Facilitating mental health help seeking in young adults: the underlying theory and development of an online navigation tool
Abstract
Objective: This paper describes the theoretical basis of the Link program, a world-first dedicated online navigation tool to facilitate mental health help-seeking for young adults.Method: Several theories of help-seeking and behaviour change were explored to determine a useful theoretical framework for the Link program, a world-first dedicated online navigation tool to facilitate mental health help-seeking for young adults.Results: Four commonly used theories of behavioural change were examined with the Theory of Planned Behaviour found to best match the objectives of the Link program. Previous interventions aimed at increasing help-seeking behaviour and intentions using the Theory of Planned Behaviour found that attitudes, subjective norms, and perceived control beliefs have a role in help-seeking. Combined with elements of the Help Seeking Model, due to its specificity in mental health help-seeking, the Theory of Planned Behaviour was selected as the theoretical framework of the Link program. The resultant prototype allows young adults to enter information about an issue they are facing, the severity of the issue, and the type of services they prefer. Recommendations for information or services are then presented based upon these individual needs.Discussion: Little is known about the effects online services have on emotional affect and whether these services facilitate help-seeking in young people. Detailed description of this developmental work will assist in understanding the mechanisms underpinning the Link program. Further research will evaluate the effectiveness of the Link program in improving help-seeking, emotions, and mental health outcomes.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Recent research has attempted to improve rates of mental health help-seeking through TPB-based interventions, but these are yet to be reviewed.
“Recent research has attempted to improve rates of mental health help-seeking through TPB-based interventions [37–39], however these are yet to be reviewed.”
From Explaining adults’ mental health help-seeking through the lens of the theory of planned behavior: A scoping review (2022) · cites this paper as [37]
An online navigation tool for young adults designed to match participants with appropriate services did not demonstrate improvements in help-seeking intentions; changes in other TPB variables were not assessed.
“Finally, an online navigation tool for young adults designed to match participants with appropriate services did not demonstrate improvements in help-seeking intentions; changes in other TPB variables were not assessed [37, 38].”
From Explaining adults’ mental health help-seeking through the lens of the theory of planned behavior: A scoping review (2022) · cites this paper as [37]
Cites
The theory of planned behavior
Ajzen, I. (1991) · Organizational Behavior and Human Decision Processes · doi:10.1016/0749-5978(91)90020-t · Cited by 90,587 · see citing works
(1975) · PhilPapers (PhilPapers Foundation) · Cited by 36,737 · see citing works
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.593 · Cited by 20,391 · see citing works
Developing and evaluating complex interventions: the new Medical Research Council guidance
Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I., & Petticrew, M. (2008) · BMJ · doi:10.1136/bmj.a1655 · Cited by 10,995 · see citing works
The Transtheoretical Model of Health Behavior Change.
Prochaska, J. O., & Velicer, W. F. (1997) · American Journal of Health Promotion · doi:10.4278/0890-1171-12.1.38 · Cited by 7,782 · see citing works
Social Learning Theory and the Health Belief Model
Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988) · Health Education Quarterly · doi:10.1177/109019818801500203 · Cited by 5,564 · see citing works
Transtheoretical therapy: Toward a more integrative model of change.
Prochaska, J. O., & DiClemente, C. C. (1982) · Psychotherapy: Theory, Research & Practice · doi:10.1037/h0088437 · Cited by 3,922 · see citing works
No health without mental health
Prince, M. J., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M. R., & Rahman, A. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61238-0 · Cited by 3,835 · see citing works
Fredrickson, B. L. (2001) · American Psychologist · doi:10.1037//0003-066x.56.3.218 · Cited by 3,512 · see citing works
Framework for design and evaluation of complex interventions to improve health
Campbell, M. (2000) · BMJ · doi:10.1136/bmj.321.7262.694 · Cited by 3,474 · see citing works
Gulliver, A., Griffiths, K. M., & Christensen, H. (2010) · BMC Psychiatry · doi:10.1186/1471-244x-10-113 · Cited by 3,292 · see citing works
Positive affect and the other side of coping.
