Evidence map›Paper›PMID 42565954›Full record

ArticleThe patient2026

Parent and Adolescent Preferences for Online Youth Mental Health Support Programs: A Discrete Choice Experiment.

Sanjeewa Kularatna, Michelle J Allen, Sonja March, Vanessa E Cobham, Caroline Donovan, Melanie J White, Ruth Tulleners, David Brain, Sameera Senanayake

Abstract read
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In one paragraph

Article in The patient, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Sanjeewa KularatnaHealth Services Research and Population Health, Duke-NUS Medical School, Singapore, Singapore.ORCID http://orcid.org/0000-0001-5650-154X
Michelle J AllenAustralian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0003-2178-4054
Sonja MarchInstitute for Health, University of Southern Queensland, Springfield, QLD, Australia.ORCID http://orcid.org/0000-0001-8425-7126
Vanessa E CobhamSchool of Psychology, The University of Queensland, St Lucia, QLD, Australia.ORCID http://orcid.org/0000-0002-7633-2971
Caroline DonovanSchool of Applied Psychology and the Griffith Centre for Mental Health, Griffith University, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0001-6380-635X
Melanie J WhiteFaculty of Health, School of Psychology and Counselling, Queensland University of Technology, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0002-4865-8878
Ruth TullenersAustralian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0002-9678-6436
David BrainAustralian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia.ORCID http://orcid.org/0000-0002-6612-348X
Sameera SenanayakeHealth Services Research and Population Health, Duke-NUS Medical School, Singapore, Singapore. sameera.senanayake@duke-nus.edu.sg.ORCID http://orcid.org/0000-0002-5606-2046

Funding

Medical Research Future Fund (MRFF) MRF1179490
6 · The paper itself

Abstract

backgroundDigital mental health programs can expand access to psychological support for children and adolescents, especially where stigma, cost, and workforce shortages limit traditional care. Understanding which features young people and parents value most is essential for improving engagement and real-world uptake.

methodsWe conducted a cross-sectional discrete choice experiment to quantify preferences for online youth mental health program features among adolescents and parents. Data were collected through an online survey of BRAVE Program families with prior experience using the BRAVE self-help anxiety program. Participants completed ten choice tasks comparing two program options varying by content format, effectiveness or professional contact, personalization, cost, and session frequency or additional supports. Preferences were analyzed using mixed multinomial logit models.

resultsAmong 238 participants (80 parents; 158 adolescents), both groups preferred programs that were engaging, interactive, and personalized, and both were sensitive to program cost. Parents placed strong emphasis on effectiveness, with cost (36%) and effectiveness (27%) the most influential attributes. Adolescents valued direct contact with a professional and additional supports, but cost was the dominant attribute influencing their choices (47%). Scenario analyses showed that predicted uptake remained high for programs with preferred features, although uptake decreased when the program cost was A$300.

conclusionsWithin their respective choice sets, parents placed particular value on demonstrated program effectiveness, while adolescents placed particular value on access to professional support. Programs offering flexible, optional professional input, and low or no cost may maximize appeal and accessibility while informing future policy and design of scalable youth e-mental health solutions.

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Registered trials

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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.