TY - JOUR AU - Povey, Josie AU - Sweet, Michelle AU - Nagel, Tricia AU - Lowell, Anne AU - Shand, Fiona AU - Vigona, Jahdai AU - Dingwall, Kylie M PY - 2022 DA - 2022/2/18 TI - Determining Priorities in the Aboriginal and Islander Mental Health Initiative for Youth App Second Phase Participatory Design Project: Qualitative Study and Narrative Literature Review JO - JMIR Form Res SP - e28342 VL - 6 IS - 2 KW - Aboriginal and Torres Strait Islander KW - young people KW - digital mental health KW - app KW - participatory design KW - decision-making KW - mobile phone AB - Background: Digital mental health tools can promote access to culturally safe early intervention mental health services for Aboriginal and Torres Strait Islander young people. Participatory design methodology facilitates user engagement in the co-design of digital resources. However, several challenges have been identified that limit the methodological rigor of this approach. Objective: This paper aims to present an in-depth account of the second phase of participatory design in the development of the Aboriginal and Islander Mental Health Initiative for Youth (AIMhi-Y) app. Methods: A first idea storyboard, generated from a formative phase of the AIMhi-Y project, was refined through a series of youth co-design workshops and meetings. A narrative review of the literature, 6 service provider interviews, and engagement with an expert reference group also informed the design process. Generative design activities, storyboarding, discussions, and voting strategies were used. Results: The participatory design process identified the app features preferred by young people and service providers and assessed their alignment with current recommendations from the scientific literature. Findings from the co-design process are presented across 9 app characteristic domains. Integration of findings into app design proved complex. Although most preferred features identified by young people were included to some degree, other inclusions were restricted by budget, time, and the need to integrate best practice recommendations. A process of prioritization was required. Conclusions: Participatory design is often cited in the development of digital mental health resources; however, methods are diverse and often lack detailed descriptions. This study reports the outcomes and strategies used to determine priorities in the second phase of the development of the AIMhi-Y app. We provide an example and the key learnings to inform others seeking to use participatory design with a similar cohort. SN - 2561-326X UR - https://formative.jmir.org/2022/2/e28342 UR - https://doi.org/10.2196/28342 UR - http://www.ncbi.nlm.nih.gov/pubmed/35179498 DO - 10.2196/28342 ID - info:doi/10.2196/28342 ER -