Table 1.

eHealth adaptation framework. ICT: information and communication technology; N/A: not applicable.

Framework components			Stage 1	Stage 2	Stage 3
Objectives			To assess initial perceptions and experiences of the original Web-based platform from the perspectives of service users and service providers following a brief overview, including the core therapeutic principles and features it is based on, and exposure to it.	To assess perceptions and experiences of the original Web-based platform after engaging with it over a duration of 2 weeks.	To adapt the Web-based platform based on stakeholder feedback, while respecting its core elements and feasibility of resources.
Questions			What are the perceptions of mental health service users and service providers regarding the Web-based platform?	What are the perceptions of mental health service users and service providers regarding the Web-based platform following an extended personal exploration of 2 weeks?	What are the recommendations of mental health service users and service providers on adapting the Web-based platform to enhance its relevance and acceptability?
Topics			Language; culture Likes, dislikes, facilitators, barriers Usefulness Safety Design, ease of use Therapeutic alignment Organizational factors	Language; culture Likes, dislikes, facilitators, barriers Usefulness Safety Design, ease of use Therapeutic alignment Organizational factors	Targeted features and content for adaptation based on stage 1 data.
Participants			Service users, service providers	Service users, service providers	Service users, service providers
Data collection
	Activity		ICT use survey, platform introduction, brief exploration and guided activities, feedback forms, group discussion	Extended exploration and feedback forms	Consultation meetings
	Methods of collection
		Service providers and users	Survey: Topics include Access to technology Use of Internet and related technologies Barriers and facilitators to using technology Focus group: Questions include What do you like the most about the platform? What do you dislike the most about the platform? How is the content helpful? (probe: images, audio, videos) How are the features helpful? What are your thoughts on: how motivating and engaging it is to use; what could hinder motivation to use the platform; how safe the platform is to use; the support that is offered on this platform; the design and layout; and, how easy it is to use? If you could make one change or add something to the platform, what would it be? Please identify any words, expressions, or parts of the platform that seem unclear What are your suggestions for adaptations (eg, in relation to language, metaphor, images, ease of use, content, the way information is presented)?	N/A	Identify modules, features, content, activity that needs adaptation. For each adaptation, the following topics will be discussed in an iterative manner Relevancy or fit for Canadian context Written feedback on each adaptation (likes, dislikes, content difficult to understand) Content, links to add or delete; general comments
		Service providers only	N/A	Explore 4 features, activities, modules to evaluate (2 preselected by the researchers based on service provider expertise and 2 selected by the service provider). Complete written feedback form for each activity identified in terms of suggested adaptations; reasons why they are important; general comments.	N/A
		Users only	N/A	Explore 4 features, activities, modules to evaluate (2 preselected by the researchers and 2 selected by the service user). Complete written feedback form for each activity identified in terms of content, sentences, or words that are not clear or difficult to understand: What you like?; What you dislike?; and general comments. Additional questions: Which other activities did you try on the website?; What are your comments related to these other activities (eg, likes, dislikes, recommendations for changes)?; Please share any other comments or suggestions.	Questionnaire: Would you recommend the use of this platform to others? (5-point Likert scale) Please elaborate Would you feel safe on this platform? Y or N—Please elaborate Please list 3 key obstacles that might prevent an individual from using this platform Please list 3 strategies that would encourage a young person to use this platform What would be an ideal total number of participants using this platform at the same time? How would you use this platform? Please select from the following: Learning about what happened to you, and how to get better; Social networking (meeting other youth that have gone through similar experiences; Support from other youth; Support from mental health service providers; Other purpose, specify