%0 Journal Article
%@ 1929-0748
%I JMIR Publications
%V 5
%N 4
%P e201
%T Enhancing Self-Efficacy for Help-Seeking Among Transition-Aged Youth in Postsecondary Settings With Mental Health and/or Substance Use Concerns, Using Crowd-Sourced Online and Mobile Technologies: The Thought Spot Protocol
%A Wiljer,David
%A Abi-Jaoude,Alexxa
%A Johnson,Andrew
%A Ferguson,Genevieve
%A Sanches,Marcos
%A Levinson,Andrea
%A Robb,Janine
%A Heffernan,Olivia
%A Herzog,Tyson
%A Chaim,Gloria
%A Cleverley,Kristin
%A Eysenbach,Gunther
%A Henderson,Joanna
%A Hoch,Jeffrey S
%A Hollenberg,Elisa
%A Jiang,Huan
%A Isaranuwatchai,Wanrudee
%A Law,Marcus
%A Sharpe,Sarah
%A Tripp,Tim
%A Voineskos,Aristotle
%+ University Health Network, 190 Elizabeth Street, R. Fraser Elliott Building RFE 3S-411, Toronto, ON M5G 2C4, Canada, 416-340-6322, david.wiljer@uhn.ca
%K mental health
%K substance use
%K help-seeking
%K participatory action research
%K eHealth
%K mobile applications
%K crowd-sourcing
%K transition-aged youth 
%D 2016
%7 04.11.2016
%9 Protocol
%J JMIR Res Protoc
%G English
%X Background: Seventy percent of lifetime cases of mental illness emerge prior to age 24. While early detection and intervention can address approximately 70% of child and youth cases of mental health concerns, the majority of youth with mental health concerns do not receive the services they need. Objective: The objective of this paper is to describe the protocol for optimizing and evaluating Thought Spot, a Web- and mobile-based platform cocreated with end users that is designed to improve the ability of students to access mental health and substance use services. Methods: This project will be conducted in 2 distinct phases, which will aim to (1) optimize the existing Thought Spot electronic health/mobile health intervention through youth engagement, and (2) evaluate the impact of Thought Spot on self-efficacy for mental health help-seeking and health literacy among university and college students. Phase 1 will utilize participatory action research and participatory design research to cocreate and coproduce solutions with members of our target audience. Phase 2 will consist of a randomized controlled trial to test the hypothesis that the Thought Spot intervention will show improvements in intentions for, and self-efficacy in, help-seeking for mental health concerns. Results: We anticipate that enhancements will include (1) user analytics and feedback mechanisms, (2) peer mentorship and/or coaching functionality, (3) crowd-sourcing and data hygiene, and (4) integration of evidence-based consumer health and research information. Conclusions: This protocol outlines the important next steps in understanding the impact of the Thought Spot platform on the behavior of postsecondary, transition-aged youth students when they seek information and services related to mental health and substance use. 
%M 27815232
%R 10.2196/resprot.6446
%U http://www.researchprotocols.org/2016/4/e201/
%U https://doi.org/10.2196/resprot.6446
%U http://www.ncbi.nlm.nih.gov/pubmed/27815232