Promoting Mental Health of Teachers and Caregivers using a Personalized mHealth Toolkit in Uganda

在乌干达使用个性化移动医疗工具包促进教师和护理人员的心理健康

• 批准号: 10739227
• 负责人: Keng-Yen Huang
• 金额: $ 18.35万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10739227
• 关键词: Address; Adolescent; Adult; African; Anxiety; Automated Clinical Decision Support; Behavior; Behavioral; Big Data; Big Data Methods; Caregiver Burden; Caregiver support; Caregivers; Child; Child Care; Child Mental Health; Child Rearing; Clinical; Collaborations; Communities; Community Health Aides; Country; Data; Education; Effectiveness; Feasibility Studies; Feedback; Goals; Health Educators; Health Professional; Health system; High Prevalence; Intervention; Kenya; Knowledge; Learning; Location; Machine Learning; Mental Depression; Mental Health; Mental Health Services; Mental health promotion; Mobile Health Application; Modality; Modeling; Parents; Pattern; Phase; Policies; Population; Practice Management; Prevalence; Preventive; Preventive healthcare; Preventive service; Primary Schools; Problem Solving; Public Health; Randomized, Controlled Trials; Recommendation; Regulation; Reporting; Research; Research Personnel; Resources; Risk; Risk Factors; Schools; Self Perception; Services; Source; Stress; Stress and Coping; System; Technology; Testing; Time; Training; Uganda; Well in self; Work; cost; cost effective; cost efficient; data access; design; digital; digital health; digital mental health; effectiveness evaluation; effectiveness testing; emotion regulation; empowerment; evidence base; feasibility testing; health knowledge; health literacy; health training; improved; mHealth; peer; peer support; personalized care; population health; prevent; preventive intervention; school health; screening; self help; service gap; skills; social health determinants; stress management; stress reduction; stressor; teacher; tool; treatment response; usability; user centered design; young adult

ABSTRACT Anxiety and depression in caregivers of children are the most prevalent mental health problems in populations in Sub-Saharan African (SSA) countries and are a major public health challenge for which broad management strategies currently do not exist. Caregiver mental health research in SSA has primarily focused on parents and not teachers despite high prevalence of anxiety/depression reported in teachers. In Uganda (the location of our proposed study), an estimated 28% of parents have mental health problems, and 25% of teachers have anxiety/depression. Intervention to address caregivers’ and teachers’ mental health needs remains limited, in part due to lack of resources and cost-effective population strategies. Thus, there is an urgent need to develop mental health interventions that: 1) improve both teachers and parents stress management and reduce prevalence of mental health problems; and 2) apply low-cost population strategies to improve accessibility of the interventions in the broader school system. This proposal seeks to test the feasibility (R21 phase) and effectiveness (R33 phase) of a new mHealth-App intervention, the mHealth Toolkit for Wellness & Empowering Lives of School Community (mWEL) in Uganda. mWEL-App is an interactive preventive intervention tool for teachers and parents as a self-help support modality. mWEL integrates three key mental health service functions: i) comprehensive screen to assess mental health (anxiety, depression), stress, and related contextual risks; ii) a tailored strength and weakness profile/report with recommendations to promote self- awareness and mental health knowledge; and iii) tailored evidence-based strategies and additional support and clinical resources to improve skills in stress management, emotion regulation, and maintain mental wellness. To promote accessibility and to have broader population reach, mWEL will be embedded in the education system and we will develop a sustainable approach to its implementation suited to local capacity and policy. Specifically, we will apply a community and peer-empowered task-shifting approach to develop a workforce for implementation. The Specific Aims are: (1) to build research and service capacity for digital and public health approaches to improve caregivers’ mental health in schools; (2) to test and enhance usability of the mWEL-T and P and to test feasibility and efficacy of both Toolkits in primary schools; (3) to test the effectiveness of the optimized versions of mWEL using a cluster-randomized control trial (cRCT); and (4) to identify big data analytic strategies for improving Digital-Toolkit decision support and precision mental health care.

抽象的 儿童护理人员的焦虑和抑郁是人群中最普遍的心理健康问题 在撒哈拉以南非洲（SSA）国家，是广泛管理的主要公共卫生挑战 目前不存在策略。 SSA的护理人员心理健康研究主要关注父母 而且，教师在老师中的焦虑/抑郁症患病率很高。在乌干达（地点 在我们提出的研究中，估计有28％的父母有心理健康问题，有25％的教师 动画/抑郁。解决护理人员和教师的心理健康需求的干预措施仍然有限 部分是由于缺乏资源和成本效益的人口策略所致。那迫切需要发展 心理健康干预措施：1）改善教师和父母的压力管理并减少 心理健康问题的患病率； 2）采用低成本人口策略来提高 更广泛的学校系统的干预措施。该建议旨在测试可行性（R21阶段）和 新的MHealth-App干预措施的有效性（R33阶段），即保健和授权的MHealth工具包 乌干达学校社区的生活（MWEL）。 MWEL-APP是一种交互式预防性干预工具 老师和父母是一种自助支持方式。 MWEL整合了三个关键的心理健康服务 功能：i）评估心理健康（焦虑，抑郁），压力和相关的全面屏幕 上下文风险； ii）量身定制的强度和弱点/报告，并提出促进自我的建议 意识和心理健康知识； iii）量身定制的循证策略和额外支持 和临床资源，以提高压力管理，情绪调节和保持精神的技能 健康。为了促进可访问性和更广泛的人口，MWEL将嵌入 教育体系，我们将开发一种可持续的方法来实施适合当地能力的实施和 策略。特别是，我们将采用社区和同行授权的任务转换方法来开发 实施的劳动力。具体目的是：（1）建立数字和服务能力 公共卫生方法改善学校的心理健康； （2）测试和提高可用性 MWEL-T和P，并测试小学两种工具包的可行性和效率； （3）测试 使用聚类随机控制试验（CRCT）优化版本的MWEL的有效性； （4）到 确定大数据分析策略，以改善数字镇能决策支持和精神健康 关心。