Background: Depression and anxiety are associated with excess morbidity and mortality, constituting a major health care challenge. The prevalence of these conditions is increasing. In the U.S., the health-related burden of depression and anxiety may disproportionately affect Black adults, who face unique stressors impacting their mental health and barriers to accessing treatment, including but not limited to systemic racism, discrimination, underdiagnosis of common mental health concerns (i.e., depression, anxiety), limited access to culturally sensitive care, and mental health stigma within and outside Black communities. Objective: This research seeks to explore the mental health experiences of non-treatment seeking Black adults, and how these experiences relate to their needs and preferences for the design of digital mental health (DMH) tools through user-centered design methods. Methods: This study included 25 non-treatment seeking Black adults (aged 18-61) with experiences of depression or anxiety to share their perspectives on how DMH tools can meet their needs. Participants were recruited either through social media advertisements or depression and anxiety questionnaires. All participants engaged in an asynchronous online discussion group in which they discussed their past and current mental health experiences, distinct challenges faced by Black Americans, and perceptions of DMH tools as well as how such tools can be tailored to meet their mental health needs. Participants also completed a technology probe in which they used an automated mental health self-management #TextMessaging #mhealth tool (Small Steps SMS) for 18 days. They shared their perceptions of the tool, and ideas for specific design improvements, in the discussion group. A subset (n=6) completed follow-up interviews to elaborate on their online discussion group posts. Results: All participants reported significant mental health concerns and difficulty managing related symptoms. A majority of participants (88%) expressed that racism and mental health stigma severely impacted their mental health and limited opportunities to discuss their experiences within and outside Black communities. They were interested in the use of DMH tools for mental health self-management and nearly all participants (92%) endorsed #TextMessaging #mhealth as a convenient way to introduce techniques for coping with symptoms of depression and anxiety; however, some participants strongly advocated for additional design features that they believed would improve the program, including the integration of content that centers the experiences of Black individuals, creating nonjudgmental spaces for discussing mental health experiences, and linking formal mental health treatment resources for those who want them. Conclusions: These findings suggest that our participants hold generally favorable views towards DMH tools, which can provide psychoeducation, self-management support tailored to the needs of Black adults, and a safe environment to address mental health concerns. Furthermore, it is critical to consider the role of racial discrimination and mental health stigma when designing inclusive and culturally sensitive DMH tools.

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The administration wants to capture potentially tens or hundreds of billions of dollars in future upside from the work of scientists.

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Position Summary This position will primarily support the implementation of a newly funded National Institute of Mental Health R01 grant focused on optimizing a digital chatbot intervention for eating...

We're using AIs and machine learning classifiers to moderate content before passing that on to human beings.

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