Accepted for/Published in: JMIR Formative Research
Date Submitted: May 21, 2021
Date Accepted: Oct 28, 2021
Developing an online application to assess mental health difficulties in secondary school pupils (Artemis-A): a qualitative user-centred design study
ABSTRACT
Background:
Secondary schools are an ideal setting to identify young people experiencing mental health difficulties such as anxiety or depression. However, current methods of identification rely on cumbersome paper-based assessments, which are lengthy and time-consuming to complete, and resource intensive for schools to manage. Artemis-A is a prototype web application (app), which uses Computerised Adaptive Testing (CAT) technology to shorten the assessment and provides schools with a simple and feasible solution to mental health assessment.
Objective:
The objectives of this study were (i) to co-produce the main components of the Artemis-A app with secondary school pupils and school staff to enhance the user interface and user experience, (ii) to carry out usability testing and finalise the interface design and functionality and, (iii) to explore participants’ views on mental health assessments in schools and how Artemis-A should be implemented.
Methods:
This study involved two iterative design feedback cycles using a participatory approach to user centred design. Data were collected through focus groups and interviews involving secondary school pupils, parents, school staff and mental health professionals (n=48). Thematic analysis was applied to generate descriptive themes.
Results:
Phase 1 stakeholder consultations provided feedback on preferences for the user interface design, school administration of the assessment and outcome reporting. The findings informed the second iteration of the app design and development. Phase 2 user testing indicated that young people found the app easy to use and visually appealing. However, additional features could be added to the school administration panel which would provide staff with more flexibility for data visualisation. Findings included suggestions for implementation including anticipated benefits and harms of the app.
Conclusions:
Artemis-A is a potentially useful tool for secondary schools to assess the mental health of their pupils which requires minimal staff input and training. Future research will evaluate the feasibility and effectiveness of Artemis-A within a range of UK secondary schools. Clinical Trial: N/A
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