Evidence map›Paper›PMID 37710234›Full record

ArticleBMC public health2023

What consumers, general practitioners and mental health professionals want: the co-design and prototype testing of a transdiagnostic, acceptance and commitment therapy-based online intervention to reduce distress and promote wellbeing among Australian adults.

Donna Hughes-Barton, Gemma Skaczkowski, Chloe Fletcher, Deborah Turnbull, Janne McMahon, Kate M Gunn

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
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 3 institutions in 1 country.

Donna Hughes-BartonIIMPACT in Health, Department of Rural Health, Allied Health and Human Performance, University of South Australia, City East Campus, North Terrace, Adelaide, South Australia, 5001, Australia.
Gemma SkaczkowskiIIMPACT in Health, Department of Rural Health, Allied Health and Human Performance, University of South Australia, City East Campus, North Terrace, Adelaide, South Australia, 5001, Australia.
Chloe FletcherIIMPACT in Health, Department of Rural Health, Allied Health and Human Performance, University of South Australia, City East Campus, North Terrace, Adelaide, South Australia, 5001, Australia.
Deborah TurnbullSchool of Psychology, The University of Adelaide, Adelaide, SA, 5000, Australia.
Janne McMahonLived Experience Australia, PO Box 12, Oaklands Park, 5046, Australia.
Kate M GunnIIMPACT in Health, Department of Rural Health, Allied Health and Human Performance, University of South Australia, City East Campus, North Terrace, Adelaide, South Australia, 5001, Australia. kate.gunn@unisa.edu.au.
University of South Australia · AUParks Victoria · AUThe University of Adelaide · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany Australians experience mental health challenges, but only a third access face-to-face psychological services, due to multiple barriers including long waitlists. Additional strategies to prevent or help people de-escalate distress at an early stage are needed. Web-based mental health interventions are becoming increasingly acceptable to consumers and referring General Practitioners (GPs), but most are designed for specific disorders/populations. This study explores consumers' and health professionals' preferences and recommendations for the design of a transdiagnostic, Acceptance and Commitment Therapy (ACT)-based, online intervention for Australian adults.

methodsThirty-five people (consumers, carers, GPs, mental health professionals) participated in one or more co-design stages. Stage 1: semi-structured interviews to establish what is wanted from such websites (n = 22). Stage 2: feedback emailed on branding options (n = 20). Stage 3: feedback provided via Zoom or an online survey after testing a website prototype (n = 19). Data were analysed using Thematic Framework Analysis and descriptive statistics.

resultsStage 1 highlighted nine key design principles (plus 25 subthemes) that participants emphasised as important to ensure the website would have broad appeal and meet their needs: (1) user choice is valued highly; (2) ACT-based content is acceptable as it is focused on helping people be proactive and 'get unstuck'; (3) non-pathologising, direct, empowering, lay language is endorsed; (4) a positive look and feel is appreciated; (5) images and videos are important to break up text and maintain engagement; (6) short text messages to aid engagement are valued; (7) provision of tailored psychoeducation for highly distressed and suicidal users is endorsed; (8) personal and proactive brand name is preferred (icanactnow); (9) diverse marketing and training activities are recommended. In Stage 2, icanactnow branding preferences were elicited (simplicity, colours to represent growth and a call to action). Stage 3 resulted in the inclusion of a safety plan template and a tailored entry portal for people referred to icanactnow by health professionals. High levels of satisfaction with the prototype were reported.

conclusionsThese findings informed icanactnow and provide insights for the development of other online mental health interventions, in ways that appeal to both consumers and professionals recommending them.

Indexed as

Acceptance and Commitment TherapyGeneral PractitionersInternet-Based InterventionAdultAustraliaHumansMental HealthAcceptance and Commitment TherapyMental healthOnline interventionPsychological flexibilityPsychologyWeb-basedWebsiteWellbeing

Identifiers

PMID37710234
PMCPMC10500756
OpenAlexW4386741565

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.