BACKGROUND
Despite young First Nations Australians being typically healthy, happy, and connected to family and culture, high rates of emotional distress, suicide and self-harm are also observed. Differing worldviews of service providers and First Nations young people regarding illness and treatment practices, language differences, culturally inappropriate service models, geographical remoteness and stigma can all inhibit access to appropriate mental health support. Mental health treatments delivered digitally (dMH), offer flexible access to evidence-based, non-stigmatising, low-cost treatment and early intervention on a broad scale. There is rapidly growing utilisation and acceptance of these technologies among young First Nations people.
OBJECTIVE
The objective was to assess feasibility, acceptability, and use of the newly developed AIMhi for Youth (AIMhi-Y) app and determine feasibility of study procedures in preparation for future assessment of effectiveness.
METHODS
This was a non-randomised pre-post study, utilising mixed methods. First Nations young people aged 12-25 years who provided consent (with parental consent where appropriate) and possessed the ability to navigate a simple app with basic English literacy were included. Researchers conducted one face-to-face 20-minute session with participants to introduce and orientate participants to the AIMhi-Y app. The app integrates culturally adapted low intensity cognitive behavioural therapy (CBT), psychoeducation and mindfulness-based activities. Participants received supportive text messages weekly throughout the 4-week intervention period and completed assessments of psychological distress, depression, anxiety, substance misuse, help-seeking, service use, and parent-rated strengths and difficulties at baseline and 4 weeks. Qualitative interviews and rating scales were completed at 4 weeks to gain feedback on subjective experience, look and style, content, overall rating, check-ins, and involvement in the study. App usage data were collected.
RESULTS
Thirty young people (17 Male; 13 Female) aged between 12-18 years (M = 14.0; SD =1.55) were assessed at baseline and 4 weeks. Repeated measures t-tests showed improvements in wellbeing measures which were statistically and clinically significant for psychological distress (K10) and depressive symptoms (PHQ-2). Participants spent on average 37 minutes in the app. The app was rated positively with mean ratings of 4 out of 5 points (scale of 1-5). Participants reported that they found the app easy to use, culturally relevant, and useful. The feasibility of the study was demonstrated with a 62% recruitment and 90% retention rate and high study acceptability ratings.
CONCLUSIONS
This study supports earlier research suggesting that dMH apps that are appropriately designed with and for the target populations are a feasible and acceptable means of lowering symptoms for mental health disorders among First Nations youth.
CLINICALTRIAL