Responding to the challenges of Adolescent Perinatal Depression with patient-centered mobile health

通过以患者为中心的移动医疗应对青少年围产期抑郁症的挑战

基本信息

批准号：
10611480
负责人：
Lola Kola
金额：
$ 10.83万
依托单位：
COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-08-01 至 2025-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10611480
关键词：
Address Adolescent Adult Award Caring Cellular Phone Child Child Rearing Child health care Communities Competence Complement Consolidated Framework for Implementation Research Data Development Educational workshop Effectiveness Ensure Equity Evaluation Studies Feeling Focus Groups Fogarty International Center Foundational Skills Future Goals Guidelines Health Personnel Health Services Accessibility Hour Human Resources Improve Access Infant Intervention Interview Laboratories Lead Manuals Maps Maternal and Child Health Maternal-Child Health Services Mental Depression Mental Health Mental Health Services Mental disorders Mentors Mentorship Methodology Methods Mission Modification National Institute of Mental Health Nigeria Nigerian Outcome Participant Patients Perinatal Care Persons Phase Population Preparation Primary Care Process Protocols documentation Public Health Research Research Methodology Research Personnel Research Project Grants Research Support Series Services Statistical Methods Strategic Planning Structure System Technology Testing Theory of Change Therapeutic Training Work Youth acceptability and feasibility advanced analytics age related analytical method computer program design effective therapy evidence base global health health care availability health care delivery implementation research improved informant innovation internalized stigma knowledge translation low and middle-income countries mHealth mobile computing patient oriented perinatal intervention perinatal women peripartum depression primary care provider process evaluation psychosocial routine care scale up skills social exclusion social stigma structural determinants technology validation teenage mother tool translational approach usability user centered design

项目摘要

Project Summary/Abstract Perinatal depression (PD) is more prevalent among adolescents than older perinatal women. In LMIC, Maternal and Child Health (MCHC) services are provided mainly by non-specialist clinicians in primary care due to insufficient human resources. However, despite availability of effective treatment in primary care, a combination of self stigma and perceived stigma from health care workers exacerbate feelings of ostracization in adolescent mothers and limit their use of available services. ubiquitous and can be leveraged as therapeutic tools in a blended approach Mobile technologies are with face to face care to increase patients' contact with care. In Nigeria there is high usage of mobile phones even among adolescents. Given the common observation that young people are often attached to their mobile phones, mobile technologies provide a practical medium for the delivery of health care to this population. The goal of this proposed Emerging Global Health Leader K43 Award is to develop Dr Lola Kola's expertise in the development and use of mHealth tools to scale up evidence based psychosocial interventions for mental disorders within routine care in LMIC. Through research, coursework, and structured mentorship activities, the candidate will acquire new competency in (1) Mobile Technology Methods in Mental Heath research, (2) Implementation research methodologies, (3) Advanced Analytic and Statistical methods and (4) Professional development to lead Large-scale research projects independently in LMIC settings. Drs Dror Ben Zeev, Oye Gureje, David Atkins and Crick Lund will mentor her. The mentored research will build on past scale up efforts in Nigeria, specifically a recently concluded study, Expanding care for perinatal women with depression (EXPONATE) in primary care, where results showed that adolescent mothers were less likely to attend treatment sessions, and their children had poorer outcomes despite availability of effective treatment. The treatment guide for the EXPONATE study which utilises mhGAP guidelines, will be adapted for mHealth use. Candidate will utilise a User-Centered approach to design, develop, and refined the mHealth system for the treatment of Adolescent Perinatal Depression (APD) within routine care, and develop a roadmap to scaleability in an R01 application using implementation research principles. The research advances FIC's mission (GOAL 2) to stimulate innovation through technologies to address global health problems and contributes to NIMH Strategic Plan Objective 4 to strengthen Public Health Impact of supported Research. It advances Grand Challenges in Global Mental Health to improve and increase access to evidence based care (Goal C and F). Integration of mental health into primary care and improved access to care are also goals of the WHO Action Plan 2013-2020. Data from the mentored study will provide unique information on mHealth use in the treatment of APD in LMIC. At the end of the training, candidate will have acquired strong foundational skills for mHealth use in mental health research

项目摘要/摘要在青少年中，围产期抑郁症（PD）比老年围产期女性更为普遍。在LMIC中，母亲和儿童健康（MCHC）服务主要由非专业临床医生在初级保健中提供由于人力资源不足。然而，尽管在初级保健中有效治疗，但自我污名和卫生保健工作者所感知的污名的结合加剧了对在青少年母亲中排斥，并限制他们对可用服务的使用。无处不在，可以在混合方法中以治疗工具的方式利用移动技术是面对面的护理，以增加患者与护理的接触。在尼日利亚，即使在青少年。鉴于常见的观察是，年轻人经常附着在手机上移动技术为向该人群提供医疗保健提供了一种实用的媒介。目标在拟议的新兴全球卫生领袖K43奖中，旨在发展Lola Kola博士在开发和使用MHealth工具来扩展基于证据的心理心理干预措施 LMIC常规护理中的疾病。通过研究，课程和结构化指导活动，候选人将在（1）心理健康研究中的移动技术方法中获得新的能力，（2）实施研究方法，（3）高级分析和统计方法以及（4）专业发展以在LMIC环境中独立领导大型研究项目。 Drs Dror Ben Zeev，Oye Gureje，David Atkins和Crick Lund将指导她。指导的研究将基于过去扩大了尼日利亚的努力，特别是最近结束的研究，扩大了对围产期妇女的护理在初级保健中的抑郁症（指示），结果表明青少年母亲较少可能会参加治疗课程，尽管有效，他们的孩子的结果较差治疗。使用MHGAP指南的指示研究指南将进行调整用于MHealth使用。候选人将利用以用户为中心的方法设计，开发和完善在常规护理中治疗青少年围产期抑郁症（APD）的MHealth系统，使用实施研究原则在R01应用程序中开发路线图。这研究推进了FIC的使命（目标2），以通过技术来刺激创新以解决全球健康问题并有助于NIMH战略计划目标4，以增强公共卫生的影响支持研究。它在全球心理健康方面提出了巨大的挑战，以改善和增加获得基于证据的护理（目标C和F）。将心理健康整合到初级保健中并改善获得护理的访问也是WHO行动计划2013 - 2020年的目标。来自指导研究的数据将提供有关LMIC治疗APD的MHealth使用的独特信息。在培训结束时，候选人将获得在心理健康研究中使用MHealth的强大基础技能