to elevate the voices of marginalized individuals. We argue that a paradigm shift in behavioral health services research is critically needed-one that embraces HCD as a key methodological framework for developing and evaluating interventions with marginalized communities, to ultimately promote more accessible, useful, and equitable care. The current commentary illustrates practical examples of the use of HCD methodologies to develop and evaluate DMH designed with marginalized populations, while also highlighting its limitations and need for even greater inclusivity. Following this, calls to action to learn from and improve upon HCD methodologies will be detailed. Acknowledging potential limitations of current design practices, methodologies must ultimately engage representative voices beyond research participation and invest in their active role as compensated and true collaborators to intervention design.

Indexed as

anti-racismdigital mental healthequityhuman-centered designmental health

Identifiers

PMID35547091
PMCPMC9081673
OpenAlexW4224316212

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.