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Human-centred approach essential in digital transformation of strained NHS mental health provision, say researchers

Adopting a human-centred approach pioneered in computer science and engineering can support the expansion of mental health provision in the UK, according to new research published in the journal JMIR Human Factors.

Researchers from the Wellbeing Research Centre at the University of Oxford, the NIHR Applied Research Collaboration East of England at the University of Cambridge, University of East Anglia, and the University of Hertfordshire, reviewed existing evidence of human-centred design and digital transformation in the context of the NHS’s strained mental health provision.

The UK is not alone in facing growing demands for assessment, diagnosis, and treatment of mental health conditions. Increased waiting lists and prolonged referral times suggest funding and infrastructure are struggling to keep up with demand.

Digital transformation of the NHS and other linked services (both public and private sector) has long been touted as a solution to many of these problems.

The concept of human-centred design originated in the fields of computer science, engineering and ergonomics and is defined in this context by the authors as:

“a practical, iterative approach to the design, development and reform of mental health systems, services and products that is achieved through communication, interaction and empathy with users’ needs, desires and experiences”

Adopting such principles is designed to guide value and wellbeing creation in the delivery of products, systems, and services.

Using a human-centred approach in the design of new and existing digital mental health services could, according to the authors, enable greater responsiveness to patient needs and therefore improve patient outcomes.

The authors also highlight four specific UK policy recommendations:

  • Replace the digital transformation directorate currently within NHS England with an independent, cross-departmental digital transformation commission;
  • Further development of standardised processes and impact evaluation methods;
  • Creation of new national-level standards to better connect NHS mental health services with other government departments;
  • And explore the possibility of expanding human-centred design principles in further policy settings at both local and national levels.

Dr William Fleming, a Research Fellow at the Wellbeing Research Centre at the University of Oxford, and corresponding author of the new paper, said: “The digital transformation of our health services is already happening in a race to meet demand. But we can’t just assume the right answer is digital. We need any change to include the individuals who rely on these services as well as those who work to provide them.”

Diane Pochard, a co-author on the paper and, at the time of writing, a digital transformation lead within the Department for Health and Social Care, added: “Years of stretched capacity, rising demand, constant reorganisations, chronic underfunding and funding volatility have left our healthcare system in perpetual recovery mode with users’ needs lost in translation.

“As we are rushing to implement AI across frontline services we must apply the lessons learned from past digital transformation efforts – particularly the critical importance of user-centeredness. We cannot tech our way out of our dysfunctional system. The solution isn’t more technology, but a system where we consistently prioritise user value and where technology is an enabler.”

‘Human-Centered Design and Digital Transformation of Mental Health Services’ is published in the journal JMIR Human Factors.

Comparability in wellbeing scales

Prof Chris Barrington-Leigh (McGill) shared findings from a comparison of multiple international wellbeing scales at the latest of the Wellbeing Research Centre’s Seminar Series.

His research examines the comparability of various global datasets as well as the issue of focal values in subjective responses.

Watch the full presentation on the Centre’s YouTube channel.

Oxford MBA students explore the science behind wellbeing in a pioneering new elective

The impact of employee volunteering

Dr Florencio Portocarrero (LSE) presented findings from a field experiment on employee volunteering at the latest of the Wellbeing Research Centre’s Seminar Series.

He examined the knock-on effects of an employee volunteering intervention on both levels of wellbeing as well as other indicators of company performance, including levels of employee engagement and retention.

Watch the full presentation on the Centre’s YouTube channel.

Wellbeing in small-scale societies

Prof Victoria Reyes García (Catalan Institution for Research and Advanced Studies) shared findings on subjective wellbeing among small-scale societies at the latest of the Wellbeing Research Centre’s Seminar Series.

Her work examines the levels of, and factors to support, life satisfaction and other measures of subjective wellbeing among indigenous peoples and local communities across 19 globally distributed sites.

Watch the full presentation on the Centre’s YouTube channel.

Improving subjective scales

Prof Daniel J. Benjamin (UCLA) shared findings on techniques to improve subjective scales at the latest of the Wellbeing Research Centre’s Seminar Series.

His work, presented under the title ‘Adjusting for Scale-Use Heterogeneity on Subjective Scales’, tests multiple techniques on fine-tuning the validity and reliability of subjective scales, such as those used to measure wellbeing.

Watch the full presentation on the Centre’s YouTube channel.

Wellbeing Research Centre welcomes leading sustainable wellbeing scholars

In partnership with Reapra, the Wellbeing Research Centre at the University of Oxford has welcomed a pair of world-class researchers to spearhead its emerging research stream in sustainable wellbeing.

Paul Behrens (Reapra Senior Research Fellow) and Annegeke Jansen (Reapra Research Associate) join the Centre’s team of interdisciplinary researchers to examine long-term questions around human wellbeing and environmental sustainability.

Their appointments are supported by Asia-based venture builder and investment group Reapra, whose mission is to co-create industries for the betterment of society through research and practice.

