title: Addressing Cultural Contexts in the Management of Stress via Narrative and Mobile Technology.
abstract: In developing applications for stress management and mental health, developers have largely ignored cultural context in design, opting instead to produce apps for a general audience. However, apps designed without a specific population in mind actually have limited reach. Generally stress trackers and socalled "therapists in your pocket", tend to be lost among a jungle of other generic apps that appeal only to the quantified self population and those already predisposed to help-seeking behavior. To reach a broader audience, designing for a specific population may have appeal. The AppHappy Project's Journey to the West is a mobile app being developed by a multidisciplinary group of students at the University of Pennsylvania. The objective is to promote better stress management and mental health among Asian international college students and facilitate their social integration with the general student population. With a prevalence of depression twice that of domestic college students, a reluctance to engage in help-seeking behavior due to stigma, and the challenge of cultural integration, creating interventions for this population requires a different approach to app-mediated therapy. Journey to the West packages bite-sized pieces of Cognitive Behavioral Therapy techniques within the framework of a role-playing game. Every element of its design-from its characters to its art style, from its narrative to its mechanics to its approach to community features-is rooted in a culturally appropriate context. An avatar serves as a surrogate of self while experiencing externalized stressors. Each quest blends therapeutic elements into gameplay with the goal of building resilience towards stressful events.
authors.affiliation: School of Nursing, University of Pennsylvania, United States.
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Lee
authors.affiliation: School of Nursing, University of Pennsylvania, United States.
authors.forename: Xiao
authors.initials: X
authors.lastname: Kang
authors.affiliation: School of Nursing, University of Pennsylvania, United States.
authors.forename: Nancy
authors.initials: N
authors.lastname: Hanrahan
mesh_terms: D044466:Asian People / Q000523:psychology*; D003431:Cross-Cultural Comparison; D006801:Humans; D063731:Mobile Applications; D033262:Narration; D013315:Stress, Psychological / Q000628:therapy*; D017216:Telemedicine / Q000379:methods*; D013813:Therapy, Computer-Assisted / Q000379:methods*