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      Young People’s Trust in Cocreated Web-Based Resources to Promote Mental Health Literacy: Focus Group Study

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          Abstract

          Background

          There is a pressing need to create resources to promote mental health literacy among young people. Digital media is one of the methods that can be used to successfully promote mental health literacy. Although digital mental health resources are generally favorably perceived by young people, one of the essential factors in whether they choose to use these interventions is trust.

          Objective

          The objective of this study was to explore young people’s trust-related concerns about and recommendations for the cocreated mental health website “What’s Up With Everyone” by using TrustScapes. Our aim was to use the findings to improve the trustworthiness of the website and to inform future creators of web-based mental health resources.

          Methods

          In total, 30 young people (mean age 19, SD 1.509; range 17-21 years) participated in TrustScapes focus groups. Thematic analysis was carried out to analyze both the TrustScapes worksheets and audio transcripts.

          Results

          Qualitative analysis revealed that the mental health website contains elements perceived to be both trustworthy and untrustworthy by young people. The relatable and high-quality design, which was achieved by cocreating the website with a team of design professionals and young people, was considered to increase trust. Creators’ credibility also positively affected trust, but the logos and other information about the creators were recommended to be more salient for users. Suggestions were made to update the privacy policy and cookie settings and include communication functions on the platform to improve the trustworthiness of the website.

          Conclusions

          Factors perceived to be trustworthy included the website's relatable, high-quality design and creators’ credibility, whereas those perceived to be untrustworthy included the privacy policy and cookie settings. The findings highlighted the significance of collaborating with end users and industrial partners and the importance of making the trust-enabling factors salient for users. We hope that these findings will inform future creators of web-based mental health resources to make these resources as trustworthy and effective as possible.

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          Most cited references44

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          Using thematic analysis in psychology

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            Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication.

            Little is known about lifetime prevalence or age of onset of DSM-IV disorders. To estimate lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the recently completed National Comorbidity Survey Replication. Nationally representative face-to-face household survey conducted between February 2001 and April 2003 using the fully structured World Health Organization World Mental Health Survey version of the Composite International Diagnostic Interview. Nine thousand two hundred eighty-two English-speaking respondents aged 18 years and older. Lifetime DSM-IV anxiety, mood, impulse-control, and substance use disorders. Lifetime prevalence estimates are as follows: anxiety disorders, 28.8%; mood disorders, 20.8%; impulse-control disorders, 24.8%; substance use disorders, 14.6%; any disorder, 46.4%. Median age of onset is much earlier for anxiety (11 years) and impulse-control (11 years) disorders than for substance use (20 years) and mood (30 years) disorders. Half of all lifetime cases start by age 14 years and three fourths by age 24 years. Later onsets are mostly of comorbid conditions, with estimated lifetime risk of any disorder at age 75 years (50.8%) only slightly higher than observed lifetime prevalence (46.4%). Lifetime prevalence estimates are higher in recent cohorts than in earlier cohorts and have fairly stable intercohort differences across the life course that vary in substantively plausible ways among sociodemographic subgroups. About half of Americans will meet the criteria for a DSM-IV disorder sometime in their life, with first onset usually in childhood or adolescence. Interventions aimed at prevention or early treatment need to focus on youth.
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              Reflecting on reflexive thematic analysis

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                Author and article information

                Contributors
                Journal
                JMIR Ment Health
                JMIR Ment Health
                JMH
                JMIR Mental Health
                JMIR Publications (Toronto, Canada )
                2368-7959
                2023
                9 January 2023
                : 10
                : e38346
                Affiliations
                [1 ] Faculty of Medicine and Health Sciences University of Nottingham Nottingham United Kingdom
                [2 ] National Institute for Health and Care Research (NIHR) Nottingham Biomedical Research Centre Nottingham United Kingdom
                [3 ] Department of Psychological and Behavioural Science London School of Economics London United Kingdom
                Author notes
                Corresponding Author: Sachiyo Ito-Jaeger sachiyo.ito-jaeger@ 123456nottingham.ac.uk
                Author information
                https://orcid.org/0000-0001-9664-7797
                https://orcid.org/0000-0002-0258-9440
                https://orcid.org/0000-0003-4970-6365
                https://orcid.org/0000-0003-2443-5079
                https://orcid.org/0000-0003-2441-0998
                Article
                v10i1e38346
                10.2196/38346
                9871878
                36622752
                a4ca778a-b63d-41f2-bac6-c2d2d6cc3ae1
                ©Sachiyo Ito-Jaeger, Elvira Perez Vallejos, Saruka Logathasan, Thomas Curran, Paul Crawford. Originally published in JMIR Mental Health (https://mental.jmir.org), 09.01.2023.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Mental Health, is properly cited. The complete bibliographic information, a link to the original publication on https://mental.jmir.org/, as well as this copyright and license information must be included.

                History
                : 30 March 2022
                : 10 May 2022
                : 4 October 2022
                : 26 October 2022
                Categories
                Original Paper
                Original Paper

                trust,mental health,web,young people,cocreation,mental health literacy,qualitative study,thematic analysis,trustworthy,digital mental health,internet,digital health,mobile phone

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