Back Research Analysis Details

Mental Health Screening Platform for Adolescents

Commissioned by a school board to build a mental health screening platform from scratch — I led research, design, testing, and reporting end to end.

Lean UX Research UX Design Survey Design Usability Testing Qualitative Analysis Adolescent Users Stakeholder Reporting End-to-end Delivery

Scale

5,000+

students screened across schools

Efficiency

3d → 1d

screening time cut by two thirds

Usability

100%

completed independently, no help needed

Data quality

Reliable

actionable data, no redesign after launch

My role

Lead UX Researcher & Designer

Duration

4 weeks

Participants

10 adolescents, ages 12–18

Client

School board

Due to confidentiality considerations, screenshots and visual materials related to the platform design and testing process cannot be disclosed.

The Challenge

Design a survey adolescents could understand, complete accurately, and respond to honestly.

Wide variation in reading ability (ages 12–18)

Typing and spelling difficulties in Chinese input

Misunderstood question wording

Sensitive topics requiring careful handling

Methods

Revealing confusion through behaviour as well as self-report

Because adolescents rarely articulate confusion, direct observation was combined with self-report to capture both behaviour and experience.

Collaborative requirements gathering

Defined scope, users, and outputs with the school board before design began.

Contextual observation

Watched students use the platform in school. Real behaviour revealed what self-report missed.

Informal probing

Asked in the moment if anything was unclear — kept conversational to avoid adding pressure.

Post-session interviews

Followed up after testing to understand hesitation that observation couldn't explain.

Iterative usability testing

Self-tested before involving students, refining the design between every round.

Synthesis

From raw observation to patterns

After each round, notes were analysed independently — grouping themes, surfacing patterns, identifying variation across age groups. Analysis happened between every round, not just at the end.

Organised field notes by session

Structured by participant and task to spot shared moments of confusion.

Identified repeated patterns

Issues across multiple participants were prioritised for redesign.

Noted unique differences

Age-group variation shaped the decision to build two survey versions.

Fed findings into the next iteration

Each round produced a short list of changes to test next.

Key Insights

Four patterns emerged consistently across participants and age groups — each one directly shaped a design decision.

Language ≠ Understanding

Some phrases that appeared clear were interpreted differently by adolescents, leading to inconsistent responses.

Input Method Shapes Response Quality

Typing and spelling difficulties—especially in Chinese input—introduced friction and reduced response reliability.

Comprehension Varies Across Age Groups

Differences in cognitive and linguistic development (ages 12–18) meant that a single survey design could not work equally well for all users.

Behaviour Reveals Hidden Issues

Users rarely reported confusion directly, but hesitation, re-reading, and response patterns revealed where understanding broke down.

Design Decisions

Every change came from observed behaviour, not assumption.

Each entry below names the behaviour that prompted the change.

Adapted for Different Age Groups

Before

Single survey for all

One version assumed similar comprehension across ages 12–18.

After

Two age-specific versions

Same constructs, adjusted wording and complexity per age group.

Simplified Language

Before

Abstract phrasing

Wording that appeared clear was interpreted inconsistently.

After

Age-appropriate wording

Rewrote unclear phrasing to match how students actually understood the questions.

Reduced Input Friction

Before

Open-text responses

Younger users struggled with typing and spelling in Chinese input.

After

Selectable options

Replaced open text with selectable answers — mouse only, no typing.

Response Format Selection

Before

Format chosen without evidence

Multiple choice, open text, and sliders considered with no basis for choosing.

After

Multiple choice adopted

Open text caused spelling friction; sliders were difficult on small screens.

Forced Completion

Before

Questions could be skipped

Incomplete responses made screening data unreliable.

After

Validated before submission

Platform blocked submission and returned students to any missed question automatically.

Reduced Bias

Risk

Patterned responses

Question order and structure considered as bias sources from the start.

Change

Structure and randomisation

Order and structure randomised where appropriate to reduce patterned responses.

Reflection

What I would do differently

  • I would debrief with teachers after each round — they had a vantage point I didn't.

  • I would also document synthesis more formally, so reasoning could be shared with stakeholders throughout.