Cited by 81Digital Mental Health InterventionsMobile Health and mHealth ApplicationsUsability and User Interface Design

Development of a web-based intervention for the indicated prevention of depression

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Kelders, Saskia M, Pots, Wendy TM, Oskam, Maarten Jan, Bohlmeijer, Ernst T, van Gemert-Pijnen, Julia EWC·2013·BMC Medical Informatics and Decision Making

Abstract

BACKGROUND: To reduce the large public health burden of the high prevalence of depression, preventive interventions targeted at people at risk are essential and can be cost-effective. Web-based interventions are able to provide this care, but there is no agreement on how to best develop these applications and often the technology is seen as a given. This seems to be one of the main reasons that web-based interventions do not reach their full potential. The current study describes the development of a web-based intervention for the indicated prevention of depression, employing the CeHRes (Center for eHealth Research and Disease Management) roadmap. The goals are to create a user-friendly application which fits the values of the stakeholders and to evaluate the process of development. METHODS: The employed methods are a literature scan and discussion in the contextual inquiry; interviews, rapid prototyping and a requirement session in the value specification stage; and user-based usability evaluation, expert-based usability inspection and a requirement session in the design stage. RESULTS: The contextual inquiry indicated that there is a need for easily accessible interventions for the indicated prevention of depression and web-based interventions are seen as potentially meeting this need. The value specification stage yielded expected needs of potential participants, comments on the usefulness of the proposed features and comments on two proposed designs of the web-based intervention. The design stage yielded valuable comments on the system, content and service of the web-based intervention. CONCLUSIONS: Overall, we found that by developing the technology, we successfully (re)designed the system, content and service of the web-based intervention to match the values of stakeholders. This study has shown the importance of a structured development process of a web-based intervention for the indicated prevention of depression because: (1) it allows the development team to clarify the needs that have to be met for the intervention to be of use to the target audience; and (2) it yields feedback on the design of the application that is broader than color and buttons, but encompasses comments on the quality of the service that the application offers.

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  1. Fogg BJ Persuasive technology: using computers to change what we think and do 2003 Boston: Morgan Kaufmann Publishers

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Authors
Kelders, S. M., Pots, W. T., Oskam, M. J., Bohlmeijer, E. T., & van Gemert-Pijnen, J. E.
Affiliations
University of Twente (NL)
Corresponding author
Kelders, Saskia M
Venue
BMC Medical Informatics and Decision Making
Published
2013-02-20
Volume
13
Issue
1
Pages
26-26
ISSN
1472-6947 (ISSN-L)
OpenAlex
W1967789340
Cited by
80
References
60
Citations by year
2026: 4 · 2025: 1 · 2024: 3 · 2023: 18 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 5 · 2017: 6 · 2016: 9 · 2015: 11 · 2014: 7 · 2013: 4
FWCI
15.92
Type
journal article
Language
en
Open access
Locations
  • BMC Medical Informatics and Decision Making (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • University of Twente Research Information (publishedVersion, cc-by)
  • University of Twente Research Information (submittedVersion, cc-by)
Topics
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Physical Sciences › Computer Science › Human-Computer Interaction › Usability and User Interface Design
Keywords
online intervention, depression prevention, indicated prevention, e-health, intervention development, stakeholder value, usability evaluation, contextual inquiry, rapid prototyping, user-centered design
MeSH terms
Adult, Depression, Female, Humans, Male, Middle Aged, Program Development, Telemedicine, Needs Assessment, Internet

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