メンタルヘルスアプリ開発前に問題の本質を理解する必要性を研究(Before Building Mental Health Apps, Designers Need to Understand the Problem)

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2026-10-06 バッファロー大学(UB)

バッファロー大学の研究チームは、社会不安や孤独のように本人が stigma(偏見・烙印)や羞恥、評価への恐れから実態を語りにくい「難しい心理社会的問題」を対象に、メンタルヘルスアプリやデジタル治療サービスを設計する際の問題把握方法を研究した。6,000件超の匿名フォーラム投稿をトピックモデリングと手作業で分析した事例と、高齢者のサービスセンターへの電話を職員への聞き取り・観察・ワークショップで分析した事例を比較。その結果、社会不安では「支援を見つけられない」より「評価されることへの恐れ」が障壁となり、孤独では本人が孤独と表明しなくても職員がそれを察知していた。研究は、複数の調査手法を柔軟に使い、当事者を解釈のパートナーとして関与させ、問題理解が固まる前に解決策へ飛びつかないなど、7つの設計原則を提示した。

メンタルヘルスアプリ開発前に問題の本質を理解する必要性を研究(Before Building Mental Health Apps, Designers Need to Understand the Problem)

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複雑な心理社会的問題に対する問題領域探索:2つの事例からの洞察 Problem space exploration for wicked psychosocial problems: Insights from two cases

Pavankumar Mulgund, Shannon Colville, Sandeep Purao, Nadine Ostern, Wasana Bandara, Lavlin Agrawal, Raj Sharman, Sophie Coulon, Joana Gaia, Catherine Haslam
Decision Support Systems  Available online: 22 May 2026
DOI:https://doi.org/10.1016/j.dss.2026.114697

Highlights

  • Examines problem space exploration (PSE) as a core DSR activity, distinct yet interwoven with artifacts.
  • Uses two revelatory cases to investigate wicked psychosocial problems.
  • Applies several techniques—topic modeling, coding, workshops, and observations—to surface problem complexity.
  • Derives seven grounded PSE principles emphasizing technique agnosticism, pacing, abstraction, and co-sensemaking.
  • Validates principles and shows how preserving solution ambiguity improves intervention design rigor.

Abstract

A critical pre-requisite to delivering social good through the design of digital solutions is a deep and nuanced understanding of the problem space – beyond awareness, framing or problematization. This “problem of the problem” is particularly acute for wicked psychosocial problems (a subclass of wicked problems) that are characterized by stigma, emotional vulnerability, identity threats, and sensitive disclosure dynamics. In this paper, we develop a set of principles for effective problem space exploration (PSE) for this class of problems. Our work relies on cross-case analysis of PSE journeys for two design science research (DSR) efforts aimed at specific problems in this class: young adults experiencing social anxiety disorder, and older adults facing loneliness. We validate the principles with a retrospective analysis of prior DSR efforts and a structured evaluation from experts to assess their potential applicability. Our work contributes a set of PSE principles for wicked psychosocial problems that are empirically grounded and validated with expert feedback – adding to contemporary discussion of PSE in DSR.

医療・健康
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