SOVA (Supporting Our Valued Adolescents) Peer Ambassador Program Pilot Study, Enhancing Resiliency in Low-Resource Youth

SOVA（支持我们有价值的青少年）同伴大使计划试点研究，增强资源匮乏青少年的复原力

• 批准号: 10370796
• 负责人: Ana Radovic-Stakic
• 金额: $ 19.4万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-01-19 至 2023-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10370796
• 关键词: Address; Adherence; Administrator; Adolescent; Adolescent and Young Adult; Advocate; Anxiety; Area; Caring; Clinical; Communities; Competence; Data; Development; Diagnosis; Disadvantaged; Effectiveness; Evaluation; Exposure to; Family; Goals; Health Resources; Health system; Hospital Costs; Influentials; Intervention; Intervention Trial; Interview; Lead; Learning; Low income; Measurement; Mental Depression; Mental Health; Mental disorders; Methods; Minority; Modeling; Outcome; Parents; Participant; Performance; Persons; Pilot Projects; Process; Provider; Public Health; Published Comment; Randomized; Randomized Controlled Trials; Regulation; Research; Research Personnel; Resistance; Resource-limited setting; Resources; Safety; Sampling; Site; Stress; Suicide; Suicide attempt; Symptoms; Techniques; Testing; Training; Trauma; Trust; Work; Writing; Youth; acceptability and feasibility; anxiety symptoms; arm; attentional control; barrier to care; base; career preparation; child depression; community setting; coping; depressive symptoms; design; digital; effectiveness implementation study; effectiveness trial; ethnic minority; evidence base; experience; health belief; health literacy; high risk; implementation design; implementation determinants; implementation evaluation; implementation strategy; improved; interest; minority children; online intervention; overtreatment; peer; programs; psychologic; racial and ethnic; racial minority; recruit; resilience; self esteem; skills; social stigma; suicide rate; university student; uptake; usability; web site

A. Abstract Adolescent depression and anxiety are under-treated public health problems in the US with serious clinical and societal consequences. Adolescents in low resource settings, including many representing racial/ethnic minori- ties, suffer an unequal burden of mental illness yet receive less treatment, and are harder to reach. These soci- oeconomically disadvantaged youth need access to engaging interventions which change the trajectory of de- pression and anxiety symptoms. Incorporation of such interventions into existing community-based settings may enhance scalability and reach. The SOVA (Supporting Our Valued Adolescents) Peer Ambassador pro- gram engages youth experiencing symptoms of depression or anxiety and willing to regularly contribute (monthly) blog posts and comment (weekly) on others’ posts to share their experiences with mental health. SOVA is a moderated website developed by our research team for adolescents and young adults designed to (1) increase mental health literacy; (2) address negative health beliefs toward depression, anxiety diagnosis and treatment; and (3) grow an anonymous online support community with the overall goal of increasing treat- ment engagement. The Ambassador program is based on Resilience Portfolio Model, a framework describing strengths-based assets of resilience: self and interpersonal regulation, and making meaning from difficult expe- riences. Changes in these factors may improve coping and positive functioning and lead to a decrease in symptoms of depression or anxiety. A one-arm pilot study recruiting a clinical sample found after 3 months, SOVA Ambassadors experienced an increase in self-esteem, competence, and confidence. To understand whether youth with less resources, especially racial minority youth, may experience similar benefits, we at- tempted to disseminate the program to youth involved in a summer work readiness program by partnering with a community agency. Although the agency and youth showed interest, the program was not fully implemented. Further work is needed to develop a community-informed implementation strategy with community partners. In this R21, we propose to apply the technique of Implementation Mapping and a youth stakeholder–driven ap- proach to continue to tailor SOVA so it is culturally responsive and approachable to racial/ethnic minority and low-income youth and develop an implementation strategy (Aim 1) to incorporate the SOVA Peer Ambassador Program in community work readiness program settings. We will conduct a pilot randomized controlled trial (RCT) of the SOVA Peer Ambassador Program vs. online journalistic writing (attention control) to understand intervention feasibility and acceptability and evaluate the implementation strategy developed in Aim 1 (Aim 2). These results will inform design of an adequately powered Type 1 hybrid implementation-effectiveness trial to test whether SOVA intervention and accompanying SOVA Peer Ambassador Program can increase treatment uptake in minority, low-resource youth with depression or anxiety in community settings, as well as gather in- formation on its delivery and potential for implementation using a well-informed implementation strategy.

A.摘要 青少年抑郁症和动画在美国的临床严重和 社会后果。低资源环境中的青少年，包括许多代表种族/族裔次要的人 - 纽带，精神疾病的不平等燃烧，但受到较少的治疗，难以实现。这些社会 经济经济上受到干扰的青年需要获得参与干预措施，这改变了疾病的轨迹 将这种干预措施纳入现有的基于社区的设置 可能会提高可扩展性和触及范围。 Sova（支持我们有价值的青少年）同伴大使 革兰氏与年轻人一起经历抑郁症或焦虑症状，并愿意定期贡献 （每月）博客文章和评论（每周）对他人的帖子，以分享他们在心理健康方面的经验。 Sova是由我们的研究团队针对青少年和年轻人开发的现代化网站 （1）提高心理健康素养； （2）解决对抑郁症，焦虑诊断的负面健康信念 和治疗； （3）发展一个匿名在线支持社区，其总体目标是增加治疗 - 参与。大使计划基于弹性投资组合模型，一个描述的框架 基于优势的弹性资产：自我和人际调节，并从困难的经验中发挥意义 节奏。这些因素的变化可能会改善应对和积极的功能，并导致减少 抑郁或焦虑的症状。一项单臂试点研究招募了3个月后发现的临床样本， Sova大使经历了自尊，能力和信心的提高。理解 我们的资源较少，尤其是少数族裔青年的青年是否可能会遇到类似的收益，我们 试图通过与之合作，将该计划传播给参与夏季工作准备计划的年轻人 社区机构。尽管该机构和青年表现出兴趣，但该计划尚未完全实施。 需要进一步的工作来与社区合作伙伴制定社区信息的实施策略。在 这是R21，我们建议应用实施映射技术和青年利益相关者驱动的AP- 促进继续量身定制Sova，因此对种族/族裔少数民族的反应迅速，并且很容易 低收入青年并制定实施策略（AIM 1），以合并Sova Peer大使 社区工作准备计划设置中的计划。我们将进行一项飞行员随机对照试验 Sova Peer大使计划与在线新闻写作（注意控制）的（RCT）以了解 干预可行性，可接受性和评估AIM 1中制定的实施策略（AIM 2）。 这些结果将为设计适当的1型混合实施效应试验的设计提供信息 测试SOVA干预和参与Sova Peer大使计划是否可以增加治疗 在社区环境中遭受抑郁或焦虑的少数民族，低资源青年的吸收，并收集 使用信息良好的实施策略形成其交付和实施潜力。