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Citation

BibTex format

@article{Servi:2026:10.2196/79496,
author = {Servi, A and Gardner-Bougaard, E and Mohamed, S and McDermott, A and Rodrigues, R and Aveyard, B and Van, Zalk N and Hampshire, A and Dewa, L and Di, Simplicio M},
doi = {10.2196/79496},
journal = {JMIR Form Res},
title = {Early Evaluation of IMAGINATOR 2.0 Intervention Targeting Self-Harm in Young People: Single-Arm Feasibility Trial.},
url = {http://dx.doi.org/10.2196/79496},
volume = {10},
year = {2026}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Self-harm (SH) affects around 20% of all young people in the United Kingdom. Treatment options for SH remain limited and those available are long and costly and may not suit all young people. There is an urgent need to develop new scalable interventions to address this gap. IMAGINATOR is a novel imagery-based intervention targeting SH initially developed for individuals aged 16 to 25 years. It is a blended digital intervention delivering functional imagery training via therapy sessions and a smartphone app. OBJECTIVE: This study aimed to pilot a new version of the app, IMAGINATOR 2.0, extended to adolescents from the age of 12 years and coproduced with a diverse group of young people with lived experience. Our aim was also to test the feasibility and acceptability of delivering IMAGINATOR 2.0 in secondary mental health services. METHODS: A total of 4 co-design workshops were conducted online with UK-based lived-experience co-designers aged 14-25 years to develop the IMAGINATOR 2.0 app. The intervention was then piloted with participants recruited from West London NHS Trust Tier 2 Child and Adolescent Mental Health Services and adult Mental Health Integrated Network Teams. Participants received 3 face-to-face functional imagery training sessions in which the app was introduced and 5 brief phone support sessions. Outcome assessments were conducted after completing therapy, approximately 3 months post baseline. Two focus groups gathered the therapists' perspectives on IMAGINATOR 2.0's acceptability and means of improvement. For quantitative data, descriptives are reported. Qualitative data were analyzed using a coproduced thematic analysis method with young people with lived experiences. RESULTS: Overall, 83 participants were referred, and 29 (gender: n=28 women, n=1 transgender; mean age 18.9, SD 3.74 years) were eligible and completed screening. Of the 27 participants who started, 59% (n=16) completed therapy per protocol, while only 15 (55.6%) completed
AU  - Servi,A
AU  - Gardner-Bougaard,E
AU  - Mohamed,S
AU  - McDermott,A
AU  - Rodrigues,R
AU  - Aveyard,B
AU  - Van,Zalk N
AU  - Hampshire,A
AU  - Dewa,L
AU  - Di,Simplicio M
DO  - 10.2196/79496
PY  - 2026///
TI  - Early Evaluation of IMAGINATOR 2.0 Intervention Targeting Self-Harm in Young People: Single-Arm Feasibility Trial.
T2  - JMIR Form Res
UR  - http://dx.doi.org/10.2196/79496
UR  - https://www.ncbi.nlm.nih.gov/pubmed/41587082
VL  - 10
ER  -
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