Sang-Wha Sien
Shalini Mohan
ABSTRACT
Amidst increasing reports of mental health problems in Canadian university students, those of Asian descent have particularly struggled to seek out services due to cultural barriers. Counselling practices have long noted that culture influences how mental health is perceived and treated, yet the design of mental health technologies is limited with respect to how users’ backgrounds influence usability and adoption. To identify inclusive design opportunities, we interviewed 20 East Asian university students in Canada. We found that they struggle to engage with technologies for mental health due to cultural stigma which have led them to prefer apps that support self-help though still valuing social help. We present inclusive design opportunities for mental health technologies that sensitively consider these challenges, including supporting learning opportunities with peers through storytelling and skill-sharing to promote literacy, empowerment, and advocacy for their own health. We conclude by discussing how universities can promote mental wellbeing more inclusively.
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- Jennifer Abe-Kim, David T Takeuchi, Seunghye Hong, Nolan Zane, Stanley Sue, Michael S Spencer, Hoa Appel, Ethel Nicdao, and Margarita Alegría. 2007. Use of mental health–related services among immigrant and US-born Asian Americans: results from the National Latino and Asian American study. American journal of public health 97, 1 (2007), 91–98. https://doi.org/10.2105/AJPH.2006.098541Google Scholar
Cross Ref
- Nova Ahmed, Farlina Barik, Zareen Tasnim, and Jasmine Jones. 2019. Development through Digital Family Stories in Bangladesh. In Proceedings of the Tenth International Conference on Information and Communication Technologies and Development (Ahmedabad, India) (ICTD ’19). Association for Computing Machinery, New York, NY, USA, Article 40, 5 pages. https://doi.org/10.1145/3287098.3287136Google ScholarDigital Library
- Anxiety and Depression Association of America. 2021. ADAA Reviewed Mental Health Apps. ADAA. https://adaa.org/finding-help/mobile-appsGoogle Scholar
- Denise Saint Arnault and Oksoo Kim. 2008. Is there an Asian idiom of distress?: Somatic symptoms in female Japanese and Korean students. Archives of psychiatric nursing 22, 1 (2008), 27–38. https://doi.org/10.1016/j.apnu.2007.10.003Google ScholarCross Ref
- Denise Saint Arnault, Shinji Sakamoto, and Aiko Moriwaki. 2006. Somatic and depressive symptoms in female Japanese and American students: A preliminary investigation. Transcultural psychiatry 43, 2 (2006), 275–286. https://doi.org/10.1177/1363461506064867Google ScholarCross Ref
- American College Health Association. 2016. American College Health Association national college health assessment II: Canadian reference group; data report, spring 2016. Retrieved April 13, 2021 from https://www.cacuss.ca/files/Research/NCHA-II%20SPRING%202016%20CANADIAN%20REFERENCE%20GROUP%20DATA%20REPORT.pdfGoogle Scholar
- American College Health Association. 2019. American College Health Association national college health assessment II: Canadian reference group; data report, spring 2019. Retrieved April 13, 2021 from https://www.cacuss.ca/files/Research/NCHA-II%20SPRING%202019%20CANADIAN%20REFERENCE%20GROUP%20DATA%20REPORT.pdfGoogle Scholar
- Astraea Augsberger, Albert Yeung, Meaghan Dougher, and Hyeouk Chris Hahm. 2015. Factors influencing the underutilization of mental health services among Asian American women with a history of depression and suicide. BMC health services research 15, 1 (2015), 1–11. https://doi.org/10.1186/s12913-015-1191-7Google ScholarCross Ref
- Daryl B. Axelrod and Jennifer Kahn. 2019. Intergenerational Family Storytelling and Modeling with Large-Scale Data Sets. In Proceedings of the 18th ACM International Conference on Interaction Design and Children(Boise, ID, USA) (IDC ’19). Association for Computing Machinery, New York, NY, USA, 352–360. https://doi.org/10.1145/3311927.3323153Google ScholarDigital Library
- David Bakker, Nikolaos Kazantzis, Debra Rickwood, and Nikki Rickard. 2016. Mental health smartphone apps: review and evidence-based recommendations for future developments. JMIR mental health 3, 1 (2016), e4984. https://doi.org/10.2196/mental.4984Google ScholarCross Ref
