TY  - JOUR
AU  - Wiljer, David
AU  - Abi-Jaoude, Alexxa
AU  - Johnson, Andrew
AU  - Ferguson, Genevieve
AU  - Sanches, Marcos
AU  - Levinson, Andrea
AU  - Robb, Janine
AU  - Heffernan, Olivia
AU  - Herzog, Tyson
AU  - Chaim, Gloria
AU  - Cleverley, Kristin
AU  - Eysenbach, Gunther
AU  - Henderson, Joanna
AU  - Hoch, Jeffrey S
AU  - Hollenberg, Elisa
AU  - Jiang, Huan
AU  - Isaranuwatchai, Wanrudee
AU  - Law, Marcus
AU  - Sharpe, Sarah
AU  - Tripp, Tim
AU  - Voineskos, Aristotle
PY  - 2016
DA  - 2016/11/04
TI  - 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
JO  - JMIR Res Protoc
SP  - e201
VL  - 5
IS  - 4
KW  - mental health
KW  - substance use
KW  - help-seeking
KW  - participatory action research
KW  - eHealth
KW  - mobile applications
KW  - crowd-sourcing
KW  - transition-aged youth 
AB  - 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. 
SN  - 1929-0748
UR  - http://www.researchprotocols.org/2016/4/e201/
UR  - https://doi.org/10.2196/resprot.6446
UR  - http://www.ncbi.nlm.nih.gov/pubmed/27815232
DO  - 10.2196/resprot.6446
ID  - info:doi/10.2196/resprot.6446
ER  -