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Online inside and out: upper secondary students' expectations of a mental health interactive program in Sweden
University of Skövde, School of Health Sciences.
University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). (Family-Centred Health (FamCeH))ORCID iD: 0000-0001-7368-953X
University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden ; Department of Child and Adolescent Psychiatry, Skaraborg Hospital, Skövde, Sweden. (Family-Centred Health (FamCeH))ORCID iD: 0000-0003-1278-4554
University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). (Family-Centred Health (FamCeH))ORCID iD: 0000-0002-0183-896X
2025 (English)In: Frontiers in Public Health, E-ISSN 2296-2565, Vol. 13, article id 1657404Article in journal (Refereed) Published
Abstract [en]

Background: Adolescence represents a critical developmental stage with significant implications for long-term health and wellbeing. As this period increasingly takes place within digital environments, concerns regarding adolescent mental health have intensified. Students enrolled in the Introductory Programs (IM) in upper secondary school constitute a particularly vulnerable population, exhibiting heightened risks for mental health challenges and potential future social exclusion. These factors make IM students a key population for targeted mental health promotion efforts, yet little is known about how they perceive such initiatives or what they hope to gain from participation. Accordingly, this study aimed to describe the expectations of IM students regarding the implementation of On the Inside in relation to their mental health.

Methods: This study employed a qualitative design guided by reflexive thematic analysis. Data were collected through semi-structured individual and focus group interviews with 17 students enrolled in IM programs. The interviews were conducted at the outset of the mental health interactive program On the Inside.

Results: Analysis yielded four themes: Establishing a balanced lifestyle as a foundation for growth; Finding focus and connection beyond the screen; Seeing yourself and others more clearly; and Building self-esteem through awareness and agency. These themes illustrate participants' perceptions of On the Inside as a valuable opportunity for personal reflection, emotional development, and intentional behavioral change aimed at enhancing mental wellbeing.

Conclusion: The findings highlight students' aspirations for increased self-awareness and alignment between their inner experiences and external lives, including their emotional needs, personal values, and life goals. Moreover, the study underscores the relevance of fostering healthier digital habits among adolescents to support mental wellbeing and positive development. These insights may inform the development and implementation of future mental health interventions targeting vulnerable youth populations.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2025. Vol. 13, article id 1657404
Keywords [en]
adolescent, digital media, health promotion, introductory programs, qualitative research, reflexive thematic analysis
National Category
Public Health, Global Health and Social Medicine Psychiatry
Research subject
Family-Centred Health
Identifiers
URN: urn:nbn:se:his:diva-25854DOI: 10.3389/fpubh.2025.1657404ISI: 001587912600001PubMedID: 41063944Scopus ID: 2-s2.0-105018291209OAI: oai:DiVA.org:his-25854DiVA, id: diva2:2000034
Projects
Att stärka ungas psykisk hälsa, To strengthen young people's mental health
Note

CC BY 4.0

Published 23 September 2025

Correspondence: Kristina Carlén, kristina.carlen@his.se

The author(s) declare that financial support was received for the research and/or publication of this article. This work was funded by The Majblomman Foundation, no grant number available.

Available from: 2025-09-23 Created: 2025-09-23 Last updated: 2026-05-21Bibliographically approved

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Larsson, MargarethaKnez, RajnaCarlén, Kristina

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