Co-designing a digital mental health platform, “Momentum”, with young people aged 7–17: A qualitative study
Open accessAbstract
Introduction: Digital mental health interventions (DMHIs) offer a promising alternative or adjunct treatment method to face-to-face treatment, overcoming barriers associated with stigma, access, and cost. This project is embedded in user experience and co-design to enhance the potential acceptability, usability and integration of digital platforms into youth mental health services. Objective: To co-design a digital mental health platform that provides self-directed, tailored, and modularised treatment for young people aged 7–17 years experiencing anxiety, depression and other related problems. Methods: Sixty-eight participants, aged 7–17 years, engaged in one of 20 co-design workshops. Eight workshops involved children (n = 26, m = 9.42 years, sd = 1.27) and 12 involved adolescents (n = 42, m = 14.57 years, sd = 1.89). Participants engaged in a variety of co-design activities (e.g., designing a website home page and rating self-report assessment features). Workshop transcripts and artefacts (e.g., participants’ drawings) were thematically analysed using Gale et al.'s Framework Method in NVivo. Results: Six themes were identified: Interactive; Relatable; Customisable; Intuitive; Inclusive; and Personalised, transparent and trustworthy content. The analysis revealed differences between children's and adolescents’ designs and ideas, supporting the need for two different versions of the platform, with age-appropriate activities, features, terminology, and content. Conclusions: This research showcased co-design as a powerful tool to facilitate collaboration with young people in designing DMHIs. Two sets of recommendations were produced: 1) recommendations for the design, functionality, and content of youth DMHIs, supported by child- and adolescent-designed strategies; and 2) recommendations for clinicians and researchers planning to conduct co-design and intervention development research with children and adolescents.
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Previous studies with participatory approaches when developing CBT interventions for youth anxiety have primarily focused on digital interventions.
“When developing CBT interventions for youth anxiety, previous studies with participatory approaches have primarily been focused on digital interventions [18–23].”
From Developing a primary care-based cognitive behavioral intervention for anxiety in children through a participatory approach: a qualitative study. (2026) · cites this paper as [23]
The Objective describes co-designing a digital treatment platform with young people aged 7–17 experiencing anxiety, so this paper is an example of a participatory approach to a digital youth-anxiety intervention. The cited paper does not identify Momentum as a CBT intervention or establish that previous participatory studies were primarily digital; its Introduction discusses digital CBT separately. (LLM, conf=0.82)
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Cited by
Sorted by citations
Sørensen, N. M., Skaarnes, H., Mathiasen, K., Thastum, M., & Lomholt, J. J. (2025) · JMIR Formative Research · doi:10.2196/66966 · Cited by 3 · see citing works
“In a study by Ludlow et al [16], the research team used co-design methods to understand preferences and perceptions of the design, functions, and engagement features within a new digital mental health platform.”
InfluentialIsaksson, A., Åhlén, J., Hasson, H., & Eriksson, L. (2026) · BMC Primary Care · doi:10.1186/s12875-026-03191-y
- Authors
- Ludlow, K., Russell, J. K., Ryan, B., Brown, R. L., Joynt, T., Uhlmann, L. R., Smith, G. E., Donovan, C., Hides, L., Spence, S. H., March, S., & Cobham, V. E.
- Affiliations
- The University of Queensland (AU)
- University of Southern Queensland (AU)
- Griffith University (AU)
- Corresponding author
- Ludlow, Kristiana
- ORCID
- Venue
- DIGITAL HEALTH
- Publisher
- SAGE Publications
- Published
- 2023-01
- Volume
- 9
- Pages
- 20552076231216410-20552076231216410
- ISSN
- 2055-2076 (ISSN-L)
- PMC
- PMC10685776
- OpenAlex
- W4389148508
- Cited by
- 42
- References
- 20
- Citations by year
- 2026: 14 · 2025: 24 · 2024: 4
- FWCI
- 9.11
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Digital Health (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Griffith Research Online (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Health and Medical Research Council (APP1179490)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Physical Sciences › Computer Science › Human-Computer Interaction › Innovative Human-Technology Interaction
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Keywords
- digital mental health interventions, youth mental health, co-design, children and adolescents, anxiety, depression, user experience, age-appropriate design, self-directed treatment, platform design
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