- Azy Barak, Meyran Boniel-Nissim, and John Suler. 2008. Fostering empowerment in online support groups. Computers in human behavior 24, 5 (2008), 1867–1883. https://doi.org/10.1016/j.chb.2008.02.004Google ScholarDigital Library
- Jakob E. Bardram, Mads Frost, Károly Szántó, and Gabriela Marcu. 2012. The MONARCA Self-Assessment System: A Persuasive Personal Monitoring System for Bipolar Patients. In Proceedings of the 2nd ACM SIGHIT International Health Informatics Symposium (Miami, Florida, USA) (IHI ’12). Association for Computing Machinery, New York, NY, USA, 21–30. https://doi.org/10.1145/2110363.2110370Google ScholarDigital Library
- Jakob E. Bardram, Darius A. Rohani, Nanna Tuxen, Maria Faurholt-Jepsen, and Lars V. Kessing. 2017. Supporting Smartphone-Based Behavioral Activation: A Simulation Study. In Proceedings of the 2017 ACM International Joint Conference on Pervasive and Ubiquitous Computing and Proceedings of the 2017 ACM International Symposium on Wearable Computers(Maui, Hawaii) (UbiComp ’17). Association for Computing Machinery, New York, NY, USA, 830–843. https://doi.org/10.1145/3123024.3125617Google ScholarDigital Library
- BetterHelp. 2020. BetterHelp - Online Counseling. Retrieved June 1, 2020 from https://apps.apple.com/us/app/betterhelp-online-counseling/id995252384Google Scholar
- Timothy W Bickmore, Ha Trinh, Stefan Olafsson, Teresa K O’Leary, Reza Asadi, Nathaniel M Rickles, and Ricardo Cruz. 2018. Patient and Consumer Safety Risks When Using Conversational Assistants for Medical Information: An Observational Study of Siri, Alexa, and Google Assistant. J Med Internet Res 20, 9 (04 Sep 2018), e11510. https://doi.org/10.2196/11510Google ScholarCross Ref
- Virginia Braun and Victoria Clarke. 2006. Using thematic analysis in psychology. Qualitative Research Psychology 3, 2 (2006), 77–101. https://doi.org/10.1191/1478088706qp063oaGoogle ScholarCross Ref
- Statistics Canada. 2018. Immigration and Ethnocultural Diversity in Canada. https://www12.statcan.gc.ca/nhs-enm/2011/as-sa/99-010-x/99-010-x2011001-eng.cfm.Google Scholar
- Stevie Chancellor, Jessica Annette Pater, Trustin Clear, Eric Gilbert, and Munmun De Choudhury. 2016. #thyghgapp: Instagram Content Moderation and Lexical Variation in Pro-Eating Disorder Communities. In Proceedings of the 19th ACM Conference on Computer-Supported Cooperative Work & Social Computing (San Francisco, California, USA) (CSCW ’16). Association for Computing Machinery, New York, NY, USA, 1201–1213. https://doi.org/10.1145/2818048.2819963Google ScholarDigital Library
- Pooja Chandrashekar. 2018. Do mental health mobile apps work: evidence and recommendations for designing high-efficacy mental health mobile apps. Mhealth 4(2018). https://doi.org/10.21037/mhealth.2018.03.02Google ScholarCross Ref
- Maria Chiu, Abigail Amartey, Xuesong Wang, and Paul Kurdyak. 2018. Ethnic Differences in Mental Health Status and Service Utilization: A Population-Based Study in Ontario, Canada. Canadian Journal of Psychiatry 63, 7 (2018), 481–491. https://doi.org/10.1177/0706743717741061Google ScholarCross Ref
- Joyce P Chu and Stanley Sue. 2011. Asian American mental health: What we know and what we don’t know. Online readings in psychology and culture 3, 1 (2011), 2307–0919. https://doi.org/10.9707/2307-0919.1026Google ScholarCross Ref
- Patrick W Corrigan and Eun-Jeong Lee. 2021. Family-Centered Decision Making for East Asian Adults With Mental Illness. Psychiatric Services 72, 1 (2021), 114–116. https://doi.org/10.1176/appi.ps.201900570Google ScholarCross Ref
- Patrick W Corrigan and Deepa Rao. 2012. On the self-stigma of mental illness: Stages, disclosure, and strategies for change. The Canadian Journal of Psychiatry 57, 8 (2012), 464–469. https://doi.org/10.1177/070674371205700804Google ScholarCross Ref
- Patrick W Corrigan, Amy C Watson, and Leah Barr. 2006. The self–stigma of mental illness: Implications for self–esteem and self–efficacy. Journal of social and clinical psychology 25, 8 (2006), 875–884. https://doi.org/10.1521/jscp.2006.25.8.875Google ScholarCross Ref
