{"doi":"10.31234/osf.io/65qwt","title":"A Digital Single-Session Intervention Platform for Youth Mental Health: Cultural Adaptation, Evaluation, and Dissemination","abstract":"BACKGROUND. Despite the proliferation of evidence-based digital mental health programs for young people, low uptake and inconsistent implementation precludes them from benefiting youth at scale. Identifying effective implementation strategies for evidence-based supports is especially critical in regions where treatment access is lowest due to mental health provider shortages. Objective. The goal of this academic-community partnership, funded by the City of San Antonio Metropolitan Health District, was to culturally adapt, disseminate, and gauge the acceptability and utility of an evidence-based digital mental health platform—Project YES (www.schleiderlab.org/yes)—among English- and Spanish-speaking youth living in south Texas. METHODS. Project YES is an open-access, anonymous platform containing three evidence-based, self-guided interventions for youth mental health. Project YES was culturally adapted via focus groups and co-design sessions with San Antonio youth with lived experience of depression and anxiety; translated into Spanish; and disseminated throughout San Antonio, Texas, via community and school partnerships. RESULTS. During the project period (April 2021–December 2021), 1,801 San Antonio youth began and 894 completed a 30-minute, single-session intervention within Project YES (ages 11-17; 39.9% male, 53.4% female, 0.2% intersex; 82.0% Hispanic, 4.3% non-Hispanic white, 6.3% Black, 1.6% Asian, 5.2% other). This completion rate (49.6%) surpassed those previously observed for Project YES (e.g., 34% when disseminated via social media). San Antonio youth rated Project YES as highly acceptable across all metrics, both in English and Spanish. Additionally, youth who completed Project YES - ENGLISH reported significant improvements in hopelessness (d = 0.33), self-hate (d = 0.27), and perceived agency (d = 0.25), from pre- to post-intervention, and teens who completed Project YES - SPANISH reported improvements in self-hate (d = 0.37) from pre- to post-intervention. CONCLUSIONS. Results indicate that Project YES—an open-access, free, anonymous online single-session intervention (SSI) platform—is an acceptable, accessible, and applicable mental health support for English- and Spanish-speaking San Antonio youth.","journal":"PsyArXiv (OSF Preprints)","year":2022,"id":300482,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9507,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":619258,"name":"Chantelle A Roulston","orcid":"0000-0001-6312-0171","position":1,"is_corresponding":false},{"id":820561,"name":"Julia Fassler","orcid":"0000-0002-9598-6348","position":2,"is_corresponding":false},{"id":606024,"name":"Nicole Dierschke","orcid":null,"position":3,"is_corresponding":false},{"id":990971,"name":"Jennifer San Pedro Todd","orcid":"0000-0002-0013-600X","position":4,"is_corresponding":false},{"id":991473,"name":"Ámbar Rios","orcid":null,"position":5,"is_corresponding":false},{"id":991474,"name":"Kristen Plastino","orcid":null,"position":6,"is_corresponding":false},{"id":250868,"name":"Jessica L. Schleider","orcid":"0000-0003-2426-1953","position":7,"is_corresponding":false},{"id":619257,"name":"Akash Shroff","orcid":"0000-0002-1778-3705","position":0,"is_corresponding":true}],"reference_count":53,"raw_metadata":null,"created_at":"2026-07-19T00:31:53.559757Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}