Folkman, S., & Moskowitz, J. T. (2000) · American Psychologist · doi:10.1037/0003-066x.55.6.647 · Cited by 2,471 · see citing works
Mental health literacy: Public knowledge and beliefs about mental disorders
Jorm, A. F. (2000) · British Journal of Psychiatry · doi:10.1192/bjp.177.5.396 · Cited by 2,114 · see citing works
Eysenbach, G., Powell, J., Kuss, O., & Sa, E.-R. (2002) · JAMA · doi:10.1001/jama.287.20.2691 · Cited by 1,871 · see citing works
Young People’s Help-Seeking for Mental Health Problems
Rickwood, D., Deane, F. P., Wilson, C. J., & Ciarrochi, J. (2005) · Australian e-Journal for the Advancement of Mental Health · doi:10.5172/jamh.4.3.218 · Cited by 1,619 · see citing works
A Meta-Analysis of the Effectiveness of Health Belief Model Variables in Predicting Behavior
Carpenter, C. J. (2010) · Health Communication · doi:10.1080/10410236.2010.521906 · Cited by 1,604 · see citing works
“The Medical Journal of Australia”
(1923) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1923.tb64467.x · Cited by 1,549 · see citing works
Davis, R., Campbell, R., Hildon, Z., Hobbs, L., & Michie, S. (2015) · Health Psychology Review · doi:10.1080/17437199.2014.941722 · Cited by 1,411 · see citing works
Designing and evaluating complex interventions to improve health care
Campbell, N. C., Murray, E., Darbyshire, J., Emery, J., Farmer, A., Griffiths, F., Guthrie, B., Lester, H., Wilson, P., & Kinmonth, A. L. (2007) · BMJ · doi:10.1136/bmj.39108.379965.be · Cited by 1,331 · see citing works
When and how do young people seek professional help for mental health problems?
Rickwood, D. J., Deane, F. P., & Wilson, C. J. (2007) · Medical Journal of Australia · doi:10.5694/j.1326-5377.2007.tb01334.x · Cited by 1,195 · see citing works
Hardeman, W., Johnston, M., Johnston, D. W., Bonetti, D. L., Wareham, N. J., & Kinmonth, A. L. (2002) · Psychology and Health · doi:10.1080/08870440290013644a · Cited by 885 · see citing works
Stigma about depression and its impact on help-seeking intentions
Barney, L. J., Griffiths, K. M., Jorm, A. F., & Christensen, H. (2006) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2006.01741.x · Cited by 844 · see citing works
Systematic review of studies of patient satisfaction with telemedicine
Mair, F. (2000) · BMJ · doi:10.1136/bmj.320.7248.1517 · Cited by 734 · see citing works
(2015) · UWA Profiles and Research Repository (University of Western Australia) · Cited by 615 · see citing works
Usability testing: a review of some methodological and technical aspects of the method
Bastien, J. M. C. (2009) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2008.12.004 · Cited by 388 · see citing works
Aluise, J. J. (1987) · Springer eBooks · doi:10.1007/978-1-4612-4646-6_2 · Cited by 362 · see citing works
Do online mental health services improve help-seeking for young people? A systematic review
Kauer, S. D., Mangan, C., & Sanci, L. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3103 · Cited by 339 · see citing works
Self-citationWrigley, S., Jackson, H. J., Judd, F. K., & Komiti, A. (2005) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2005.01612.x · Cited by 298 · see citing works
Bridle, C., Riemsma, R. P., Pattenden, J., Sowden, A. J., Mather, L., Watt, I. S., & Walker, A. (2005) · Psychology and Health · doi:10.1080/08870440512331333997 · Cited by 263 · see citing works
The internet as a setting for mental health service utilisation by young people
Burns, J. M., Davenport, T. A., Durkin, L. A., Luscombe, G. M., & Hickie, I. B. (2010) · Medical Journal of Australia · doi:10.5694/j.1326-5377.2010.tb03688.x · Cited by 257 · see citing works
Wright, A., Jorm, A. F., Harris, M. G., & McGorry, P. D. (2007) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-006-0156-x · Cited by 221 · see citing works
Measuring Barriers to Help-Seeking Behavior in Adolescents
Kuhl, J., Jarkon-Horlick, L., & Morrissey, R. F. (1997) · Journal of Youth and Adolescence · doi:10.1023/a:1022367807715 · Cited by 204 · see citing works
Jorm, A. F., Medway, J., Christensen, H., Korten, A. E., Jacomb, P. A., & Rodgers, B. (2000) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2000.00761.x · Cited by 186 · see citing works
Conceptualizing mental health care utilization using the health belief model.
