Burn Anne-Marie, Ford Tamsin J, Stochl Jan, Jones Peter B, Perez Jesus, Anderson Joanna K
Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.
Peterborough National Health Services Foundation Trust, Cambridgeshire, United Kingdom.
JMIR Form Res. 2022 Jan 10;6(1):e30565. doi: 10.2196/30565.
Secondary schools are an ideal setting to identify young people experiencing mental health difficulties such as anxiety or depression. However, current methods of identification rely on cumbersome paper-based assessments, which are lengthy and time-consuming to complete and resource-intensive for schools to manage. Artemis-A is a prototype web app that uses computerized adaptive testing technology to shorten the length of the assessment and provides schools with a simple and feasible solution for mental health assessment.
The objectives of this study are to coproduce the main components of the Artemis-A app with stakeholders to enhance the user interface, to carry out usability testing and finalize the interface design and functionality, and to explore the acceptability and feasibility of using Artemis-A in schools.
This study involved 2 iterative design feedback cycles-an initial stakeholder consultation to inform the app design and user testing. Using a user-centered design approach, qualitative data were collected through focus groups and interviews with secondary school pupils, parents, school staff, and mental health professionals (N=48). All transcripts were thematically analyzed.
Initial stakeholder consultations provided feedback on preferences for the user interface design, school administration of the assessment, and outcome reporting. The findings informed the second iteration of the app design and development. The unmoderated usability assessment indicated that young people found the app easy to use and visually appealing. However, school staff suggested that additional features should be added to the school administration panel, which would provide them with more flexibility for data visualization. The analysis identified four themes relating to the implementation of the Artemis-A in schools, including the anticipated benefits and drawbacks of the app. Actionable suggestions for designing mental health assessment apps are also provided.
Artemis-A is a potentially useful tool for secondary schools to assess the mental health of their pupils that requires minimal staff input and training. Future research will evaluate the feasibility and effectiveness of Artemis-A in a range of UK secondary schools.
中学是识别有焦虑或抑郁等心理健康问题的年轻人的理想场所。然而，目前的识别方法依赖于繁琐的纸质评估，完成这些评估既冗长又耗时，而且学校管理起来资源消耗大。Artemis-A是一款原型网络应用程序，它使用计算机自适应测试技术来缩短评估长度，并为学校提供了一种简单可行的心理健康评估解决方案。
本研究的目的是与利益相关者共同制作Artemis-A应用程序的主要组件，以增强用户界面，进行可用性测试并确定界面设计和功能，以及探索在学校使用Artemis-A的可接受性和可行性。
本研究包括2个迭代设计反馈周期——最初的利益相关者咨询，为应用程序设计和用户测试提供信息。采用以用户为中心的设计方法，通过焦点小组以及对中学生、家长、学校工作人员和心理健康专业人员（N = 48）的访谈收集定性数据。所有转录本都进行了主题分析。
最初的利益相关者咨询提供了关于用户界面设计、评估的学校管理和结果报告偏好的反馈。这些发现为应用程序设计和开发的第二次迭代提供了信息。无人监督的可用性评估表明，年轻人发现该应用程序易于使用且视觉上很吸引人。然而，学校工作人员建议应在学校管理面板中添加更多功能，这将为他们提供更大的数据可视化灵活性。分析确定了与在学校实施Artemis-A相关的四个主题，包括该应用程序预期的优点和缺点。还提供了设计心理健康评估应用程序的可行建议。
Artemis-A是中学评估学生心理健康的潜在有用工具，所需的工作人员投入和培训最少。未来的研究将评估Artemis-A在一系列英国中学中的可行性和有效性。