- David Coyle, Nicola McGlade, Gavin Doherty, and Gary O’Reilly. 2011. Exploratory Evaluations of a Computer Game Supporting Cognitive Behavioural Therapy for Adolescents. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (Vancouver, BC, Canada) (CHI ’11). Association for Computing Machinery, New York, NY, USA, 2937–2946. https://doi.org/10.1145/1978942.1979378Google ScholarDigital Library
- Scott Davidoff, Min Kyung Lee, Anind K. Dey, and John Zimmerman. 2007. Rapidly Exploring Application Design Through Speed Dating. In UbiComp 2007: Ubiquitous Computing, John Krumm, Gregory D. Abowd, Aruna Seneviratne, and Thomas Strang (Eds.). Springer Berlin Heidelberg, Berlin, Heidelberg, 429–446. https://doi.org/10.1007/978-3-540-74853-3_25Google ScholarCross Ref
- Don E Davis, Cirleen DeBlaere, Jesse Owen, Joshua N Hook, David P Rivera, Elise Choe, Dan R Van Tongeren, Everett L Worthington Jr, and Vanessa Placeres. 2018. The multicultural orientation framework: A narrative review. Psychotherapy 55, 1 (2018), 89. https://doi.org/10.1037/pst0000160Google ScholarCross Ref
- Munmun De Choudhury. 2015. Anorexia on Tumblr: A Characterization Study. In Proceedings of the 5th International Conference on Digital Health 2015 (Florence, Italy) (DH ’15). Association for Computing Machinery, New York, NY, USA, 43–50. https://doi.org/10.1145/2750511.2750515Google ScholarDigital Library
- Gavin Doherty, David Coyle, and John Sharry. 2012. Engagement with Online Mental Health Interventions: An Exploratory Clinical Study of a Treatment for Depression. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (Austin, Texas, USA) (CHI ’12). Association for Computing Machinery, New York, NY, USA, 1421–1430. https://doi.org/10.1145/2207676.2208602Google ScholarDigital Library
- Daniel Eisenberg, Marilyn F Downs, Ezra Golberstein, and Kara Zivin. 2009. Stigma and help seeking for mental health among college students. Medical Care Research and Review 66, 5 (2009), 522–541.Google ScholarCross Ref
- National Center for Telehealth & Technology. 2021. Breathe2Relax. Retrieved June 1, 2020 from https://apps.apple.com/ca/app/breathe2relax/id425720246Google Scholar
- Dimitris Giamos, Alex Young Soo Lee, Amanda Suleiman, Heather Stuart, and Shu-Ping Chen. 2017. Understanding Campus Culture and Student Coping Strategies for Mental Health Issues in Five Canadian Colleges and Universities. Canadian Journal of Higher Education 47, 3 (2017), 136–151. https://doi.org/10.1016/j.apnu.2007.10.003Google ScholarCross Ref
- Narayan Gopalkrishnan. 2018. Cultural diversity and mental health: Considerations for policy and practice. Frontiers in public health 6 (2018), 179. https://doi.org/10.3389/fpubh.2018.00179Google ScholarCross Ref
- Derek Griner and Timothy B Smith. 2006. Culturally adapted mental health intervention: A meta-analytic review. Psychotherapy: Theory, research, practice, training 43, 4 (2006), 531–548. https://doi.org/10.1037/0033-3204.43.4.531Google ScholarCross Ref
- Gordon CN Hall, Janie J Hong, Nolan WS Zane, and Oanh L Meyer. 2011. Culturally competent treatments for Asian Americans: The relevance of mindfulness and acceptance-based psychotherapies. Clinical Psychology: Science and Practice 18, 3 (2011), 215. https://doi.org/10.1111/j.1468-2850.2011.01253.xGoogle ScholarCross Ref
- Meekyung Han and Helen Pong. 2015. Mental health help-seeking behaviors among Asian American community college students: The effect of stigma, cultural barriers, and acculturation. Journal of College Student Development 56, 1 (2015), 1–14. https://doi.org/10.1353/csd.2015.0001Google ScholarCross Ref
- Inc. Happify. 2020. Happify: for Stress & Worry. Retrieved June 1, 2020 from https://apps.apple.com/ca/app/happify-for-stress-worry/id730601963Google Scholar
- Teen Mental Health. 2020. Our Stories. http://teenmentalhealth.org/live/our-stories/.Google Scholar
- Jennifer Hefner and Daniel Eisenberg. 2009. Social support and mental health among college students. American Journal of Orthopsychiatry 79, 4 (2009), 491–499. https://doi.org/10.1037/a0016918Google ScholarCross Ref
- Stephen J. Heine. 2016. Cultural Psychology (3ed.). W. W. Norton, New York.Google Scholar
- Y. Y. Hong, M. W. Morris, C. Y. Chiu, and V. Benet-Martínez. 2000. Multicultural minds. A dynamic constructivist approach to culture and cognition. The American psychologist 55 7 (2000), 709–20. https://doi.org/10.1037/0003-066X.55.7.709Google ScholarCross Ref