Henshaw, E. J., & Freedman-Doan, C. R. (2009) · Clinical Psychology Science and Practice · doi:10.1111/j.1468-2850.2009.01181.x · Cited by 178 · see citing works
Komiti, A., Judd, F., & Jackson, H. (2006) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-006-0089-4 · Cited by 167 · see citing works
Schomerus, G., Matschinger, H., & Angermeyer, M. C. (2009) · Psychological Medicine · doi:10.1017/s0033291709005832 · Cited by 144 · see citing works
On quality of mental health care: Is Australia getting it wrong?
Martin, G. (2005) · Cited by 137 · see citing works
Wilson, C. J., Rickwood, D., Bushnell, J., Caputi, P., & Thomas, S. J. (2011) · Advances in Mental Health · doi:10.5172/jamh.2011.10.1.29 · Cited by 116 · see citing works
Life events and early onset depression: cause or consequence?
Patton, G. C., Coffey, C., Posterino, M., Carlin, J. B., & Bowes, G. (2003) · Psychological Medicine · doi:10.1017/s0033291703008626 · Cited by 104 · see citing works
Stepped care for depression in primary care: what should be offered and how?
van Straten, A., Seekles, W., Veer-Tazelaar, N. V. ’., Beekman, A. T. F., & Cuijpers, P. J. (2010) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2010.tb03691.x · Cited by 94 · see citing works
Journal of Applied Youth Studies
White, R. (2015) · eCite Digital Repository (University of Tasmania) · Cited by 93 · see citing works
Jorm, A. F., Medway, J., Christensen, H., Korten, A. E., Jacomb, P. A., & Rodgers, B. (2000) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2000.00743.x · Cited by 86 · see citing works
Christensen, H., Griffiths, K. M., & Evans, K. (2002) · PsycEXTRA Dataset · doi:10.1037/e677122010-001 · Cited by 67 · see citing works
Hickie, I. B., & McGorry, P. D. (2007) · Medical Journal of Australia · doi:10.5694/j.1326-5377.2007.tb01150.x · Cited by 65 · see citing works
Wrigley, S., Jackson, H. J., Judd, F. K., et al. (2005) · Australian & New Zealand Journal of Psychiatry · doi:10.1111/j.1440-1614.2005.01612.x · Cited by 56 · see citing works
Hegarty, K. L., O’Doherty, L., Gunn, J. M., Pierce, D., & Taft, A. (2008) · Journal of Family Studies · doi:10.5172/jfs.327.14.2-3.376 · Cited by 52 · see citing works
Improving Treatment Seeking Among Adolescents with Depression: Understanding Readiness for Treatment
Tanielian, T., Jaycox, L. H., Paddock, S. M., Chandra, A., Meredith, L. S., & Burnam, M. A. (2009) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2009.03.005 · Cited by 51 · see citing works
Generation Rx.com. What are young people really doing online?
Rideout, V. J. (2002) · PubMed · Cited by 50 · see citing works
Bilardi, J., Sanci, L. A., Fairley, C. K., Hocking, J. S., Mazza, D., Henning, D., Sawyer, S. M., Wills, M. J., Wilson, D. A., & Chen, M. Y. (2009) · BMC Infectious Diseases · doi:10.1186/1471-2334-9-29 · Cited by 19 · see citing works
Self-citationBlake, V., Buhagiar, K., Kauer, S. D., Sanci, L. A., Nicholas, M., & Grey, J. (2016) · Journal of Applied Youth Studies · Cited by 9 · see citing works
Self-citationCrossroads: rethinking the Australian mental health system
Hosie, A., Vogl, G., Hoddinott, J. F., Carden, J., & Comeau, Y. (2014) · Cited by 7 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Young People’s Online Help-Seeking and Mental Health Difficulties: Systematic Narrative Review
Pretorius, C., Chambers, D., & Coyle, D. (2019) · Journal of Medical Internet Research · doi:10.2196/13873 · Cited by 506 · see citing works
Adams, C., Gringart, E., & Strobel, N. (2022) · Systematic Reviews · doi:10.1186/s13643-022-02034-y · Cited by 115 · see citing works
Searching for Mental Health: A Mixed-Methods Study of Young People's Online Help-seeking
