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. 2022 Jun 14;24(6):e37585. doi: 10.2196/37585

Table 1.

Our data set included usability issues reported by 13 University of Washington Accelerating the Reach and Impact of Treatments for Youth and Adults with Mental Illness Center projects (N=90 issues).

Project Setting EBPIa Implementation
strategy		 Methods Issues
reported, n
Task sharing with BAb (R34, Areán and Gonzalez) Rural primary care clinics BA Task sharing: shifting more tasks from therapist to care manager to more efficiently implement BA

  • Qualitative interviews with therapists and care managers during the “Discover” phase

 6
PSTc support tool (R34, Bennett, Raue, and Munson) Primary care clinics PST PST aid: a web-based tool designed to support the use of PST

  • Observations and qualitative interviews with clinicians during the “Discover” phase

 6
Designing and evaluating an asynchronous remote communities approach to behavioral activation with clinicians and adolescents at risk for depression (R03, Jenness and Kientz) A hospital or large urban health system BA Asynchronous remote communities: offer peer, automated, and clinician support between sessions

  • Discover: 2 asynchronous remote community studies [47]

  • Design and build: iterative design, build, and usability evaluation of interactive prototype

  • Test: a pilot study, collecting data on feasibility, usability, user burden, acceptability, and symptom outcomes [48]

 3
Using human-centered design for technology-enabled behavioral treatment of depression in urban and rural cancer centers (R03, Hsieh and Bauer) Urban and rural cancer centers delivering collaborative care BA N/Ad

  • Discover: interviews with 29 stakeholders across 3 groups

  • Design: parallel journeys framework as a conceptual design framework

 11
Discovering the capacity of primary care frontline staff to deliver a low-intensity technology-enhanced intervention to treat Geriatric depression (R03, Renn and Zaslavsky) Primary care Mobile motivational physical activity–targeted intervention (based on BA) Task sharing: implementation using frontline primary care staff such as nurses and medical assistants

  • Discover: focus groups and interviews with 24 stakeholders

  • Design/build: halted because of the COVID-19 pandemic

 2
mHealthe in West Africa: developing an evidence-based psychosocial intervention toolkit (R03, Ben-Zeev and Snyder) Ghanaian prayer camps Multiple digitally delivered components of evidence-based interventions for psychosis N/A

  • Discover: observations and qualitative interviews with 18 healers [49]

  • Design: co-design sessions with 12 healers

  • Build: prototype

  • Test: usability testing with 12 healers

 3
Iterative redesign of a behavioral skills training program for use in educational settings (R03, Bearss and Locke) Elementary school special education classrooms The RUBIf protocol N/A

  • Discover: demonstration study of RUBI with mixed methods feedback [50]

  • Design: collaborative redesign feedback sessions; demonstration study of revised RUBI in Educational Settings with mixed methods feedback

 4
Increasing the usability and cultural relevance of an EBPI for suicidality in schools (R03, Brewer and Jones) High schools CAMSg N/A

  • Discover: contextual observations and qualitative interviews with school-based clinicians and focus groups with high school students [51]

  • Design/build: usability testing of unadapted CAMS SSFh with school-based clinicians, followed by a co-design session with school-based clinicians and usability testing of the adapted CAMS SSF with school-based clinicians

 4
Improving the usability of decision support for PTSDi in primary care (R03, Chen and Williams) Primary care Prolonged exposure; cognitive processing therapy Veterans Affairs SDMj protocol

  • Discover: HCD approach interviews with 22 clinicians and 25 patients with PTSD

  • Design/build: usability testing of iterative adaptations of an electronic health record template for conducting SDM with primary care–based mental health clinicians

 12
Modification of a parenting intervention for primary care–based delivery to women with perinatal depression and anxiety: PFRk (R03, Bhat and Oxford) Primary care and prenatal clinics PFR N/A

  • Discover: focus group with users of PFR to identify PFR features to be modified

  • Design/build: iterative design of the PFR-Brief protocol in collaboration with an end user participatory design group alternating with consumer feedback in microtrials

 3
Supporting iterative design of homework in problem solving therapy (R03, Agapie and Areán) Individual therapy sessions with older adults in an urban setting PST N/A

  • Discover: interviews with patients and analysis of recordings of sessions [52].

 20
Improving usability of a comprehensive self-management intervention to address anxiety and depression among persons with irritable bowel syndrome (R03, Kamp and Levy) Primary care and gastroenterology clinics across the Pacific Northwest Comprehensive self-management intervention for irritable bowel syndrome N/A

  • Discover: interviews with 12 patients and 14 health care providers

  • Design/build: usability testing of an interactive digital prototype

 5
Iterative (re)design of a virtual postpartum depression intervention with Latina mothers (R03, Gonzalez and Ramirez) Digital space (Ginger.io) Mothers and Babies Program N/A

  • Discover: surveys and qualitative interviews with Latina mothers in the postpartum period

  • Design: prototype of a web-based mental health platform

 4

aEBPI: evidence-based psychosocial intervention.

bBA: behavioral activation.

cPST: problem-solving therapy.

dN/A: not applicable.

emHealth: mobile health.

fRUBI: Research Units in Behavioral Intervention.

gCAMS: Collaborative Assessment and Management of Suicidality.

hSSF: Suicide Status Form.

iPTSD: posttraumatic stress disorder.

jSDM: shared decision-making.

kPFR: Promoting First Relationships.