- Lorena Hsu, Sheila R Woody, Hoon-Jin Lee, Yunshi Peng, Xiaolu Zhou, and Andrew G Ryder. 2012. Social anxiety among East Asians in North America: East Asian socialization or the challenge of acculturation?Cultural Diversity and Ethnic Minority Psychology 18, 2(2012), 181. https://doi.org/10.1037/a0027690Google ScholarCross Ref
- Stanley J Huey Jr and Jacqueline L Tilley. 2018. Effects of mental health interventions with Asian Americans: A review and meta-analysis. Journal of consulting and clinical psychology 86, 11(2018), 915. https://doi.org/10.1037/ccp0000346Google ScholarCross Ref
- Headspace Inc.2019. Headspace: Meditation & Sleep. Retrieved June 1, 2020 from https://apps.apple.com/ca/app/headspace-meditation-sleep/id493145008Google Scholar
- Sanvello Health Inc.2020. Sanvello: Anxiety & Depression. Retrieved June 1, 2020 from https://apps.apple.com/us/app/sanvello-anxiety-depression/id922968861Google Scholar
- Natalia Jaworska, Elisea De Somma, Bernice Fonseka, Emma Heck, and Glenda M. MacQueen. 2016. Mental Health Services for Students at Postsecondary Institutions: A National Survey. The Canadian Journal of Psychiatry 61, 12 (2016), 766–775. https://doi.org/10.1177/0706743716640752 PMID: 27310230.Google ScholarCross Ref
- Jasmine Jones and Mark S. Ackerman. 2018. Co-Constructing Family Memory: Understanding the Intergenerational Practices of Passing on Family Stories. In Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems (Montreal QC, Canada) (CHI ’18). Association for Computing Machinery, New York, NY, USA, 1–13. https://doi.org/10.1145/3173574.3173998Google ScholarDigital Library
- Anthony F Jorm. 2015. Why we need the concept of “mental health literacy”. Health communication 30, 12 (2015), 1166–1168. https://doi.org/10.1080/10410236.2015.1037423Google ScholarCross Ref
- Zornitsa Kalibatseva, Geoff J. Bathje, Ivan H. C. Wu, Brooke M. Bluestein, Frederick T. L. Leong, and Jan Collins-Eaglin. 2022. Minority status, depression and suicidality among counseling center clients. Journal of American College Health 70, 1 (2022), 295–304. https://doi.org/10.1080/07448481.2020.1745810Google ScholarCross Ref
- Christina Kelley, Bongshin Lee, and Lauren Wilcox. 2017. Self-Tracking for Mental Wellness: Understanding Expert Perspectives and Student Experiences. In Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems (Denver, Colorado, USA) (CHI ’17). Association for Computing Machinery, New York, NY, USA, 629–641. https://doi.org/10.1145/3025453.3025750Google ScholarDigital Library
- Bonnie Kirsh, Judith Friedland, Sunny Cho, Nisha Gopalasuntharanathan, Shauna Orfus, Marni Salkovitch, Katrina Snider, and Colleen Webber. 2016. Experiences of university students living with mental health problems: Interrelations between the self, the social, and the school. Work 53, 2 (2016), 325–335. https://doi.org/10.3233/WOR-152153Google ScholarCross Ref
- Joe Lambert and Brooke Hessler. 2018. Digital storytelling: Capturing lives, creating community. Routledge, New York, NY, USA.Google Scholar
- Emily G. Lattie, Rachel Kornfield, Kathryn E. Ringland, Renwen Zhang, Nathan Winquist, and Madhu Reddy. 2020. Designing Mental Health Technologies That Support the Social Ecosystem of College Students. In Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems. Association for Computing Machinery, New York, NY, USA, 1–15. https://doi.org/10.1145/3313831.3376362Google ScholarDigital Library
- Reeva Lederman, Greg Wadley, John Gleeson, Sarah Bendall, and Mario Álvarez-Jiménez. 2014. Moderated online social therapy: Designing and evaluating technology for mental health. ACM Transactions on Computer-Human Interaction (TOCHI) 21, 1(2014), 1–26. https://doi.org/10.1145/2513179Google ScholarDigital Library
- Jee-Sook Lee, Gary F Koeske, and Esther Sales. 2004. Social support buffering of acculturative stress: A study of mental health symptoms among Korean international students. International Journal of Intercultural Relations 28, 5 (2004), 399–414. https://doi.org/10.1016/j.ijintrel.2004.08.005Google ScholarCross Ref
