Facilitating mental health help seeking in young adults: the underlying theory and development of an online navigation tool

ABSTRACT Objective: This paper describes the theoretical basis of the Link program, a world-first dedicated online navigation tool to facilitate mental health help-seeking for young adults. Method: Several theories of help-seeking and behaviour change were explored to determine a useful theoretical framework for the Link program, a world-first dedicated online navigation tool to facilitate mental health help-seeking for young adults. Results: Four commonly used theories of behavioural change were examined with the Theory of Planned Behaviour found to best match the objectives of the Link program. Previous interventions aimed at increasing help-seeking behaviour and intentions using the Theory of Planned Behaviour found that attitudes, subjective norms, and perceived control beliefs have a role in help-seeking. Combined with elements of the Help Seeking Model, due to its specificity in mental health help-seeking, the Theory of Planned Behaviour was selected as the theoretical framework of the Link program. The resultant prototype allows young adults to enter information about an issue they are facing, the severity of the issue, and the type of services they prefer. Recommendations for information or services are then presented based upon these individual needs. Discussion: Little is known about the effects online services have on emotional affect and whether these services facilitate help-seeking in young people. Detailed description of this developmental work will assist in understanding the mechanisms underpinning the Link program. Further research will evaluate the effectiveness of the Link program in improving help-seeking, emotions, and mental health outcomes.

[1]  M. Angermeyer,et al.  Attitudes that determine willingness to seek psychiatric help for depression: a representative population survey applying the Theory of Planned Behaviour , 2009, Psychological Medicine.

[2]  A. Korten,et al.  Public beliefs about the helpfulness of interventions for depression: effects on actions taken when experiencing anxiety and depression symptoms. , 2000, The Australian and New Zealand journal of psychiatry.

[3]  P. Whitten,et al.  Systematic review of studies of patient satisfaction with telemedicine , 2000, BMJ : British Medical Journal.

[4]  A. Farmer,et al.  Designing and evaluating complex interventions to improve health care , 2007, BMJ : British Medical Journal.

[5]  I. Ajzen,et al.  Belief, Attitude, Intention, and Behavior: An Introduction to Theory and Research , 1977 .

[6]  I. Hickie,et al.  Increased access to evidence‐based primary mental health care: will the implementation match the rhetoric? , 2007, The Medical journal of Australia.

[7]  P. Sandercock,et al.  Framework for design and evaluation of complex interventions to improve health , 2000, BMJ : British Medical Journal.

[8]  H. Jackson,et al.  Role of Stigma and Attitudes Toward Help-Seeking from a General Practitioner for Mental Health Problems in a Rural Town , 2005, The Australian and New Zealand journal of psychiatry.

[9]  Kathleen M Griffiths,et al.  Stigma about Depression and its Impact on Help-Seeking Intentions , 2006, The Australian and New Zealand journal of psychiatry.

[10]  Mariesa Nicholas,et al.  Using participatory design to engage young people in the development of a new online tool to increase help-seeking , 2016 .

[11]  S. Michie,et al.  Theories of behaviour and behaviour change across the social and behavioural sciences: a scoping review , 2014, Health psychology review.

[12]  Ian Watt,et al.  Systematic review of the effectiveness of health behavior interventions based on the transtheoretical model , 2005 .

[13]  Susan J. Thomas,et al.  The effects of need for autonomy and preference for seeking help from informal sources on emerging adults’ intentions to access mental health services for common mental disorders and suicidal thoughts , 2011 .

[14]  C. Freedman-Doan,et al.  Conceptualizing Mental Health Care Utilization Using the Health Belief Model , 2009 .

[15]  F. Deane,et al.  The Medical Journal of Australia , 2007 .

[16]  L. Jaycox,et al.  Improving treatment seeking among adolescents with depression: understanding readiness for treatment. , 2009, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[17]  M. Petticrew,et al.  Developing and evaluating complex interventions: the new Medical Research Council guidance , 2008, BMJ : British Medical Journal.

