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<p>The prevalence of mental health issues among adolescents is alarmingly rising. Using mobile phones as tools for promoting mental health can complement school-based health promotion efforts. However, for widespread reach, schools must systematically implement these tools and the students themselves may play an important role in achieving this. Therefore, this study aimed to explore high school students’ perceptions of determinants for adopting a mental health app, following routinized health visits in Swedish school healthcare. We conducted semi-structured interviews, inspired by general implementation determinants, with 18 Swedish high school students. All these students had been recommended a mental health app during their health visit at school healthcare. The data were analysed using inductive content analysis. This resulted in one main category: <InternalRef RefID="Sec10"><i>Developing my own stance on the mobile app:</i> <i>S</i><i>triking a balance between my beliefs and influence from peers and adults</i></InternalRef>, as well as three categories: (i) <InternalRef RefID="Sec11"><i>Alignment between myself and the mobile app</i></InternalRef>, (ii)<InternalRef RefID="Sec12"><i>My awareness of the mobile app</i></InternalRef>, and (iii) <InternalRef RefID="Sec13"><i>Having responsive adults in my surroundings</i></InternalRef>. In conclusion, our findings suggest that students’ adoption of a mental health app extends beyond individual and technical aspects. Determinants for adoption are closely related to the formative age period of the target group. Additionally, the schools play a crucial role in creating a climate where students feel psychologically safe, and discussions about mental health and the app are actively promoted. Furthermore, we argue that the implementation of mental health apps can be seen as a collaborative effort between students and professionals.</p>

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What Makes High School Students Use a Mobile App to Promote Mental Health? An Interview Study in Sweden

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月2日

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  • M. Fagerström,
  • M. Löf,
  • U. Müssener,
  • M. Neher,
  • S. B. Nutley,
  • K. Thomas

摘要

The prevalence of mental health issues among adolescents is alarmingly rising. Using mobile phones as tools for promoting mental health can complement school-based health promotion efforts. However, for widespread reach, schools must systematically implement these tools and the students themselves may play an important role in achieving this. Therefore, this study aimed to explore high school students’ perceptions of determinants for adopting a mental health app, following routinized health visits in Swedish school healthcare. We conducted semi-structured interviews, inspired by general implementation determinants, with 18 Swedish high school students. All these students had been recommended a mental health app during their health visit at school healthcare. The data were analysed using inductive content analysis. This resulted in one main category: Developing my own stance on the mobile app: Striking a balance between my beliefs and influence from peers and adults, as well as three categories: (i) Alignment between myself and the mobile app, (ii)My awareness of the mobile app, and (iii) Having responsive adults in my surroundings. In conclusion, our findings suggest that students’ adoption of a mental health app extends beyond individual and technical aspects. Determinants for adoption are closely related to the formative age period of the target group. Additionally, the schools play a crucial role in creating a climate where students feel psychologically safe, and discussions about mental health and the app are actively promoted. Furthermore, we argue that the implementation of mental health apps can be seen as a collaborative effort between students and professionals.