Developing the Unified Protocol-Single Session Experience Platform for Adolescent Mental Health

开发青少年心理健康统一协议-单次会话体验平台

基本信息

批准号：
10324965
负责人：
MELISSA E. DEROSIER
金额：
$ 25.93万
依托单位：
3-C INSTITUTE FOR SOCIAL DEVELOPMENT
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-01 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10324965
关键词：
Address Adolescent Adult Age Americas Android Anxiety Awareness COVID-19 pandemic Childhood Clinical Collaborations Communities Computer software Country Development Devices Disease Dropout Drops Elements Emotional Emotional disorder Ensure Esthesia Evaluation Evidence based intervention Exercise Exposure to Family Feedback Financial Hardship Focus Groups Generations Goals Health Personnel Healthcare Healthcare Systems Institutes Intervention Letters Logistics Mental Depression Mental Health Mental Health Services Meta-Analysis Methodology Modeling Monitor Names Outcome Parents Phase Positioning Attribute Problem Solving Professional counselor Protocols documentation Psyche structure Psychopathology Psychotherapy Public Health Randomized Controlled Trials Recommendation Research Risk Sampling Schools Self Administration Self-Examination Seminal Services Small Business Innovation Research Grant Social Development Social isolation Surveys Symptoms Technology Testing Time United States Work Youth acceptability and feasibility anxiety symptoms barrier to care base behavioral health childhood anxiety commercial application common symptom comorbidity cost depressive symptoms design digital disability efficacy testing emotional distress emotional experience evidence base experience fall risk feasibility testing flexibility follow-up functional disability high risk improved innovation innovative technologies mindfulness peer peer support premature prototype psychiatric symptom psychologic psychosocial recruit social stigma software development software infrastructure tool usability user centered design virtual reality simulation web portal

项目摘要

Abstract Logistical and systemic barriers have long impeded access to mental health services for youth with emotional distress (e.g., depression and anxiety) resulting in a troubling gap where fewer than 50% of youth with an emotional disorder actually receive any mental health services, much less evidence-based intervention strategies. In the wake of the COVID-19 pandemic, youth are experiencing heightened emotional distress as faced with social isolation, familial financial strain, and fewer supports by peers and schools, making the need for scalable, accessible, and feasible mental health supports more urgent than ever. Single-Session Interventions (SSIs) have been shown to be an effective means for reducing youth psychopathology and to effectively lower cost, time, and stigma barriers to mental health treatment. Through this SBIR, we will apply the Unified Protocol (UP) transdiagnostic principles for emotional disorders in youths to create a suite of digital, self- paced, and evidence-based SSI modules for youth with a range of emotional disorders. Our end product will utilize cutting-edge software to offer youth a significantly enhanced experience compared to existing (research- focused) digital SSIs. No digital (self-administered) SSI product currently exists that offers the proposed unique combination of content and digital interactivity and personalization. This 12-month SBIR Phase I project will accomplish three specific aims: (1) develop a software prototype containing two fully-functioning SSI modules: “Awareness of Physical Sensations and Emotional Experience” and “Being Flexible in Your Problem-Solving”; (2) conduct usability and acceptability testing with youth who screen as having elevated emotional disorder symptoms; and (3) conduct feasibility testing with stakeholders who commonly oversee or support youth mental health (school- and community-based mental health providers, after-school counselors, pediatric healthcare providers, and parents). The proposed SBIR project will address the need for innovative cost- and time-efficient access to evidence-based mental health services for youth experiencing emotional distress. Phase I development will be guided by iterative user-centered design and testing. We expect Phase I to provide sufficient evidence of the feasibility and promise of our proposed product to support continued development and efficacy testing in Phase II. The overarching goal of this work is to support broad scale dissemination and use of digital SSI modules to reach as many youth as possible with evidence- based mental health supports.

抽象的后勤和系统性障碍长期以来一直阻碍着患有情绪问题的青少年获得心理健康服务。痛苦（例如抑郁和焦虑）导致令人不安的差距，只有不到 50% 的青少年患有抑郁症和焦虑症情绪障碍实际上接受任何心理健康服务，更不用说基于证据的干预在 COVID-19 大流行之后，年轻人正在经历腹痛。面临社会孤立、家庭经济压力以及同龄人和学校支持较少，使得需要可扩展、可获得且可行的心理健康支持比以往任何时候都更加紧迫。干预措施 (SSI) 已被证明是减少青少年精神病理学和通过此 SBIR，我们将有效降低心理健康治疗的成本、时间和耻辱障碍。针对青少年情绪障碍的统一协议 (UP) 跨诊断原则，旨在创建一套数字化、自我我们的最终产品将针对患有一系列情绪障碍的青少年提供有节奏的、基于证据的 SSI 模块。与现有软件（研究- 目前不存在提供所建议的独特的数字（自我管理）SSI 产品。内容与数字交互性和个性化的结合。这个为期 12 个月的 SBIR 第一阶段项目将实现三个具体目标：(1) 开发软件原型包含两个功能齐全的 SSI 模块：“身体感觉意识和情感体验” 以及“灵活地解决问题”；(2) 对以下青少年进行可用性和可接受性测试；筛查情绪障碍症状加重；以及 (3) 与利益相关者进行可行性测试谁通常监督或支持青少年心理健康（学校和社区心理健康提供者，拟议的 SBIR 项目将解决课后辅导员、儿科医疗保健提供者和家长的问题。需要以创新的方式为青少年提供具有成本效益和时间效益的循证心理健康服务第一阶段的开发将以以用户为中心的迭代设计为指导。我们期望第一阶段能够提供充分的证据来证明我们提议的产品的可行性和前景。支持第二阶段的持续开发和功效测试这项工作的总体目标是支持。广泛传播和使用数字 SSI 模块，以向尽可能多的年轻人提供证据—— 基于心理健康的支持。