Shared Research Project

共享研究项目

• 批准号: 8736002
• 负责人: Vikram H Patel
• 金额: $ 5.22万
• 依托单位: LONDON SCH/HYGIENE & TROPICAL MEDICINE
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8736002
• 关键词: Advocacy; Algorithms; Area; Car Phone; Clinical; Collaborations; Community Health; Computer software; Consultations; DSM-IV; Data; Data Aggregation; Data Security; Detection; Development; Diagnosis; Diagnostic; Disease; Education; Ensure; Evaluation; Evidence based treatment; Future; Goals; Guidelines; Health; Health Technology; Healthcare; Individual; Instruction; International; Intervention; Link; Mental Depression; Mental Health; Monitor; Neurologic; Outcome; Patients; Persons; Phase; Preparation; Primary Care Physician; Primary Health Care; Process; Psyche structure; Randomized Controlled Trials; Reporting; Research; Research Project Grants; Resources; Services; Site; Solutions; South Asian; Specialist; Substance abuse problem; Supervision; Technology; Telephone; Testing; Text; Time; Update; Work; base; clinical decision-making; cost; cost effective; design; evidence base; flexibility; follow-up; high risk; improved; innovation; mHealth; programs; quality assurance; scale up; screening; tool; treatment adherence; usability

PROJECT SUMMARY (See instructions): The aim of the shared research project is to develop an innovative and effective mobile phone based application to aid non-specialist health workers in the detection and management of depression (Mobile Health for non-specialists health WorKers - MOHAWK) with the ultimate goal of reducing the treatment gap for depression by improving the fidelity with which mhGAP guidelines are delivered. The specific objectives of the shared research component are: 1. To carry out the technical development of MOHAWK in collaboration with our technology partners. 2. To evaluate the acceptability and feasibility of MOHAWK and to provide preliminary evidence of its impact in settings in each of the Hubs. 3. To refine and finalise the MOHAWK application based on these lessons in preparation for future formal evaluation in an RCT and scaling up. MOHAWK is built on scalable, cost-effective mobile health technology which can be used in any resource poor area, has a rapidly increasing coverage in LMIC, has growing applicability and acceptability in health care applications, and can be extended to several other MNS disorders. It is designed to be used by any cadre of non-specialist health worker from primary care physicians and CHWs to lay health workers. It has the potential to make a major contribution to reducing the treatment gap and improving outcomes for people suffering from depression by enabling task-shifting to improve the screening and diagnosis, initiation of evidence based treatments derived from mhGAP, and follow-up of patients with depression to achieve optimal clinical outcomes. MOHAWK will achieve its objectives through a three year collaborative programme of work in three sites (one from each Hub) in two phases: (1) the development of MOHAWK core capabilities and formative research to ensure effective implementation of MOHAWK to each of the three Hub sites; and (2) the evaluation of MOHAWK in exploratory trials in these three sites including process evaluation and formative research to inform the scale up of MOHAWK.

项目摘要（参见说明）： 该共享研究项目的目的是开发一种创新且有效的基于移动电话的应用程序，以帮助非专业卫生工作者检测和管理抑郁症（非专业卫生工作者的移动健康 - MOHAWK），最终目标是减少治疗差距 通过提高 mhGAP 指南的保真度来治疗抑郁症。共享研究部分的具体目标是： 1. 与我们的技术合作伙伴合作进行MOHAWK的技术开发。 2. 评估 MOHAWK 的可接受性和可行性，并提供其对每个中心环境影响的初步证据。 3. 根据这些经验教训完善和最终确定 MOHAWK 应用程序，为未来 RCT 的正式评估和扩大规模做好准备。 MOHAWK 基于可扩展、经济高效的移动医疗技术，可用于任何资源匮乏地区，在中低收入国家的覆盖范围迅速扩大，在医疗保健应用中的适用性和可接受性不断增强，并且可以扩展到其他几种 MNS 疾病。它旨在供从初级保健医生和社区卫生工作者到非专业卫生工作者的任何非专业卫生工作者骨干使用。它有可能通过任务转移来改善筛查和诊断、启动源自 mhGAP 的循证治疗以及对抑郁症患者进行随访，从而为缩小治疗差距和改善抑郁症患者的治疗结果做出重大贡献。抑郁症要达到 最佳临床结果。 MOHAWK 将通过三个地点（每个中心各一个）的三年合作工作计划分两个阶段实现其目标：(1) 开发 MOHAWK 核心能力和形成性研究，以确保 MOHAWK 在三个中心中的每一个中心有效实施网站； (2) MOHAWK 在这三个地点的探索性试验中的评估，包括过程 评估和形成性研究，为 MOHAWK 的规模扩大提供信息。