Paul Behrens is the British Academy Global Professor at the Oxford Martin School, whose research focuses on the environmental and social impacts of large-scale food system transformation. He is also the author of the popular science book, The Best of Times, The Worst of Times: Futures from the Frontiers of Climate Science (Indigo Press, 2021) and winner of the inaugural Frontiers Planet Prize.

Annegeke Jansen is currently a PhD candidate at Leiden University, focusing on the measurement of sustainable and inclusive wellbeing as part of the WISE Horizons project. In addition, she investigates determinants and historical developments related to wellbeing.

The pair have previously collaborated on major contributions to the Beyond GDP movement, published in The Lancet Planetary Health and Nature Scientific Data.

“It is critical to turn our attention to the notion of sustainable wellbeing.”

Paul Behrens, Reapra Senior Research Fellow, said: “I’m delighted to be collaborating at the critical intersection of human wellbeing and environmental sustainability. It is essential that we work towards improving wellbeing while both reducing our environmental impacts and dealing with environmental damage. Interdisciplinary collaboration with the Centre’s diverse, world-leading team is incredibly exciting.”

Annegeke Jansen, Reapra Research Associate, said: “I’m excited to join the Wellbeing Research Centre to explore the deep connections between human wellbeing and environmental sustainability. In a world facing ecological breakdown and growing inequalities, it’s crucial to rethink what truly supports flourishing lives—now and in the future. I look forward to working with the Centre’s interdisciplinary team and learning from their renowned expertise in wellbeing research.”

Jan-Emmanuel De Neve, Professor of Economics and Behavioural Science at Saïd Business School, Oxford, and Director of the Wellbeing Research Centre, said: “With the appointment of Paul and Annegeke we gain the expertise of two leading scholars who are building bridges between the academic fields focussed on sustainability and subjective wellbeing. If our aim is to advance the wellbeing of current and future generations then it is critical to turn our attention to the notion of sustainable wellbeing.

“We are tremendously grateful to our like-minded colleagues at Reapra who have made these fellowships possible and we look forward to our partnership generating tangible insights that will hopefully underpin policy action in due course.”

Laura Lynn Lee, Growth & Wellbeing Catalyst at Reapra, said: “This is indeed an exciting time for Reapra as we welcome Paul and Annegeke to our research and practice community. We look forward to learning together with them and Jan’s team at the Wellbeing Research Centre as we co-create Reapra’s vision of long-term wellbeing for the next generation.”

Why Workplace Wellbeing Matters published by HBR Press

World Happiness Report 2025: People are much kinder than we expect, research shows

Belief in the kindness of others is much more closely tied to happiness than previously thought, according to findings published today (20 March) in World Happiness Report 2025.

Global evidence on the perceived and actual return of lost wallets shows that people are much too pessimistic about the kindness of their communities compared to reality. Actual rates of wallet return are around twice as high as people expect.

Believing that others are willing to return your lost wallet is also shown to be a strong predictor of population happiness: Nordic nations once again top the ranking of the world’s happiest countries, but they also rank among the top places for expected and actual return of lost wallets.

The findings are published today to mark the UN’s International Day of Happiness. They are powered by Gallup World Poll data and other sources, including the Lloyd’s Register Foundation World Risk Poll, and analysed by leading experts in wellbeing science.

Further results published in this 13th edition of the World Happiness Report, focused on the theme of “caring and sharing”, include:

  • Sharing meals with others is strongly linked with wellbeing across all global regions, but the number of people dining alone in the United States has increased 53% over the past two decades.
  • Household size is closely linked to happiness. Four to five people living together enjoy the highest levels of happiness in Mexico and Europe, but many people in Europe are living on their own.
  • In 2023, 19% of young adults across the world reported having no one they could count on for social support. This is a 39% increase compared to 2006.
  • Deaths of despair are less frequent in countries where benevolent acts are more frequent.
  • Declining happiness and social trust in the US and parts of Europe combine to explain the rise and direction of political polarisation and anti-system votes.
  • The cost-effectiveness of charities varies dramatically. Some charities are hundreds of times better at increasing happiness per dollar than others.

World Happiness Report 2025 also contains a ranking of the world’s happiest countries. Finland leads the world in happiness for the eighth year in a row, with Finns reporting an average score of 7.736 (out of 10) when asked to evaluate their lives.

Costa Rica (6th) and Mexico (10th) both enter the top 10 for the first time, while continued upward trends for countries such as Lithuania (16th), Slovenia (19th) and Czechia (20th) underline the convergence of happiness levels between Eastern, Central and Western Europe.

The United States (24th) falls to its lowest-ever position, with the United Kingdom (23rd) reporting its lowest average life evaluation since the 2017 report.

Country rankings are based on a three-year average of each population’s average assessment of their quality of life. Interdisciplinary experts from economics, psychology, sociology and beyond then seek to explain the variations across countries and over time using factors such as GDP per capita, healthy life expectancy, having someone to count on, a sense of freedom, generosity and perceptions of corruption.

These factors help to explain the differences across nations, while the rankings themselves are based solely on the answers people give when asked to rate their own lives.

Lara B. Aknin, professor of social psychology at Simon Fraser University, and an editor of the World Happiness Report, said: “Human happiness is driven by our relationships with others. Investing in positive social connections and engaging in benevolent actions are both matched by greater happiness.”