- Kwangyoung Lee and Hwajung Hong. 2018. MindNavigator: Exploring the Stress and Self-Interventions for Mental Wellness. In Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems. Association for Computing Machinery, New York, NY, USA, 1–14. https://doi.org/10.1145/3173574.3174146Google ScholarDigital Library
- Sunmin Lee, Hee-Soon Juon, Genevieve Martinez, Chiehwen E Hsu, E Stephanie Robinson, Julie Bawa, and Grace X Ma. 2009. Model minority at risk: Expressed needs of mental health by Asian American young adults. Journal of community health 34, 2 (2009), 144. https://doi.org/10.1007/s10900-008-9137-1Google ScholarCross Ref
- Frederick TL Leong, Helen HW Kim, and Arpana Gupta. 2011. Attitudes toward professional counseling among Asian-American college students: Acculturation, conceptions of mental illness, and loss of face. Asian American Journal of Psychology 2, 2 (2011), 140–153. https://doi.org/10.1037/a0024172Google ScholarCross Ref
- Guo Li, Xiaomu Zhou, Tun Lu, Jiang Yang, and Ning Gu. 2016. SunForum: Understanding Depression in a Chinese Online Community. In Proceedings of the 19th ACM Conference on Computer-Supported Cooperative Work & Social Computing (San Francisco, California, USA) (CSCW ’16). Association for Computing Machinery, New York, NY, USA, 515–526. https://doi.org/10.1145/2818048.2819994Google ScholarDigital Library
- Huabing Liu, Y Joel Wong, Nancy Goodrich Mitts, PF Jonah Li, and Jacks Cheng. 2020. A phenomenological study of East Asian international students’ experience of counseling. International Journal for the Advancement of Counselling 42, 3(2020), 269–291. https://doi.org/10.1007/s10447-020-09399-6Google ScholarCross Ref
- David Luna, Torsten Ringberg, Laura A. Peracchio, John Deighton served as editor, and Jennifer Aaker served as associate editor for this article.2008. One Individual, Two Identities: Frame Switching among Biculturals. Journal of Consumer Research 35, 2 (2008), 279–293. https://doi.org/10.1086/586914Google ScholarCross Ref
- Akihiko Masuda and Matthew S Boone. 2011. Mental health stigma, self-concealment, and help-seeking attitudes among Asian American and European American college students with no help-seeking experience. International Journal for the Advancement of Counselling 33, 4(2011), 266–279. https://doi.org/10.1007/s10447-011-9129-1Google ScholarCross Ref
- Jonathan F Mattanah, Jean F Ayers, Bethany L Brand, Leonie J Brooks, Julie L Quimby, and Scot W McNary. 2010. A social support intervention to ease the college transition: Exploring main effects and moderators. Journal of college student development 51, 1 (2010), 93–108. https://doi.org/10.1353/csd.0.0116Google ScholarCross Ref
- Sakurako Chako Mori. 2000. Addressing the mental health concerns of international students. Journal of counseling & development 78, 2 (2000), 137–144. https://doi.org/10.1002/j.1556-6676.2000.tb02571.xGoogle ScholarCross Ref
- Elizabeth L. Murnane, Tara G. Walker, Beck Tench, Stephen Voida, and Jaime Snyder. 2018. Personal Informatics in Interpersonal Contexts: Towards the Design of Technology That Supports the Social Ecologies of Long-Term Mental Health Management. Proc. ACM Hum.-Comput. Interact. 2, CSCW, Article 127 (Nov. 2018), 27 pages. https://doi.org/10.1145/3274396Google ScholarDigital Library
- Sumin Na, Andrew G. Ryder, and Laurence J. Kirmayer. 2016. Toward a Culturally Responsive Model of Mental Health Literacy: Facilitating Help-Seeking Among East Asian Immigrants to North America. American Journal of Community Psychology 58, 1-2 (2016), 211–225. https://doi.org/10.1002/ajcp.12085 arXiv:https://onlinelibrary.wiley.com/doi/pdf/10.1002/ajcp.12085Google ScholarCross Ref
- Martha Neary and Stephen M Schueller. 2018. State of the field of mental health apps. Cognitive and Behavioral Practice 25, 4 (2018), 531–537. https://doi.org/10.1016/j.cbpra.2018.01.002Google ScholarCross Ref
- Vinai Norasakkunkit, Shinobu Kitayama, and Yukiko Uchida. 2012. Social anxiety and holistic cognition: Self-focused social anxiety in the United States and other-focused social anxiety in Japan. Journal of Cross-Cultural Psychology 43, 5 (2012), 742–757. https://doi.org/10.1177/0022022111405658Google ScholarCross Ref
- Government of Canada. 2019. Building on Success: International Education Strategy (2019-2024). https://www.international.gc.ca/education/strategy-2019-2024-strategie.aspx?lang=eng.Google Scholar
