JMIR Publications

ABSTRACT

Background:

This research paper explores the use of digital technologies to expand mental health support, focusing on an evidence-based WHO low-intensity intervention called Self-Help Plus (SH+). The SH+ protocol has been integrated into a chatbot-guided mobile application called "ALBA."

Objective:

The present study aims to describe the adaptation (porting) of this approach i) from a face-to-face/group delivered intervention to a tech-enabled intervention and ii) to an adapted intervention for women with breast cancer and for women who are pregnant.

Methods:

The development process is based on multi-professional collaboration, and it embraces a user-centered design approach. It includes i) adapting the SH+ protocol to suit the chatbot-driven ALBA platform, ii) tailoring content to the target population, and iii) incorporating interactive features for improving engagement and potential efficacy.

Results:

Preliminary outcomes are promising, whilst a structured pathway to assess the usability, efficacy and scalability of the intervention is presented. The discussion focuses on the potential of virtual coaching applications in mental health, emphasising how new technologies could further improve accessibility and personalisation of the interventions.

Conclusions:

A final section explores future development scenarios, including real-world research and additional potential adaptations for different target groups and purposes, ranging from primary prevention to clinical practice.