[18]  MPsych Angela Komiti BBSc,et al.  The influence of stigma and attitudes on seeking help from a GP for mental health problems , 2006, Social Psychiatry and Psychiatric Epidemiology.

[19]  Anthony F Jorm,et al.  What’s in a name? Is accurate recognition and labelling of mental disorders by young people associated with better help-seeking and treatment preferences? , 2007, Social Psychiatry and Psychiatric Epidemiology.

[20]  J. Prochaska,et al.  Transtheoretical therapy: Toward a more integrative model of change. , 1982 .

[21]  B. Fredrickson.  The role of positive emotions in positive psychology. The broaden-and-build theory of positive emotions. , 2001, The American psychologist.

[22]  I. Hickie,et al.  The internet as a setting for mental health service utilisation by young people , 2010, The Medical journal of Australia.

[23]  S. Kauer,et al.  Do Online Mental Health Services Improve Help-Seeking for Young People? A Systematic Review , 2014, Journal of medical Internet research.

[24]  V. Rideout,et al.  Generation Rx.com. What are young people really doing online? , 2002, Marketing health services.

[25]  A. Korten,et al.  Attitudes Towards People with Depression: Effects on the Public's Help-Seeking and Outcome When Experiencing Common Psychiatric Symptoms , 2000, The Australian and New Zealand journal of psychiatry.

[26]  P. Cuijpers,et al.  Stepped care for depression in primary care: what should be offered and how? , 2010, The Medical journal of Australia.

[27]  Pamela F Cipriano,et al.  No health without mental health. , 2016, The American nurse.

[28]  J. Moskowitz,et al.  Positive affect and the other side of coping. , 2000, The American psychologist.

[29]  I. Ajzen.  The theory of planned behavior , 1991 .

[30]  J. Carlin,et al.  Life events and early onset depression: cause or consequence? , 2003, Psychological Medicine.

[31]  Marie Johnston,et al.  Application of the Theory of Planned Behaviour in Behaviour Change Interventions: A Systematic Review , 2002 .

[32]  Graham Martin,et al.  On quality of mental health care: Is Australia getting it wrong? , 2005 .

[33]  J. Hocking,et al.  The experience of providing young people attending general practice with an online risk assessment tool to assess their own sexual health risk , 2009, BMC infectious diseases.

[34]  I. Rosenstock,et al.  Social Learning Theory and the Health Belief Model , 1988, Health education quarterly.

[35]  J. M. Christian Bastien,et al.  Usability testing: a review of some methodological and technical aspects of the method , 2010, Int. J. Medical Informatics.

[36]  Olga V. Demler,et al.  Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. , 2005, Archives of general psychiatry.

[37]  F. Deane,et al.  Young people’s help-seeking for mental health problems , 2005 .

[38]  W. Velicer,et al.  The Transtheoretical Model of Health Behavior Change , 1997, American journal of health promotion : AJHP.

[39]  Kelsey Hegarty,et al.  A brief counselling intervention by health professionals utilising the ‘readiness to change’ concept for women experiencing intimate partner abuse: The weave project , 2008 .

[40]  Christopher J. Carpenter,et al.  A Meta-Analysis of the Effectiveness of Health Belief Model Variables in Predicting Behavior , 2010, Health communication.

[41]  H. Christensen,et al.  Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review , 2010, BMC psychiatry.

[42]  Anthony F Jorm,et al.  Mental health literacy , 2000, British Journal of Psychiatry.

[43]  J. Powell,et al.  Empirical studies assessing the quality of health information for consumers on the world wide web: a systematic review. , 2002, JAMA.

[44]  R. Morrissey,et al.  Measuring Barriers to Help-Seeking Behavior in Adolescents , 1997 .

[45]  Kathleen M Griffiths,et al.  E-mental health in Australia: Implications of the internet and related technologies for policy: (677122010-001) , 2002 .