Table 1.

Summary of the feedback provided during the predesign consultations.

Development area and feedback		Impact on MindClimb development and design
The app should be responsive to user needs and preferences
	Ensure app connectivity with phone calendar (youth)	No change made, as this feature was already intended.
	Do not require Wi-Fi connection (youth)	No change made, as this feature was already intended.
	Personalization should be possible (youth)	Users will have the ability personalize exposure activities and coping strategies.
	Make the app interactive (youth)	The app will contain interactive features, such as rewards and points for app use and pop-ups with positive affirmations.
	Build in rewards; completion of exposure activities unlocks new reward content (therapist)	Completion of exposure activities will unlock new reward content.
The app should contain features relevant to the practice of CBTa for anxiety
	More information on self-care strategies (therapist)	The app will contain text and videos on self-care strategies.
	Consider a live chat with counselors (youth)	No change made, as it is beyond the scope of the purpose of the app.
	Include a “tools” section that contains static information along with interactive components (therapist)	The app will contain text and videos on self-care strategies. Interactivity will be limited to videos.
	Include an “other” option under suggested self-care and coping strategies to allow patients to identify a personal strategy not listed	The app will include an “other” option under suggested self-care and coping strategies.
	Ensure users can repeat scheduled exposure events (therapist)	Users will have the ability to retry and reschedule events.
	The app dashboard should list overdue events before upcoming events (therapist)	Events created in the app will appear in a single stream, with overdue events flagged as being overdue. Users will have the option to view and reschedule these events from the dashboard.
The app should be easy to navigate
	Ensure the app is not cluttered and has clean lines (youth)	Content for each app section will be brief. Visual clutter will be avoided.
	Make sure there is less content on screens (ie, more pages or screens for content) (youth)	Each screen will support a single action for the user.
	Tabs to facilitate use (youth)	No change made; the main dashboard will be used.
	Images for guiding steps or how to use (youth)	Videos will be used to provide information on how to practice specific relaxation techniques; images will not be used for guiding the creation of exposure activities, but sample fear hierarchies (ladders) will be provided.
	Ensure that it is easy to move between functions (youth)	App functions will be sequential and logical.
	Self-explanatory icons (youth)	Each app icon will reflect the section content that it represents.
	Ensure that it is easy to scroll through content (youth)	Content for each app section will be brief so that scrolling down for information or functions will not occur.
	Ensure transitions between functions are quick (no lagging) (youth)	Push notifications will be limited to reduce the likelihood of noticeable lag in the running of the app.
App design should prioritize aesthetics
	Big lettering for titles, large fonts for important content (youth)	All feedback incorporated into the creative direction and design options (storyboard) developed for the app.
	No advertisements (youth)	Incorporated into design options.
	“Calm” aesthetic (youth)	Incorporated into design options.
	Bright colors, neutral colors, not too many colors (youth)	Incorporated into design options.
	Twitter-style text, brief and concise (youth)	Incorporated into design options.
	Have a good graphic artist/designer (youth)	Incorporated into design options.
	Use sans serif font (youth)	Incorporated into design options.

^aCBT: cognitive behavioral therapy.