MomNet: Development of a Coach-Training Program for an Empirically Supported, Guided ehealth Intervention for Depressed Mothers

MomNet：制定教练培训计划，为抑郁母亲提供经验支持、指导性的电子健康干预

• 批准号: 10010008
• 负责人: EDWARD GUSTAV FEIL
• 金额: $ 25.16万
• 依托单位: OREGON RES BEHAVIORAL INTERVENTION STRAT
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-03 至 2022-08-02
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10010008
• 关键词: Address; Adherence; Affect; Area; Behavioral; Businesses; Certification; Child; Child Rearing; Client; Cognitive; Communities; Competence; Computers; Depressed mood; Depressive Syndromes; Development; Development Plans; Disadvantaged; Disease remission; Distal; Distress; Economics; Effectiveness; Emotional; Evaluation; Exercise; Funding; Goals; Head Start Program; Health Personnel; Healthcare; Human Resources; Internet; Intervention; Investigation; Low income; Manuals; Mediating; Mental Depression; Mental Health; Mental Health Services; Methodology; Modality; Mothers; National Institute of Mental Health; Outcome; Participant; Persons; Phase; Population; Poverty; Process; Provider; Public Health; Randomized Controlled Trials; Risk; Rural; Services; Site; Small Business Innovation Research Grant; Technology; Testing; Training; Training Programs; Transportation; Woman; Work; barrier to care; base; care providers; certificate program; clinically significant; commercialization; community setting; coping; cost effective; depressive symptoms; design; eHealth; effective therapy; experience; health training; high risk; high risk population; improved; indexing; low socioeconomic status; maternal depression; medical specialties; motivational enhancement therapy; postnatal period; programs; prototype; psychologic; recruit; rural underserved; satisfaction; service utilization; skills; success; symposium; tool; treatment response; usability

Project Summary/Abstract Low-income mothers of young children represent a disadvantaged group who are at exceptional risk for depressive syndromes and who have increasingly limited access to mental health services. Despite the availability of efficacious treatments, most depressed persons do not receive treatment. Amongst the many barriers to treatment, several of the most substantial include lack of mental health coverage, difficulties arranging childcare, and the absence of transportation differentially affecting women of low socioeconomic status. For rural women, these difficulties may be compounded by the scarcity of providers within reasonable proximity. In our earlier work, in order to address access barriers, we developed and evaluated Mom-Net, an internet-facilitated CBT intervention for depression tailored to mothers of young children. Mom-Net was developed and evaluated in 2 NIMH-funded randomized controlled trials (R01MH091199 & R01MH070426) that demonstrated clinically significant effects on depressive symptoms. The proposed project is designed to develop and evaluate a prototype Mom-Net coach training tool for the program that will facilitate implementation within community settings. Participants in the Phase I feasibility and usability trial will include 15 trainees who will participate in the developed training and certification process. In Phase II, development of the training tool will be completed and then evaluated via a randomized controlled trial. Overall, the investigation will contribute to the evidentiary base regarding the dissemination potential of this empirically-supported intervention, adaptations to which have the potential to enable a greater proportion of the population to access and benefit from it. The proposed technology-based training tool should be highly sustainable, because it (a) relies on community setting paraprofessional personnel to deliver the intervention, (b) is likely to prove cost-effective given we will utilize a technology that can deliver training at scale, and (c) will improve fidelity by leveraging technology to provide consistent training experiences to trainees and including a computer-mediated audio recorded observation of client-coach sessions that will be reviewed and graded by an expert trainer to increase the likelihood of intervention implementation fidelity.

项目摘要/摘要 幼儿的低收入母亲代表一个处于弱势群体的群体，他们的风险很高 抑郁综合症以及越来越有限的获得心理健康服务的机会。尽管有 有效治疗的可用性，大多数沮丧的人都无法接受治疗。在许多人中 治疗的障碍，其中一些最重要的包括缺乏心理健康覆盖范围，安排困难 育儿，缺乏交通工具会差异地影响社会经济状况低下的妇女。为农村 妇女，这些困难可能会因提供者在合理邻近性中的稀缺而使这些困难更加复杂。在我们的 较早的工作，为了解决访问障碍，我们开发和评估了MOM-NET，这是一种互联网的智力 CBT干预针对幼儿母亲量身定制的抑郁症。 在2个NIMH资助的随机对照试验中开发和评估了MOM-NET（R01MH091199＆ R01MH070426）对抑郁症状表现出显着影响。拟议的项目 旨在开发和评估该计划的原型Mom-Net教练培训工具，以促进 在社区设置内实施。 I阶段可行性和可用性试验的参与者将包括15 将参加发达的培训和认证过程的受训者。在第二阶段，发展 培训工具将完成，然后通过随机对照试验进行评估。总体而言，调查将 促进有关这种经验支持的干预措施的传播潜力的证据基础， 适应有可能使更多人口获得和受益的人口的适应 从中。 拟议的基于技术的培训工具应该具有很高的可持续性，因为它（a）依赖社区 设定专业人士来提供干预，（b）可能会证明具有成本效益 利用可以大规模提供培训的技术，（c）将通过利用技术来提高忠诚度 向受训者提供一致的培训经验，并包括记录的计算机介导的音频 观察客户教练课程将由专家培训师进行审查和评分以增加 干预实施忠诚的可能性。