MentorHub: A Supportive Accountability Tool for MHapps

MentorHub：MHapp 的支持性问责工具

• 批准号: 10384062
• 负责人: Nancy McNamara
• 金额: $ 18.5万
• 依托单位: ACADEMIC WEB PAGES, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-08 至 2023-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10384062
• 关键词: Accountability; Address; Adherence; Adolescent; Adult; Affect; Americas; Anxiety; Behavior Therapy; Behavioral; Boston; Brothers; Businesses; COVID-19 pandemic effects; Caring; Child; Child Mental Health; Control Groups; Educational Curriculum; Effectiveness; Elderly; Emotional; Emotional disorder; Evidence based intervention; Friends; Human; Individual; Institution; Intervention; Link; Location; Massachusetts; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Mentors; Methods; Modeling; Monitor; New York; Outcome; Participant; Persons; Phase; Population Heterogeneity; Psyche structure; Randomized; Research; Risk; Schools; Scientist; Secondary Schools; Services; Side; Sister; Small Business Technology Transfer Research; Software Framework; Source; Technology; Testing; Therapeutic; United States; Universities; Work; Youth; application programming interface; base; behavioral health; commercialization; comparison intervention; design; distress tolerance; eHealth; emotion regulation; emotional functioning; evidence base; evidence based guidelines; experience; implementation fidelity; improved; innovation; interactive tool; interest; mental training; mobile application; novel; programs; psychologic; recruit; school district; skills; social; social skills; symptomatology; systematic review; tool; usability; volunteer; web page

Project Summary/Abstract (30 lines) In the United States, 15 million children and adolescents need psychological services; yet only one-third receive psychological services of any kind. Even fewer receive care that is consistent with evidence-based guidelines for best practices. This gap has widened dramatically with the negative effects of the COVID-19 pandemic on the mental health of children, combined with disruptions to school-based mental health services. Mental Health Apps (MHapps) show early promise to alleviate mild to moderate forms of emotional disorders like anxiety and depression, while improving broader domains of functioning, including academic engagement and social competence. These MHapps are designed to promote youth mental health by delivering targeted, skills-based curricula in an interactive and accessible format. Unfortunately, the potential for MHapps has thus far been limited by low engagement, improper use, and high rates of noncompletion. Caring adults can help boost youth engagement in MHapps through what behavioral scientists refer to as “supportive accountability”—that is, regular check-ins, monitoring, troubleshooting, and other interactions. Several studies have highlighted the positive associations between supportive accountability and user engagement, number of logins, use of interactive tools, and outcomes. In fact, they have shown that, with guidance, the effects of technology-delivered interventions are comparable to those obtained in face-to-face interventions. By contrast, self-guided programs have yielded relatively fewer benefits. Moreover, the studies have found no difference in outcomes when youth were supported by clinicians versus everyday caring adults. Based on evidence that effectiveness and adherence to eHealth interventions is enhanced by human support, we developed a software framework (MentorHub) that coordinates the deployment and monitors the use of evidence-based MHapps. We anticipate that MentorHub will be widely used in youth-serving organizations (e.g., youth mentoring programs) and school based settings (e.g., secondary and post-secondary schools). The proposed research in Phase I will further (Aim 1) refine the MentorHub Product to establish usability (UI/UX) and feasibility in a large, youth mentoring program; and (Aim 2) determine the impact of the Product on youth mental health outcomes (transdiagnostic indicators of risk for mental illness, internalizing and externalizing symptomatology, and broader indicators of youth functioning). The pilot RCT study will test the short-term efficacy of the product in a national youth mentoring organization (Big Brothers Big Sisters New York) and involve 300 participants (75 mentor-mentee pairs/dyads randomized to the test group and 75 mentor-mentee pairs/dyads randomized to the control group). By the end of Phase I, we will have a tested product ready for national testing across Big Brother Big Sisters locations and in new school-based settings. By the end of Phase II, we anticipate a fully functioning and evaluated product ready for commercialization.

项目摘要/摘要（30 行） 在美国，1500 万儿童和青少年需要心理服务，但只有三分之一获得了服务； 接受符合循证指南的护理的人就更少了。 随着 COVID-19 大流行的负面影响，这种差距急剧扩大。 儿童的心理健康，以及学校心理健康服务的中断。 应用程序 (MHapps) 早期有望缓解轻度至中度的情绪障碍，例如焦虑和 抑郁症，同时改善更广泛的功能领域，包括学术参与和社交 这些 MHapp 旨在通过提供有针对性的、基于技能的服务来促进青少年的心理健康。 不幸的是，迄今为止，MHapps 的潜力还很有限。 参与度低、使用不当和未完成率高。 有爱心的成年人可以通过行为科学家所说的“促进青少年参与 MHapp” “支持性责任”——即定期检查、监控、故障排除和其他互动。 多项研究强调了支持性问责制与用户之间的正相关关系 事实上，他们已经证明了这一点。 在指导下，技术提供的干预措施的效果与面对面干预所获得的效果相当 相比之下，自我指导计划产生的好处相对较少。 研究发现，当青少年得到指挥官的支持时，与日常照顾成年人相比，结果没有差异。 有证据表明，电子卫生干预措施的有效性和依从性可以通过人力支持得到增强， 我们开发了一个软件框架（MentorHub）来协调部署并监控使用 我们预计 MentorHub 将广泛应用于青少年服务组织（例如， 青少年辅导计划）和学校环境（例如中学和专上学校）。 第一阶段拟议的研究将进一步（目标 1）完善 MentorHub 产品以建立可用性（UI/UX） （目标 2）确定产品对青少年的影响 心理健康结果（精神疾病风险的跨诊断指标、内化和外化 症状学和更广泛的青少年功能指标）。试点随机对照试验研究将测试短期效果。 该产品在国家青少年辅导组织（纽约 Big Brothers Big Sisters）中的功效，并涉及 300 名参与者（75 名导师-受训者配对/二人组随机分配到测试组，75 名导师-受训者随机分配到测试组） 在第一阶段结束时，我们将准备好经过测试的产品。 在阶段结束时，在“老大哥大姐妹”地点和新的学校环境中进行全国测试。 II，我们期望一个功能齐全且经过评估的产品已准备好商业化。