Best-practices for co-design processes involving people with severe mental illness for eMental health interventions: a qualitative multi-method approach.
Open accessAbstract
The lack of adoption of eMental Health technologies by people with severe mental illness (SMI) might be explained by a mismatch between technology design and users’ skills, context and preferences. Co-design can optimize this fit, but populations labelled as ‘vulnerable’ are often excluded or misrepresented. The goal of this study is to gain insight into best-practices for co-design with people with SMI. A qualitative, multi-method approach was used, consisting of a systematic scoping review of 21 included studies, 25 co-design expert surveys and six participant interviews. The results delivered 23 best-practices divided into four overarching aspects of co-design, namely: (1) activities to carry out before the start of a co-design study; (2) fruitful collaboration of the co-design team; (3) bespoke approach within co-design to accommodate the skills and abilities of SMI participants; and (4) mitigation of challenges surrounding power balance. The best-practices may help researchers and designers offer the SMI population a more specialized approach for co-design, which can cause the innovative output of eMH projects to be more effective and better adopted. Throughout the co-design process, more attention should be paid to the personal and clinical benefits of participation for the participants themselves.
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Collaborative care planning approaches such as codesign and coproduction have become increasingly important in mental health intervention design and delivery and have been shown to improve service quality.
“Collaborative care planning approaches, such as codesign and coproduction, have thereby become increasingly important in mental health intervention design and delivery, and have been shown to improve service quality (44–47).”
From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [46]
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- Authors
- Schouten, S. E., Kip, H., Dekkers, T., Deenik, J., Beerlage-de Jong, N., Ludden, G. D. S., & Kelders, S. M.
- Affiliations
- University of Twente (NL)
- Maastricht University (NL)
- Section of Health Technology and Services Research, Technical Medical Centre, University of Twente, Enschede, The Netherlands
- North-West University (ZA)
- Corresponding author
- Schouten, Stephanie E.
- ORCID
- Venue
- Design for Health
- Publisher
- Informa UK Limited
- Published
- 2022-09-02
- Volume
- 6
- Issue
- 3
- Pages
- 316-344
- ISSN
- 2473-5132 (ISSN-L)
- 2473-5140
- OpenAlex
- W4310011244
- Cited by
- 37
- References
- 67
- Citations by year
- 2026: 12 · 2025: 6 · 2024: 10 · 2023: 9
- FWCI
- 7.18
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Design for Health (publishedVersion, cc-by)
- University of Twente Research Information (acceptedVersion, cc-by)
- University of Twente Research Information (submittedVersion, other-oa)
- Funders
- ZonMw (555003023)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Physical Sciences › Computer Science › Human-Computer Interaction › Innovative Human-Technology Interaction
- Keywords
- co-design, severe mental illness, digital mental health interventions, best practices, user participation, vulnerable populations, power balance, technology adoption, user-centered design
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