Crowdsourcing Mental Health with a Web-based peer-delivered intervention

通过基于网络的同行交付干预来众包心理健康

• 批准号: 8717088
• 负责人: Samantha L. Bernecker
• 金额: $ 2.74万
• 依托单位: UNIVERSITY OF MASSACHUSETTS AMHERST
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-01 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8717088
• 关键词: Address; Adjustment Disorders; Adult; Award; BLase; Caring; Consent; Consultations; Counseling; Couples; Data; Data Collection; Development; Disease; Distress; E-learning; Educational process of instructing; Effectiveness; Family; Feedback; Fellowship; Foundations; Fright; General Population; Goals; Health; Health Services Accessibility; Healthcare Systems; Human; Individual; Intervention; Literature; Marketing; Mental Health; Mental disorders; Monitor; National Institute of Mental Health; Online Systems; Outcome; Participant; Performance; Personal Satisfaction; Persons; Population; Prevention; Process; Provider; Psychopathology; Psychotherapy; Public Health; Relapse; Research; Research Personnel; Role; Scientist; Self Assessment; Self Perception; Social support; Strategic Planning; Symptoms; Syndrome; Technology; Testing; Text; Training; Training Programs; Translating; Transportation; Travel; Visit; Work; burden of illness; caregiving; cost; cost effective; design; efficacy testing; emotion regulation; experience; innovation; interest; meetings; member; mindfulness; novel; peer; physical conditioning; pilot trial; prevent; programs; prototype; psychologic; public health relevance; self reliance; skills; social skills; social stigma; theories; web-based social networking

PROJECT SUMMARY/ABSTRACT About 25% of the U. S. population concurrently suffers from a mental illness, yet the majority do not receive treatment. Some people lack access to treatment because of structural barriers, e.g., cost, provider shortages, or transportation limitations. Others do not seek treatment because of attitudinal barriers, e.g., desire for self- reliance or fear of stigma. Novel options for prevention and treatment are needed to address these barriers. Accordingly, Objective 3 of the NIMH Strategic Plan is to "Develop New and Better Interventions that Incorporate the Diverse Needs and Circumstances of People with Mental Illnesses." This application proposes to develop an intervention, "Crowdsourcing Mental Health" (CMH), that responds to this objective. CMH is designed to overcome several treatment barriers in order to (1) treat mild to moderate mental illness, (2) prevent onset and relapse, and (3) increase general psychological well-being. In CMH, peers suffering from mental illness (or those who wish to maintain mental health or increase well-being) will complete an online training in providing an empirically informed intervention. Subsequently, the two peers will deliver the intervention to each other. This technology-supported and peer-delivered approach eliminates barriers of cost, travel, and practitioner availability. CMH may also circumvent attitudinal barriers, allowing participants to feel self-reliant and avoid stigma. The proposed project has two aims: (1) prototype CMH's Web-based training, drawing on research on mental health-promoting processes, psychotherapy change mechanisms, and online education, and (2) test the training to determine its acceptability and efficacy in teaching the "care provider" role for the CMH program. (The present proposal does not test the full intervention, but instead aims to confirm whether online training can teach the identified caregiving skills. This step is needed prior to a full pilot trial because, if the training does not teach these skills, the intervention is unlikely to be effective. A pilot trial is planned after the conclusion of this award.) Aim 1 will apply the findings that mindfulness and social support are associated with mental health, perhaps through facilitating emotion regulation, which is disrupted in most mental illnesses. The training, then, will be designed to enhance skills of raising a partner's mindfulness and providing supportive statements and avoiding toxic ones. In Aim 2, adults with mild psychopathology will undergo the training. Before and after training, they will participate in mock CMH sessions with a researcher and their performance will be evaluated. They will also provide feedback on the training. This project lays the groundwork for testing the full CMH program's efficacy for various mental disorders and will train the applicant to become an independent scientist who investigates processes promoting mental health and translates findings into innovative treatments. CMH can have a positive impact by reducing the burden of mental illness, treating mild to moderate mental illness and preventing onset and relapse in people who are unable or unwilling to seek traditional treatment.

项目摘要/摘要 约25％的美国人口同时患有精神疾病，但大多数人没有接受 治疗。有些人由于结构性障碍，例如成本，提供者的短缺，无法获得治疗， 或运输限​​制。其他人由于态度障碍，例如对自我的渴望而没有寻求治疗 对污名的依赖或恐惧。需要新的预防和治疗选择来解决这些障碍。 因此，NIMH战略计划的目标3是“开发新的，更好的干预措施 结合了精神疾病的人的多种需求和情况。”该申请提出了 为了制定干预措施，即“众包心理健康”（CMH），对这一目标做出了响应。 CMH是 旨在克服几个治疗障碍，以治疗轻度至中度的精神疾病，（2） 防止发作和复发，以及（3）增加一般心理健康。在CMH中，同伴患有 精神疾病（或希望维持心理健康或增长幸福感的人）将完成在线 提供经验知情的干预方面的培训。随后，两个同行将交付 彼此干预。这种技术支持和同行的方法消除了成本障碍， 旅行和从业者的可用性。 CMH也可能规避态度障碍，使参与者能够感觉到 自力更生，避免污名。拟议的项目有两个目的：（1）原型CMH的基于网络的培训， 借鉴心理健康促进过程，心理治疗变化机制和在线的研究 教育，以及（2）测试培训以确定其在教授“护理提供者”的可接受性和功效 CMH计划的角色。 （目前的建议未测试全面干预，而是旨在确认 在线培训是否可以教授确定的护理技能。在进行全面试验之前需要此步骤 因为，如果培训没有教授这些技能，那么干预措施不太可能有效。试点审判是 奖项结束后计划。）AIM 1将应用正念和社会支持的发现 与心理健康有关，也许是通过促进情绪调节的，这在大多数 精神疾病。因此，培训将旨在提高提高伴侣正念和的技能 提供支持性陈述并避免有毒陈述。在AIM 2中，患有轻度心理病理学的成年人将 接受培训。培训前后，他们将与研究人员一起参加模拟CMH会议 他们的性能将得到评估。他们还将提供有关培训的反馈。这个项目放置了 测试完整CMH计划对各种精神障碍的功效的基础工作，并将培训申请人 成为一名独立科学家，调查促进心理健康的过程并翻译 发现创新治疗的结果。 CMH可以通过减轻精神疾病的负担来产生积极的影响， 治疗轻度至中度的精神疾病，防止无法或 不愿寻求传统治疗。