JMIR Publications

ABSTRACT

Background:

The COVID-19 pandemic is likely to increase anxiety and distress in young people worldwide. It is important that mental health is prioritized during crisis events in order to mitigate the negative and often long-term effects on young people, families and society. Mental health and wellbeing apps represent a scalable approach for improving psychological outcomes in young people and have the potential to improve equity of service access.

Objective:

The ‘Whitu-7 ways in 7 days’ wellbeing app was recently developed by our group to address the urgent need for innovative approaches to reach young New Zealanders who are struggling to cope with the COVID-19 pandemic. The aim of this study is two-fold: (1) to evaluate the acceptability of the prototype app and (2) to examine the effectiveness of the refined app at improving mental/emotional wellbeing and reducing depression, anxiety and stress in New Zealand young people.

Methods:

A two-phase mixed methods study will be undertaken to achieve these aims. During the first phase, 20 young people aged 16-30 years (including those of Māori and Pacific ethnicity) will participate in a qualitative study to help refine the prototype app. During the second phase, 90 young people aged 16-30 years will participate in a randomized waitlist-controlled trial (RCT) to evaluate the efficacy of the refined Whitu app at 4 weeks and 3 months after baseline. Outcomes will be evaluated using validated web-based questionnaires at baseline, 4-weeks and 3-months.

Results:

The study received ethics approval in May 2020 and recruitment for the focus groups commenced in June 2020. Recruitment for the RCT is expected to commence in September 2020. Participants for both study phases will be recruited via social media and online communities. Data collection for the RCT is expected to be completed by January 2021 and analyses are expected to be completed by March 2021. Linear mixed modelling will be used to determine between group differences in psychological outcomes.

Conclusions:

There is an urgent need to develop culturally appropriate, scalable mental health interventions to address the psychological consequences of the COVID-19 pandemic. This study will develop and test an evidence-based wellbeing app, which if effective, could be made available to all young people in New Zealand and internationally. Clinical Trial: Australian New Zealand Clinical Trials Registry (ACTRN12620000516987).