Evidence map›Paper›PMID 42434369›Full record

ArticleFrontiers in digital health2026

Inclusive design in digital mental health: stakeholders with disabilities must be central to usability testing.

Heidi Tranter, Nathan Giles, Thomas Price, Charlotte Stockton-Powdrell, Simon Foster, Sanaullah Alam, Lamiece Hassan, Julian Edbrooke Childs, Marta Chmielowska, Mia Vines Booth and 2 more

Abstract read
In one paragraph

Article in Frontiers in digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Heidi TranterGM.Digital Research Unit, Research and Innovation, Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom.
Nathan GilesGM.Digital Research Unit, Research and Innovation, Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom.
Thomas PriceGM.Digital Research Unit, Research and Innovation, Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom.
Charlotte Stockton-PowdrellGM.Digital Research Unit, Research and Innovation, Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom.
Simon FosterDivision of Informatics, Imaging and Data Science, School of Health Sciences, University of Manchester, Manchester, United Kingdom.
Sanaullah AlamDivision of Informatics, Imaging and Data Science, School of Health Sciences, University of Manchester, Manchester, United Kingdom.
Lamiece HassanCentre for Biostatistics, Division of Population Health, Health Services Research and Primary Care, Faculty of Biology Medicine & Health, University of Manchester, Manchester, United Kingdom.
Julian Edbrooke ChildsEvidence Based Practice Unit, Anna Freud Centre, London, United Kingdom.
Marta ChmielowskaGM.Digital Research Unit, Research and Innovation, Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom.
Mia Vines BoothGM.Digital Research Unit, Research and Innovation, Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom.
Kathryn M AbelGM.Digital Research Unit, Research and Innovation, Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom.
Pauline WhelanDivision of Informatics, Imaging and Data Science, School of Health Sciences, University of Manchester, Manchester, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Co-developing digital mental health tools is essential to ensure innovations are usable, engaging and accessible for the target populations. The Web Content Accessibility Guidelines, version 2.2, provide the minimum level of compliance for digital mental health tools and these should be further built on through usability testing. Developing digital tools without following inclusive design principles risks widening the digital divide, especially for individuals with disabilities. The Enhancing Child and Adolescent Mental Health Service (CAMHS) Referrals 2 project funded by the National Institute of Health Research developed a digital referral tool for NHS CAMHS. The tool was co-developed with a Pan-Disability Digital Accessibility Group members of which all had lived experience of disabilities. The group advised on the accessibility of the tool through usability testing workshops. As a direct result of the feedback from the workshops, changes were made to the multi-factor authentication and the wording and navigation throughout the tool. This paper outlines the methods and processes followed to develop the group and facilitate the usability testing workshops to provide guidance for future digital mental health research teams. Engagement from advisory groups with lived experience can ensure accessibility is in-built from the start of development and not included as an afterthought.

Indexed as

accessibilityCAMHSco-designdigital mental healthinclusive design

Identifiers

PMID42434369
PMCPMC13350331

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.