Published, Version of Record (VoR)CC BY V4.0, Open
Abstract
Health Care Sciences & Services Life Sciences & Biomedicine Science & Technology Medical Informatics
Mental health disparities directly tie to structural racism. Digital mental health (DMH), the use of technologies to deliver services, have been touted as a way to expand access to care and reduce disparities. However, many DMH fail to mitigate the persistent disparities associated with structural racism that impact delivery (e.g., costs, dependable internet access)-and may even exacerbate them. Human-centered design (HCD) may be uniquely poised to design and test interventions alongside, rather than "for," marginalized individuals. In employing HCD methodologies, developers may proceed with a vested interest in understanding and establishing empathy with users and their needs, behaviors, environments, and constraints. As such, HCD used to mindfully address structural racism in behavioral health care may address shortcomings of prior interventions that have neglected to elevate the voices of marginalized individuals. We argue that a paradigm shift in behavioral health services research is critically needed-one that embraces HCD as a key methodological framework for developing and evaluating interventions with marginalized communities, to ultimately promote more accessible, useful, and equitable care. The current commentary illustrates practical examples of the use of HCD methodologies to develop and evaluate DMH designed with marginalized populations, while also highlighting its limitations and need for even greater inclusivity. Following this, calls to action to learn from and improve upon HCD methodologies will be detailed. Acknowledging potential limitations of current design practices, methodologies must ultimately engage representative voices beyond research participation and invest in their active role as compensated and true collaborators to intervention design.
A Call to Action: Using and Extending Human-Centered Design Methodologies to Improve Mental and Behavioral Health Equity
Creators
Colleen Stiles-Shields - University of Chicago Medical Center
Caroline Cummings - Texas Tech University
Enid Montague - DePaul University
Jill M. Plevinsky - Children's Hospital of Philadelphia
Alexandra M. Psihogios - Children's Hospital of Philadelphia
Kofoworola Damilola Adenike Williams - Northwestern University
Publication Details
Frontiers in digital health, Vol.4, 848052
Publisher
Frontiers Media Sa
Number of pages
9
Grant note
K08MH125069; T32MH115882; P50MH119029 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH)
K08 CA241335; K08 MH125069; T32 MH115882-03; K08 MH112878 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
Resource Type
Journal article
Language
English
Academic Unit
Community Health and Prevention
Identifiers
991022028937604721
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Health Care Sciences & Services
Medical Informatics
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