MentorHub: A Supportive Accountability Tool for MHapps

MentorHub：MHapp 的支持性问责工具

• 批准号: 10606497
• 负责人: Nancy McNamara
• 金额: $ 8.17万
• 依托单位: ACADEMIC WEB PAGES, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-08 至 2023-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10606497
• 关键词: Accountability; Address; Adherence; Adolescent; Adult; Affect; Anxiety; Behavior Therapy; Behavioral; Boston; Brothers; Businesses; COVID-19 pandemic effects; Caring; Child; Child Mental Health; Control Groups; Diagnostic; Educational Curriculum; Effectiveness; Elderly; Emotional; Emotional disorder; Evidence based intervention; Friends; Human; Individual; Institution; Intervention; Link; Location; Massachusetts; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Mentors; Methods; Modeling; Monitor; New York; Outcome; Participant; Persons; Phase; Population Heterogeneity; Psyche structure; Randomized; Recommendation; Research; Risk; Schools; Scientist; Secondary Schools; Services; Side; Sister; Small Business Technology Transfer Research; Software Framework; Source; System; Technology; Testing; Therapeutic; United States; Universities; Work; Youth; application programming interface; behavioral health; commercialization readiness; design; distress tolerance; eHealth; emotion regulation; emotional functioning; evidence base; evidence based guidelines; experience; implementation fidelity; improved; innovation; interactive tool; interest; mental training; mobile application; novel; programs; psychologic; recruit; school district; skills; social; social skills; symptomatology; systematic review; tool; usability; volunteer; web page

Project Summary/Abstract (30 lines) In the United States, 15 million children and adolescents need psychological services; yet only one-third receive psychological services of any kind. Even fewer receive care that is consistent with evidence-based guidelines for best practices. This gap has widened dramatically with the negative effects of the COVID-19 pandemic on the mental health of children, combined with disruptions to school-based mental health services. Mental Health Apps (MHapps) show early promise to alleviate mild to moderate forms of emotional disorders like anxiety and depression, while improving broader domains of functioning, including academic engagement and social competence. These MHapps are designed to promote youth mental health by delivering targeted, skills-based curricula in an interactive and accessible format. Unfortunately, the potential for MHapps has thus far been limited by low engagement, improper use, and high rates of noncompletion. Caring adults can help boost youth engagement in MHapps through what behavioral scientists refer to as “supportive accountability”—that is, regular check-ins, monitoring, troubleshooting, and other interactions. Several studies have highlighted the positive associations between supportive accountability and user engagement, number of logins, use of interactive tools, and outcomes. In fact, they have shown that, with guidance, the effects of technology-delivered interventions are comparable to those obtained in face-to-face interventions. By contrast, self-guided programs have yielded relatively fewer benefits. Moreover, the studies have found no difference in outcomes when youth were supported by clinicians versus everyday caring adults. Based on evidence that effectiveness and adherence to eHealth interventions is enhanced by human support, we developed a software framework (MentorHub) that coordinates the deployment and monitors the use of evidence-based MHapps. We anticipate that MentorHub will be widely used in youth-serving organizations (e.g., youth mentoring programs) and school based settings (e.g., secondary and post-secondary schools). The proposed research in Phase I will further (Aim 1) refine the MentorHub Product to establish usability (UI/UX) and feasibility in a large, youth mentoring program; and (Aim 2) determine the impact of the Product on youth mental health outcomes (transdiagnostic indicators of risk for mental illness, internalizing and externalizing symptomatology, and broader indicators of youth functioning). The pilot RCT study will test the short-term efficacy of the product in a national youth mentoring organization (Big Brothers Big Sisters New York) and involve 300 participants (75 mentor-mentee pairs/dyads randomized to the test group and 75 mentor-mentee pairs/dyads randomized to the control group). By the end of Phase I, we will have a tested product ready for national testing across Big Brother Big Sisters locations and in new school-based settings. By the end of Phase II, we anticipate a fully functioning and evaluated product ready for commercialization.

项目摘要/摘要（30行） 在美国，有1500万儿童和青少年需要心理社会服务； 任何类型的心理服务，甚至更少的护理与循证指南一致 为了最佳实践，这一差距已逐渐扩大 儿童的心理健康，加上学校基于学校的心理健康服务的纪律。 应用程序（MHAPPS）表现出早期的承诺，可以使焦虑和中等形式的情绪障碍如焦虑和中等形式 深度，同时改善了更广泛的功能领域，包括学术参与和社会 能力。 不幸的是，以交互式和可访问的格式进行课程。 通过低参与度，使用不当和不压倒性的速度高。 关怀成年人可以帮助促进青年参与MHAPP，尽管行为科学家所说的 “支持责任” - 即定期检查，监视，故障排除和其他互动。 严重性研究强调了支持责任与用户之间的积极关联 参与度，登录次数，使用交互式工具和结果。 指导，技术提供干预措施的影响与面对面获得的效果相当 相比之下，自我引导的计划相对较少 当临床医生与日常关怀成年人相比，结果没有发现结果的差异。 基于证据表明，人类支持增强了有效性和对eHealth干预措施的效力和依从性 我们开发了一个软件框架（MentorHub），该框架协调部署并监视使用 基于证据 青年指导计划）和基于学校的环境（例如中学和中学）。 第一阶段的拟议研究将进一步（AIM 1）完善MentorHub产品以建立可用性（UI/UX） 在大型的青年指导计划中，（目标2）确定产品对青年的影响 心理健康成果（经过精神上的风险的转诊指标，内在化和外部化 症状和更广泛的青年指标）。 该产品在国家青年指导组织（Big Brothers Big Sisters New York）中的功效，涉及 300名参与者（75个导师对/二元组随机分配给测试组75 Mentor-Menteeee 对照组随机分配到对照组）。 在大兄弟姐妹地点和新的学校环境中进行全国测试。 II，我们预计将准备好委托的功能齐全且评估的产品。