- Kathleen O’Leary, Arpita Bhattacharya, Sean A. Munson, Jacob O. Wobbrock, and Wanda Pratt. 2017. Design Opportunities for Mental Health Peer Support Technologies. In Proceedings of the 2017 ACM Conference on Computer Supported Cooperative Work and Social Computing(Portland, Oregon, USA) (CSCW ’17). Association for Computing Machinery, New York, NY, USA, 1470–1484. https://doi.org/10.1145/2998181.2998349Google ScholarDigital Library
- World Health Organization. 2018. Mental health: strengthening our response. https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response.Google Scholar
- Fatih Ozbay, Douglas C Johnson, Eleni Dimoulas, CA Morgan III, Dennis Charney, and Steven Southwick. 2007. Social support and resilience to stress: from neurobiology to clinical practice. Psychiatry (Edgmont) 4, 5 (2007), 35–40. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2921311/Google Scholar
- Freddy A Paniagua. 2013. Assessing and treating culturally diverse clients: A practical guide. Sage Publications, Los Angeles, CA, USA.Google Scholar
- Minsu Park, David McDonald, and Meeyoung Cha. 2013. Perception differences between the depressed and non-depressed users in twitter. In Proceedings of the International AAAI Conference on Web and Social Media. AAAI Press, Palo Alto, CA, USA, 476–485. https://ojs.aaai.org/index.php/ICWSM/article/view/14425Google Scholar
- Sun Young Park. 2018. Social Support Mosaic: Understanding Mental Health Management Practice on College Campus. In Proceedings of the 2018 Designing Interactive Systems Conference (Hong Kong, China) (DIS ’18). Association for Computing Machinery, New York, NY, USA, 121–133. https://doi.org/10.1145/3196709.3196787Google ScholarDigital Library
- Scott B. Patten. 2017. Age of Onset of Mental Disorders. The Canadian Journal of Psychiatry 62, 4 (2017), 235–236. https://doi.org/10.1177/0706743716685043 PMID: 28363261.Google ScholarCross Ref
- Sachin R. Pendse, Kate Niederhoffer, and Amit Sharma. 2019. Cross-Cultural Differences in the Use of Online Mental Health Support Forums. Proc. ACM Hum.-Comput. Interact. 3, CSCW, Article 67 (Nov. 2019), 29 pages. https://doi.org/10.1145/3359169Google ScholarDigital Library
- Franziska Reiss. 2013. Socioeconomic inequalities and mental health problems in children and adolescents: a systematic review. Social science & medicine 90 (2013), 24–31. https://doi.org/10.1016/j.socscimed.2013.04.026Google ScholarCross Ref
- Stefan Rennick-Egglestone, Sarah Knowles, Gill Toms, Penny Bee, Karina Lovell, and Peter Bower. 2016. Health Technologies ’In the Wild’: Experiences of Engagement with Computerised CBT. In Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems (San Jose, California, USA) (CHI ’16). Association for Computing Machinery, New York, NY, USA, 2124–2135. https://doi.org/10.1145/2858036.2858128Google ScholarDigital Library
- Sarah Rosenfield. 1997. Labeling mental illness: The effects of received services and perceived stigma on life satisfaction. American Sociological Review 62, 4 (1997), 660–672. https://doi.org/10.2307/2657432Google ScholarCross Ref
- Andrew G. Ryder, Jessica Dere, Jian Yang, and Kenneth Fung. 2012. Handbook of adult psychopathology in Asians. Oxford University Press, NY, Chapter Personality disorders in Asians, 357–390.Google Scholar
- Pedro Sanches, Axel Janson, Pavel Karpashevich, Camille Nadal, Chengcheng Qu, Claudia Daudén Roquet, Muhammad Umair, Charles Windlin, Gavin Doherty, Kristina Höök, and Corina Sas. 2019. HCI and Affective Health: Taking Stock of a Decade of Studies and Charting Future Research Directions. In Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems (Glasgow, Scotland Uk) (CHI ’19). Association for Computing Machinery, New York, NY, USA, Article 245, 17 pages. https://doi.org/10.1145/3290605.3300475Google ScholarDigital Library
- Jessica Schroeder, Chelsey Wilkes, Kael Rowan, Arturo Toledo, Ann Paradiso, Mary Czerwinski, Gloria Mark, and Marsha M. Linehan. 2018. Pocket Skills: A Conversational Mobile Web App To Support Dialectical Behavioral Therapy. In Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems. Association for Computing Machinery, New York, NY, USA, 1–15. https://doi.org/10.1145/3173574.3173972Google ScholarDigital Library
