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. 2025 Sep 12;9:e65834. doi: 10.2196/65834

Table 2.

Key aspects related to the setting and other requirements for an online intervention for individuals who are lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual, or have other sexual orientations and gender identities with symptoms of depression, anxiety, or somatoform disorders, as identified in the qualitative interviews.

Category and subcategorya Results
Setting

Therapeutic setting and guidance (n=38)
  • Desire for direct interaction with therapists or contact persons through video or chat


Program functions (n=22)
  • Frequent requests for the opportunity to connect with others, for example, through a forum or mentorship program

  • Requirement to maintain a clear individualized path, for example, with graphical elements


Accessibility (n=12)
  • Importance of maintaining a low threshold and good program accessibility, such as providing free access due to financial disparities, considering neurodivergent individuals or people with disabilities

  • Preservation of participant anonymity as a crucial component


Design (n=4)
  • Emphasis on a modern and professional design

  • Inclusion of elements reflecting diversity

  • Preference for a minimalistic design


Usability (n=3)
  • Requirement for a simple and clearly structured user interface

Other requirements

Concerns about the setting (n=22)
  • Concerns regarding the preservation of participant anonymity and highlighting the need for a safe space

  • Apprehensions about the lack of alignment with real-life situations

  • Need for the introduction of novel insights; avoidance of reiteration of already-known information


Requirements regarding the online therapist (in case of a guided intervention; n=7)
  • High qualifications of online therapists

  • Taking a non–cis-heteronormative approach in therapy

  • Proficiency in queer issues and familiarity with the associated terminology (ie, inclusive, validating, and sensitive language use; awareness for preassumptions; and reflecting trigger points)


Others (n=16)
  • Clear management of participant expectations, detailing program capabilities and limitations

  • Consideration of comorbidities in therapy planning

  • Guidance on the process of finding suitable therapy providers

aThe numbers in parentheses indicate the absolute number of codes in each subcategory.