John F. Helliwell, an economist at the University of British Columbia, a founding editor of the World Happiness Report, and a long-time lost wallet researcher, said: “The wallet data are so convincing because they confirm that people are much happier living where they think people care about each other. The wallet dropping experiments confirm the reality of these perceptions, even if they are everywhere too pessimistic.”

Jon Clifton, CEO of Gallup, said: “Happiness isn’t just about wealth or growth — it’s about trust, connection and knowing people have your back. This year’s report proves we underestimate how kind the world really is. If we want stronger communities and economies, we must invest in what truly matters: each other.”

Jan-Emmanuel De Neve, director of Oxford’s Wellbeing Research Centre, professor of economics at the University of Oxford, and an editor of the World Happiness Report, said: “This year’s report pushes us to look beyond traditional determinants like health and wealth. It turns out that sharing meals and trusting others are even stronger predictors of wellbeing than expected. In this era of social isolation and political polarisation we need to find ways to bring people around the table again — doing so is critical for our individual and collective wellbeing.”

Jeffrey D. Sachs, President of the UN Sustainable Development Solutions Network, Director of the Center for Sustainable Development at Columbia University and a founding editor of the World Happiness Report, said: “The findings in this year’s World Happiness Report reconfirm a fundamental truth: happiness is rooted in trust, kindness, and social connection. It is up to us as virtuous individuals and citizens to translate this vital truth into positive action, thereby fostering peace, civility, and wellbeing in communities worldwide.”

The World Happiness Report is published by the Wellbeing Research Centre at the University of Oxford, in partnership with Gallup, the UN Sustainable Development Solutions Network and an independent editorial board.

The editorial board consists of John F. Helliwell (University of British Columbia), Richard Layard (London School of Economics and Political Science), Jeffrey D. Sachs (Columbia University), Jan-Emmanuel De Neve (University of Oxford), Lara B. Aknin (Simon Fraser University), and Shun Wang (Xi’an Jiaotong-Liverpool University).

Read the report in full at worldhappiness.report.

Researchers share initial findings from landmark happiness study

  • In its next phase, the Health and Happiness Study aims to collect wellbeing data from over 10,000 global participants using surveys, smartphones, and wearable devices.

Researchers at Harvard and Oxford universities today (Saturday) announced early results from the Health and Happiness Study – the first large-scale study of its kind, which seeks to identify predictors of happiness and wellbeing using data from smartphones and Garmin smartwatches.

The pilot study, primarily comprised of Garmin associates in North America and Europe, revealed several statistically significant findings. And while initial results need to be corroborated through the larger global study, they illustrated an important relationship between sleep, exercise and happiness.

Key findings include:

  • Participants consistently report more frequent positive emotions than negative emotions, suggesting that people generally do feel more happy than unhappy on a day-to-day basis.
  • Ideal times of day for happiness and wellbeing varied considerably across subjects, with some individuals showing greater signs of emotional wellbeing in the mornings, and others in the afternoon or evenings.
  • Daily physical activity and adequate sleep measured by Garmin devices were strongly correlated with higher levels of happiness and lower levels of stress.
  • Emotional stability varied by age, with older adults showing more stability than younger adults.
  • The study demonstrated high retention rates, suggesting participants found value in self-monitoring emotions during the day.
  • Respondents were happiest when involved in cultural and social activities, eating, or spending time with friends and family.

After receiving ethical approval from the Institutional Review Board (IRB), the pilot study was launched by Harvard Kennedy School of Government and Harvard T.H. Chan School of Public Health researchers – in collaboration with the Wellbeing Research Centre at the University of Oxford, the University of Warwick, the University of Saskatchewan, Avicenna and Garmin – at the Lugano Happiness Forum in Switzerland on June 18, 2024.

Now, after successfully completing two initial pilot studies, the Health and Happiness Study is expanding to include more than 10,000 participants from across the globe.

Micah Kaats, the Principal Investigator for the study and affiliated with both Harvard and Oxford universities, said: “By leveraging large-scale data from smartphones, smartwatches, and surveys collected from a global sample population, we aim to uncover new insights into the drivers and determinants of health and happiness for people around the world.”

Surveys are sent to respondents’ smartphones three times per day, asking them about their moods, emotions, and activities directly preceding the survey. Those reports are then cross-referenced with data from Garmin wearables and smartphones to provide a nuanced, qualitative and quantitative representation of how wellbeing impacted by variables like physical activity, sleep, socialization and stress.

Susan Lyman, Garmin Vice President of Consumer Sales and Marketing, added: “As a collaborator on more than 1,000 research studies and clinical trials, the Garmin Health team is honored to work with academic researchers at Harvard and Oxford University on this groundbreaking study to better understand the intersection of happiness and health.”

The Health and Happiness Study is currently accepting applicants to participate in the global study. Participants can learn more and sign up on the study website: www.healthandhappinessstudy.com.

While preferable, participants do not need a Garmin smartwatch to join the study. All participants who join will be eligible to receive free Garmin products and discounts, as well as individualised wellbeing reports that provide detailed insights into their own personal health and happiness.