Joint Adaptation of a Digital Mental Health Intervention for University Students - Inductive Qualitative Analysis

Sep 29, 2026

Digital mental health interventions (DMHIs) can be especially effective for young people who spend much of their time online, yet true co-design is often limited by budget and timeline constraints. Within the Nurture-U project, researchers adapted the i-Spero platform with university students and analyzed how student advisors shaped the final product. Inductive qualitative analysis of meeting notes highlighted valued features, including relevance, usefulness, clarity, simplicity, and inclusive acceptability.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages12

Reading Time30 min

AccessFree to download

Abstract

Background

Objective

Methods

Results

Conclusions

Introduction

JOURNAL OF PARTICIPATORY MEDICINE Dooley et al Original Paper Joint Adaptation of a Digital Mental Health Intervention for University Students: Inductive Qualitative Analysis | Jemima Dooley 1 , PhD; Nouf Alsaadi2 , PhD; Edward Watkins 1 , PhD | | --- | | 1Department of Psychology, Sir Henry Wellcome Centre for Mood Disorders Research, University of Exeter, Exeter, Devon, United Kingdom 2School of Education, St Luke’s Campus, University of Exeter, Exeter, United Kingdom
Corresponding Author:
Jemima Dooley, PhD Department of Psychology
Sir Henry Wellcome Centre for Mood Disorders Research, University of Exeter Perry Road
Exeter, Devon EX4 4QQ United Kingdom
Phone: 441392726449, ext 6647
Email: [j](j.dooley1@exeter.ac.uk)[.dooley1@exeter.ac.uk](j.dooley1@exeter.ac.uk)
Abstract | | Background: Digital mental health interventions (DMHIs) can be particularly effective for young people, who live more of their lives online than older generations. Co-designing mental health support with young people can combat the challenges of a lack of engagement and sustained use . While this is increasingly common, there are often budget and timeline restraints in research settings that limit true co-design. As part of the Nurture-U project exploring a whole-university approach to student mental health, we coadapted an existing digital platform, i-Spero (P1Vital), with university students. This paper is a reflection on the impact that our student advisors had on the end product, and where the guidance of the young people was implemented, and not implemented, within the existing research parameters.
Objective: This study aims to present an inductive analysis of meeting notes and recordings of the co-design process, in order to highlight what aspects of DMHIs our advisors valued and what, as a research team, we were able to implement. The hope is that this will inform future mental health interventions in this age group.
Methods: The i-Spero digital well-being platform was developed over an iterative process with multiple rounds of feedback from student advisors in 2022-2024. An inductive qualitative analysis approach was implemented by 2 authors (NA and JD) on the detailed feedback reports and meeting summaries of this process to generate categories and themes from the student advisors’ feedback.
Results: Three themes were created: “Relevance and Usefulness,” highlighting the importance of comprehensive features linking in with all aspects university life, while treating young people as adults; “Simplicity and Clarity,” with student advisors suggesting edits that removed burden from the user and eased access to support; and “Acceptability and Inclusiveness,”ensuring awareness of the needs of students from different backgrounds, and what young people with mental health difficulties may be able to access in times of need.
Conclusions: There are some challenges in ensuring that DMHIs are both comprehensive and simple. These can be met by ensuring the aesthetic design and platform structure are consistent and clear. Co-design and development are crucial due to the difficulty in ensuring that online interventions are relevant to specific audiences in the constantly evolving digital landscape. The structures surrounding our joint adaptation of an existing intervention meant that not all the changes suggested could be implemented. Future work should explore the impact of different participation frameworks when coproducing interventions with young people.
J Particip Med 2026;18:e80776; doi: 10.2196/80776 | Keywords: youth mental health; co-design; co-development; university students; digital platforms [https://jopm.jmir.org/2026/1/e80776](https://jopm.jmir.org/2026/1/e80776) J Particip Med 2026 | vol. 18 | e80776 | p. 1 (page number not for citation purposes) JOURNAL OF PARTICIPATORY MEDICINE Dooley et al Introduction There are estimated to be more than 2 million mental health apps worldwide, with a ma

FAQs

What was the study’s objective?

To conduct an inductive qualitative analysis of notes and recordings from the co-design process, identifying which aspects of DMHIs advisors valued and what the research team could implement.

How was the i-Spero platform adapted and analyzed?

i-Spero was developed through iterative feedback rounds from student advisors between 2022 and 2024. Two authors used an inductive qualitative approach on detailed feedback reports and meeting summaries to generate themes.

What themes emerged from student advisors’ feedback?

Three themes were identified: relevance and usefulness, simplicity and clarity, and acceptability and inclusiveness—covering how features fit university life, reduce user burden, and address students’ varied needs.

Sep 29, 2026

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