- Stephen M. Schueller and David C. Mohr. 2015. Initial field trial of a coach-supported web-based depression treatment. In 2015 9th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth). IEEE, New Jersey, NJ, United States, 25–28. https://doi.org/10.4108/icst.pervasivehealth.2015.260115Google ScholarCross Ref
- Eunbi Seol, Seulki Min, Sungho Seo, Seoyeon Jung, Youngil Lee, Jaedong Lee, Gerard Kim, Chungyean Cho, Seungmoo Lee, Chul-Hyun Cho, Seungmoon Choi, and Dooyoung Jung. 2017. ”Drop the Beat”: Virtual Reality Based Mindfulness and Cognitive Behavioral Therapy for Panic Disorder — a Pilot Study. In Proceedings of the 23rd ACM Symposium on Virtual Reality Software and Technology (Gothenburg, Sweden) (VRST ’17). Association for Computing Machinery, New York, NY, USA, Article 57, 3 pages. https://doi.org/10.1145/3139131.3141199Google ScholarDigital Library
- Edward K Shen, Lynn E Alden, Ingrid Söchting, and Pheobe Tsang. 2006. Clinical observations of a Cantonese cognitive-behavioral treatment program for Chinese immigrants. Psychotherapy: Theory, research, practice, training 43, 4 (2006), 518. https://doi.org/10.1037/0033-3204.43.4.518Google ScholarCross Ref
- Mo-Kyung Sin, Pamela Jordan, and Jamie Park. 2011. Perceptions of depression in Korean American immigrants. Issues in Mental Health Nursing 32, 3 (2011), 177–183. https://doi.org/10.3109/01612840.2010.536611Google ScholarCross Ref
- Petr Slovák, Anja Thieme, David Murphy, Paul Tennent, Patrick Olivier, and Geraldine Fitzpatrick. 2015. On Becoming a Counsellor: Challenges and Opportunities to Support Interpersonal Skills Training. In Proceedings of the 18th ACM Conference on Computer Supported Cooperative Work & Social Computing (Vancouver, BC, Canada) (CSCW ’15). Association for Computing Machinery, New York, NY, USA, 1336–1347. https://doi.org/10.1145/2675133.2675190Google ScholarDigital Library
- Petr Slovák, Greg Wadley, David Coyle, Anja Thieme, Naomi Yamashita, Reeva Lederman, Stefan schutt, and Mia Doces. 2015. Developing Skills for Social and Emotional Wellbeing. In Proceedings of the 33rd Annual ACM Conference Extended Abstracts on Human Factors in Computing Systems (Seoul, Republic of Korea) (CHI EA ’15). Association for Computing Machinery, New York, NY, USA, 2397–2400. https://doi.org/10.1145/2702613.2702654Google ScholarDigital Library
- Rani Srivastava and Raman Srivastava. 2019. Impact of Cultural Identity on Mental Health in Post-secondary Students. International Journal of Mental Health and Addiction 17 (2019), 520–530. https://doi.org/10.1007/s11469-018-0025-3Google ScholarCross Ref
- Katarzyna Stawarz, Chris Preist, and David Coyle. 2019. Use of smartphone apps, social media, and web-based resources to support mental health and well-being: Online survey. JMIR mental health 6, 7 (2019), e12546. https://doi.org/10.2196/12546Google ScholarCross Ref
- Colleen Stiles-Shields, Enid Montague, Emily G Lattie, Mary J Kwasny, and David C Mohr. 2017. What might get in the way: barriers to the use of apps for depression. Digital health 3(2017), 2055207617713827. https://doi.org/10.1177/2055207617713827Google ScholarCross Ref
- Franziska Tachtler, Toni Michel, Petr Slovák, and Geraldine Fitzpatrick. 2020. Supporting the Supporters of Unaccompanied Migrant Youth: Designing for Social-Ecological Resilience. In Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems. Association for Computing Machinery, New York, NY, USA, 1–14. https://doi.org/10.1145/3313831.3376458Google ScholarDigital Library
- Jackson Tempra. 2016. What’s Up?Retrieved June 1, 2020 from https://apps.apple.com/ca/app/whats-up-a-mental-health-app/id968251160Google Scholar
- Naundefineda Terzimehić, Renate Häuslschmid, Heinrich Hussmann, and m.c. schraefel. 2019. A Review & Analysis of Mindfulness Research in HCI: Framing Current Lines of Research and Future Opportunities. In Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems (Glasgow, Scotland Uk) (CHI ’19). Association for Computing Machinery, New York, NY, USA, 1–13. https://doi.org/10.1145/3290605.3300687Google ScholarDigital Library
