Enhancing an online cognitive behavioural therapy intervention for depression: Harnessing the feedback of sexual and gender minority youth to help improve SPARX

Mathijs F. G. Lucassen · Karolina Stasiak · Theresa M. Fleming · Matthew Shepherd · Sally Merry

7 citations0/0 files storedAustralasian Psychiatry

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Digital Mental Health Interventions Educational Games and Gamification LGBTQ Health, Identity, and Policy

Abstract

OBJECTIVE: SPARX is an online cognitive behavioural therapy self-help intervention for adolescent depression provided in serious game format. Since 2014, it has been freely available in Aotearoa New Zealand (NZ) due to funding from the NZ government. In 2020/21, feedback from sexual and gender minority youth (SGMY) was used to refine and update SPARX. METHOD: Three online focus groups and follow-up email consultations involved 12 SGMY (16 to 25 years old) in NZ. A general inductive approach was used to analyse data. RESULTS: SGMY had specific needs as well as preferences and four themes were identified: attend to our contextual realities; portrayals of sexual and gender minority people in games; envisaged ideals for serious gaming and appraisals of SPARX. SGMY feedback was used to improve SPARX for this unique population, with the updates launched in October 2021. CONCLUSIONS: SGMY are underserved in terms of their mental health needs. Refining or tailoring existing interventions proffers a potential way forward in terms of addressing these needs.

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References

2007Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups 2003Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence.2006A General Inductive Approach for Analyzing Qualitative Evaluation Data 2017Serious Games and Gamification for Mental Health: Current Status and Promising Directions 2017Sexual minority youth and depressive symptoms or depressive disorder: A systematic review and meta-analysis of population-based studies 2018How LGBT+ Young People Use the Internet in Relation to Their Mental Health and Envisage the Use of e-Therapy: Exploratory Study 2015The Design and Relevance of a Computerized Gamified Depression Therapy Program for Indigenous Māori Adolescents 2015A qualitative study of sexual minority young people’s experiences of computerised therapy for depression

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