Pretorius, C., McCashin, D., Kavanagh, N., & Coyle, D. (2020) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3313831.3376328 · Cited by 67 · see citing works
Kornfield, R., Meyerhoff, J., Studd, H., Bhattacharjee, A., Williams, J. J., Reddy, M. C., & Mohr, D. C. (2022) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3491102.3502046 · Cited by 55 · see citing works
Le, L. K.-D., Sanci, L., Chatterton, M. L., Kauer, S., Buhagiar, K., & Mihalopoulos, C. (2019) · Journal of Medical Internet Research · doi:10.2196/13065 · Cited by 35 · see citing works
Self-citationWadman, R., Webster, L. A. D., Mawn, L., & Stain, H. J. (2018) · Mental Health & Prevention · doi:10.1016/j.mhp.2018.11.003 · Cited by 36 · see citing works
Kauer, S. D., Buhagiar, K., Blake, V., Cotton, S., & Sanci, L. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-015303 · Cited by 30 · see citing works
Self-citationPromoting research through video abstracts
Reupert, A. (2017) · Advances in Mental Health · doi:10.1080/18387357.2017.1312761 · Cited by 21 · see citing works
Sanci, L., Kauer, S., Thuraisingam, S., Davidson, S., Duncan, A.-M., Chondros, P., Mihalopoulos, C., & Buhagiar, K. (2019) · JMIR Mental Health · doi:10.2196/13189 · Cited by 19 · see citing works
Self-citationGrosselli, L., Baumgärtel, J., Böhm, H., Hoyer, J., & Knappe, S. (2025) · Mental Health Science · doi:10.1002/mhs2.70022 · Cited by 17 · see citing works
Pretorius, C., McCashin, D., & Coyle, D. (2022) · Human-Computer Interaction · doi:10.1080/07370024.2022.2077733 · Cited by 17 · see citing works
Carpini, J. A., Chandra, J., Lin, J., Teo, R., Truong, N., Boyne, E., Wylde, T. J., Clifford, R. M., & Ashoorian, D. M. (2020) · Early Intervention in Psychiatry · doi:10.1111/eip.13072 · Cited by 13 · see citing works
Enhancing workforce capacity in mental health promotion, prevention and early intervention
Reupert, A. (2018) · Advances in Mental Health · doi:10.1080/18387357.2018.1429196 · Cited by 5 · see citing works
Sanghvi, P. B., Mehrotra, S., & Sharma, M. K. (2023) · Cureus · doi:10.7759/cureus.39108 · Cited by 4 · see citing works
Oti, O., Foley, S., & Pitt, I. J. (2025) · Frontiers in Digital Health · doi:10.3389/fdgth.2025.1633987 · Cited by 1 · see citing works
Shine, Z. S. (2019) · Cited by 1 · see citing works
Winstanley, S. (2018) · ORCA Online Research @Cardiff (Cardiff University) · Cited by 1 · see citing works
Juniarni, L., & Mulia, S. (2024) · Jurnal Abdimas Sains · doi:10.33755/jas.v1i1.8
Adams, C., Gringart, E., & Strobel, N. (2022) · Figshare · doi:10.6084/m9.figshare.20462200
Adams, C., Gringart, E., & Strobel, N. (2022) · Figshare · doi:10.6084/m9.figshare.20462203
Connell, C., Torrance, M., Greenhalgh, J., & Griffiths, D. (2026) · PLoS ONE · doi:10.1371/journal.pone.0354996
- Authors
- Kauer, S., Buhagiar, K., & Sanci, L.
- Affiliations
- The University of Melbourne (AU)
- ReachOut, Pyrmont, NSW, Australia
- Corresponding author
- Kauer, Sylvia
- Venue
- Advances in Mental Health
- Publisher
- Informa UK Limited
- Published
- 2016-10-31
- Volume
- 15
- Issue
- 1
- Pages
- 71-87
- ISSN
- 1446-7984 (ISSN-L)
- 1838-7357
- 1837-4905
- OpenAlex
- W2546870163
- Cited by
- 22
- References
- 50
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 5 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 2
- FWCI
- 4.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Advances in Mental Health (publishedVersion)
- Funders
- Young and Well Cooperative Research Centre
- University of Melbourne
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Keywords
- mental health help-seeking, young adults, theory of planned behavior, behaviour change theory, help-seeking intentions, online mental health services
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review