- Anja Thieme, Jayne Wallace, Paula Johnson, John McCarthy, Siân Lindley, Peter Wright, Patrick Olivier, and Thomas D. Meyer. 2013. Design to Promote Mindfulness Practice and Sense of Self for Vulnerable Women in Secure Hospital Services. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (Paris, France) (CHI ’13). Association for Computing Machinery, New York, NY, USA, 2647–2656. https://doi.org/10.1145/2470654.2481366Google ScholarDigital Library
- LLC ThrivePort. 2019. MoodKit. Retrieved June 1, 2020 from https://apps.apple.com/ca/app/moodkit/id427064987Google Scholar
- Yvonne Tieu, Candace Konnert, and JianLi Wang. 2010. Depression literacy among older Chinese immigrants in Canada: a comparison with a population-based survey. International Psychogeriatrics 22, 8 (2010), 1318–1326. https://doi.org/10.1017/S1041610210001511Google ScholarCross Ref
- Julia Y Ting and Wei-Chin Hwang. 2009. Cultural influences on help-seeking attitudes in Asian American students. American Journal of Orthopsychiatry 79, 1 (2009), 125–132. https://doi.org/10.1037/a0015394Google ScholarCross Ref
- Sarah J. Tracy. 2010. Qualitative Quality: Eight “Big-Tent” Criteria for Excellent Qualitative Research. Qualitative Inquiry 16, 10 (2010), 837–851. https://doi.org/10.1177/1077800410383121Google ScholarCross Ref
- Wen-Shing Tseng. 2001. Handbook of cultural psychiatry. Academic Press, San Diego, CA, USA.Google Scholar
- Ralph Vacca. 2017. Bicultural: Examining Teenage Latinas’ Perspectives on Technologies for Emotional Support. In Proceedings of the 2017 Conference on Interaction Design and Children (Stanford, California, USA) (IDC ’17). Association for Computing Machinery, New York, NY, USA, 117–126. https://doi.org/10.1145/3078072.3079742Google ScholarDigital Library
- Ralph Vacca. 2019. Brokering Data: Co-Designing Technology with Latina Teens to Support Communication with Parents: Leveraging Cultural Practices of Latinx Youth through Co-Design. In Proceedings of the 18th ACM International Conference on Interaction Design and Children(Boise, ID, USA) (IDC ’19). Association for Computing Machinery, New York, NY, USA, 197–207. https://doi.org/10.1145/3311927.3323142Google ScholarDigital Library
- Michael Van Ameringen, Jasmine Turna, Zahra Khalesi, Katrina Pullia, and Beth Patterson. 2017. There is an app for that! The current state of mobile applications (apps) for DSM-5 obsessive-compulsive disorder, posttraumatic stress disorder, anxiety and mood disorders. Depression and anxiety 34, 6 (2017), 526–539. https://doi.org/10.1002/da.22657Google ScholarCross Ref
- Nadia De Vecchi, Amanda Kenny, Virginia Dickson-Swift, and Susan Kidd. 2017. Exploring the Process of Digital Storytelling in Mental Health Research: A Process Evaluation of Consumer and Clinician Experiences. International Journal of Qualitative Methods 16, 1 (2017), 1609406917729291. https://doi.org/10.1177/1609406917729291Google ScholarCross Ref
- LLC Waking Up Course. 2021. Waking Up: Daily Meditation. Retrieved September 1, 2020 from https://apps.apple.com/US/app/id1307736395Google Scholar
- Shihwe Wang and Bryan SK Kim. 2010. Therapist multicultural competence, Asian American participants’ cultural values, and counseling process. Journal of Counseling Psychology 57, 4 (2010), 394. https://doi.org/10.1037/a0020359Google ScholarCross Ref
- Yuk-Lin Renita Wong and A Ka Tat Tsang. 2004. When Asian immigrant women speak: From mental health to strategies of being. American Journal of Orthopsychiatry 74, 4 (2004), 456–466. https://doi.org/10.1037/0002-9432.74.4.456Google ScholarCross Ref
- Cary Wu, Yue Qian, and Rima Wilkes. 2021. Anti-Asian discrimination and the Asian-white mental health gap during COVID-19. Ethnic and Racial Studies 44, 5 (2021), 819–835. https://doi.org/10.1080/01419870.2020.1851739Google ScholarCross Ref
- Renwen Zhang, Jordan Eschler, and Madhu Reddy. 2018. Online support groups for depression in China: Culturally shaped interactions and motivations. Computer Supported Cooperative Work (CSCW) 27, 3 (2018), 327–354. https://doi.org/10.1007/s10606-018-9322-4Google ScholarDigital Library
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- Exploring Design Opportunities for Supporting Mental Wellbeing Among East Asian University Students in Canada
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