Table 1.

Decision-making processes and appraisal methods used for selecting digital mental health interventions for youth identified during stakeholder interviews.

Process or appraisal method		The rationale for process or appraisal
Frameworks
	Mental Health Commission of Canada Toolkit	The toolkit can reduce clinician workload, ensure resources are evidence-based, increase interoperability, and provide valuable information for those with limited experience with digital mental health.
	Homewood Research Institute App Evaluation Framework	Used to evaluate the effectiveness of mental health apps and identifies the highest quality apps. Focuses on measuring outcomes, design and transparency, design methodology, and operational considerations of each application.
Selection criteria
	Evidence base	Resources that are evidence-based and have supporting literature are often more accepted for use in clinical settings.
	Accessibility	Providers and researchers must consider the cost and technology requirements associated with recommending a digital intervention.
	Visual appeal	Mobile apps and web-based resources should host bright and catchy graphics, including music and characters, to grab the attention of youth.
	Feedback from youth	Recommendations should be developed based on feedback from youth about what they are looking for and the apps they are already using.
Cultural relevance		When serving youth, including BIPOC,a further considerations must be made to ensure that the digital resource/intervention considers specific needs of various cultural and racial minority groups.

^aBIPOC: Black, Indigenous, and people of color.