Evidence map›Paper›PMID 41186423›Full record

ArticleJMIR formative research2025

Designing Culturally Adapted Digital Mental Health Support Tool for Chinese-Speaking International Students in Australia: A Qualitative Co-design Study.

Ling Wu, Chen Zhu, Joshua Paolo Seguin, Jue Xie, Pranav Kulkarni, Mingye Li, Patrick Olivier

Abstract read
In one paragraph

Article in JMIR formative research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

7 authors.

Ling WuAction Lab, Department of Human-Centred Computing, Faculty of IT, Monash University, 14 Rainforest Walk, Clayton, 3168, Australia, 61 03 - 9905 5859.ORCID 0000-0001-5406-6927
Chen ZhuAction Lab, Department of Human-Centred Computing, Faculty of IT, Monash University, 14 Rainforest Walk, Clayton, 3168, Australia, 61 03 - 9905 5859.ORCID 0000-0002-7926-2024
Joshua Paolo SeguinAction Lab, Department of Human-Centred Computing, Faculty of IT, Monash University, 14 Rainforest Walk, Clayton, 3168, Australia, 61 03 - 9905 5859.ORCID 0000-0002-4589-2095
Jue XieAction Lab, Department of Human-Centred Computing, Faculty of IT, Monash University, 14 Rainforest Walk, Clayton, 3168, Australia, 61 03 - 9905 5859.ORCID 0000-0003-4549-1627
Pranav KulkarniAction Lab, Department of Human-Centred Computing, Faculty of IT, Monash University, 14 Rainforest Walk, Clayton, 3168, Australia, 61 03 - 9905 5859.ORCID 0000-0001-5544-5515
Mingye LiAction Lab, Department of Human-Centred Computing, Faculty of IT, Monash University, 14 Rainforest Walk, Clayton, 3168, Australia, 61 03 - 9905 5859.ORCID 0009-0000-0806-5018
Patrick OlivierAction Lab, Department of Human-Centred Computing, Faculty of IT, Monash University, 14 Rainforest Walk, Clayton, 3168, Australia, 61 03 - 9905 5859.ORCID 0000-0003-2841-7580

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: International students, especially Chinese-speaking students, who grew up with collectivist values and the linguistic and cultural characteristics face a higher risk of mental health issues due to the challenges of geographical, linguistic, and cultural transitions when studying abroad. While digital technology has shown promise in supporting mental health, few studies have focused on designing tools specifically for Chinese-speaking international students and the challenges they face. Objective: This study aimed to design and develop a self-directed digital mental health support tool that provides culturally safe and appropriate support for international students. Methods: A co-design approach was used across 2 study phases, Phase 1 (interviews) and Phase 2 (co-design workshops), to explore the design implications of the digital tool. Inductive thematic analysis was conducted to extract design insights and considerations. Results: Findings show that participants faced a wide range of challenges arising from cross-cultural, academic, and daily life demands, which further contributed to increased levels of stress and negative feelings. These findings highlight a need to improve mental health awareness, literacy, and help-seeking intentions in this vulnerable group. These insights informed the design that emphasized the integration of culturally adapted resources with self-directed learning tools. Conclusions: Based on the findings, a personalized, self-directed, and culturally adapted design has been proposed that creates a bridging pathway linking students' immediate challenges with mental health education and support. This design offers a clear set of implications for enhancing international students' mental health awareness, literacy, and help-seeking behaviors, thereby providing essential support for this population.

Indexed as

Mental HealthStudentsAdultAustraliaEast Asian PeopleFemaleHumansMaleQualitative ResearchYoung Adultco-design digital toolculturally-adapted resourcesinternational students mental healthmental health digital toolself-directed tool

Identifiers

PMID41186423
PMCPMC12584277

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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.