Mobile Health Solutions for Behavioral Skill Implementation through Homework

通过家庭作业实施行为技能的移动健康解决方案

基本信息

批准号：
8701410
负责人：
Anil Chacko
金额：
$ 34.44万
依托单位：
NEW YORK UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-08-01 至 2016-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8701410
关键词：
Acceleration Acute Adherence Adult Affect Attenuated Behavioral Caregivers Caring Child Client Clinic Cognitive Communication Communities Community Developments Data Development Disease Disruptive Behavior Disorder Effectiveness Elements Evidence based treatment Exercise Family Goals Grant Health Health Technology Home environment Internet Investigation Knowledge Learning Link Maintenance Mental Health Mental disorders Methods Modeling National Institute of Mental Health Outcome Outpatients Parenting behavior Parents Phase Population Positioning Attribute Process Provider Public Health Relative (related person)Research Resources Self Determination Services Solutions Symptoms System Therapeutic Voice Youth behavioral health clinical application clinical practice cost design group intervention health application improved improved functioning mHealth novel public health relevance response satisfaction skill acquisition skills social software development theories therapy development tool treatment effect

项目摘要

DESCRIPTION (provided by applicant): The goal of this two-year R34 treatment development grant is to develop a mobile health (mHealth) application that will both advance theory in and clinical practice of homework (HW) implementation. HW can be described as between-session exercises where the client practices specific skills learned within-session in order to promote skill acquisition, which ultimately leads to improved acute- as well as longer-term therapeutic benefits on targeted outcomes, generalization of treatment effects and maintenance of treatment gains. Despite data demonstrating that HW is critical to achieving maximal benefits from evidence-based treatments, very little theory-driven approaches have been conducted focusing on improving the HW process. Through utilizing self- determination theory as a guiding framework and integrating principles from the field of "gamification" and goal-setting, the aim is to develop a two-component mHealth HW application (My MFG). The first component focuses on delivering HW via a highly engaging, multiplayer, interactive, cooperative, and skill-building game platform aimed at improving the "Design" and "Do" process of HW. The second component focuses on targeting factors putatively related to poor HW implementation within the "Do" process. The process of the development of My MFG will be guided by the clinic and community development model and iterative software development process to maximize the feasibility and sustainability of My MFG within practice settings often characterized by limited resources. Findings from this study have broad implications for evidence-based treatments for youth and adult mental health disorders that emphasize HW as the link between treatment and improvements in targeted outcomes.

描述（由申请人提供）：这项为期两年的 R34 治疗开发补助金的目标是开发移动健康 (mHealth) 应用程序，该应用程序将推进家庭作业 (HW) 实施的理论和临床实践。 HW 可以被描述为会话之间的练习，其中客户练习在会话中学到的特定技能，以促进技能获取，最终导致改善目标结果的急性和长期治疗效益、治疗效果的泛化和维持治疗效果。尽管数据表明 HW 对于从循证治疗中获得最大益处至关重要，但很少有理论驱动的方法专注于改进 HW 过程。通过利用自我决定理论作为指导框架，并整合“游戏化”和目标设定领域的原则，目标是开发一个由两部分组成的移动医疗硬件应用程序（My MFG）。第一个部分侧重于通过高度参与、多人、互动、合作和技能培养的游戏平台交付硬件，旨在改进硬件的“设计”和“实施”过程。第二个组成部分重点关注“Do”流程中假定与不良硬件实施相关的目标因素。 My MFG 的开发过程将以诊所和社区开发模型以及迭代软件开发流程为指导，以在资源通常有限的实践环境中最大限度地提高 My MFG 的可行性和可持续性。这项研究的结果对青少年和成人心理健康障碍的循证治疗具有广泛的影响，这些治疗强调健康护理是治疗和改善目标结果之间的联系。