Developing an app-based behavioral intervention to help depressed individuals return to work

开发基于应用程序的行为干预措施，帮助抑郁症患者重返工作岗位

基本信息

批准号：
10707521
负责人：
James William Griffith
金额：
$ 73.87万
依托单位：
INSPIRATION AT WORK, INC.
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-20 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10707521
关键词：
2 arm randomized control trial Advisory Committees Affect American Anhedonia Behavior Behavior Therapy Behavioral Businesses COVID-19 COVID-19 pandemic COVID-19 pandemic effects Cognitive Cognitive Therapy Communities Data Depressed mood Development Dissemination and Implementation Educational process of instructing Electronic Mail Emotional disorder Employee Employment Ensure Evidence based treatment Exercise Exhibits Female Financial Hardship Goals Grant Health Hour Human Resources Individual Intervention Interview Job Application Lead Major Depressive Disorder Marketing Measures Mediator Mental Depression Mental disorders Methodology Modeling Motivation Occupations Participant Persons Phase Private Sector Psychologist Randomized, Controlled Trials Research Personnel Resources Risk Sampling Scientist Services Small Business Technology Transfer Research Social Accountability Social support Suicide Techniques Testing Treatment Efficacy Unemployment Universities Vocational Guidance Wages Work career commercialization community organizations depressive symptoms design eHealth efficacy evaluation efficacy testing evidence base experience flexibility follow-up implementation efforts improved innovation multi-component intervention multidisciplinary novel coronavirus pandemic disease positive emotional state programs prototype psychologic response skills smartphone application social media stressor suicidal risk therapy design therapy development treatment strategy user centered design webinar

项目摘要

PROJECT SUMMARY Significance: The overarching goal of this proposal is to develop an intervention to help unemployed individuals with major depressive disorder (MDD) return to work. Individuals who lose their jobs are at risk for MDD and other psychiatric disorders. Because a core feature of MDD is decreased motivation, unemployed individuals with MDD can enter a `vicious cycle' where their depression leads to reduced motivation to seek work, which creates further financial hardship, which leads to worse depression and even suicide. The unprecedented impact that the COVID-19 pandemic has had on rates of depression and unemployment, has elucidated the clear need for interventions to help individuals with MDD return to work after getting laid off. Investigators: This STTR Fast Track grant brings together PeopleResults (a female-owned organizational development firm), diverse stakeholders (e.g., job seekers, community-based organizations), and Northwestern University researchers (e.g., psychologists, implementation and e-health scientists), to develop and test the efficacy of DRIVEN (Depression Return-to-work InterVEntioN). Innovation: DRIVEN is an innovative behavioral intervention that integrates evidenced-based strategies from cognitive-behavior therapy (e.g., behavioral activation techniques to improve positive affect and drive) with job-seeking and career counseling (e.g., interview coaching, how to customize job applications). DRIVEN will be a 6-week intervention largely delivered via a smartphone application (e.g., webinars, customized goals, with gamified features). However, given that e-health interventions are often plagued by high rates of attrition, DRIVEN will include multiple components designed to increase engagement, by increasing social support and accountability (e.g., biweekly live sessions with a job coach, email check-ins, gamified exercises, anonymous social media support platform). Our comprehensive commercialization plan also ensures that DRIVEN will reach job-seekers in need as it largely focuses on marketing to companies looking for outplacement services, i.e., resources provided by employers to recently laid off employees, in order to reduce the reputational fallout that companies risk following significant layoffs. Approach: Phase I will use user-centered design methodology (e.g., an advisory committee consisting of job-seekers, potential customers, experts in human resources) to design, develop, and alpha- and beta-test a prototype of DRIVEN. Phase II will test the efficacy of DRIVEN in a randomized controlled trial of 125 job seekers by comparing DRIVEN to a control condition consisting of self-guided job-seeking. Phase II will also utilize auto-regressive modelling with intensive longitudinal data to test for mediators of change (e.g., whether improvements in depression lead to greater job- seeking, and/or vice versa) Impact: DRIVEN will meet the high societal need resulting from the COVID-19 pandemic – helping the many unemployed Americans with MDD find meaningful and durable careers. While COVID-19 will (hopefully) be in the past by the end of this 3-year project, there will continue to be a need for interventions to help job-seekers with depression nimbly and successfully find work.

项目概要意义：该提案的总体目标是制定一项干预措施来帮助失业人员患有重度抑郁症 (MDD) 的人一旦失业，就会面临患重度抑郁症 (MDD) 的风险。其他精神疾病因为 MDD 的核心特征是动机下降，失业者。患有重度抑郁症的人可能会进入一个“恶性循环”，他们的抑郁症会导致寻找工作的动力下降，从而降低工作积极性。造成进一步的经济困难，从而导致更严重的抑郁症，甚至自杀造成前所未有的影响。 COVID-19 大流行对抑郁症和失业率的影响，阐明了明确的必要性帮助 MDD 患者在失业后重返工作岗位的干预措施：此 STTR Fast。 Track grant 汇集了 PeopleResults（一家女性拥有的组织发展公司）、多元化的组织利益相关者（例如求职者、社区组织）和西北大学研究人员（例如心理学家、实施和电子健康科学家），开发和测试 DRIVEN 的功效（抑郁症重返工作干预创新：DRIVEN 是一种创新的行为干预措施）。整合了认知行为治疗中基于证据的策略（例如，行为激活技术通过求职和职业咨询（例如面试辅导、如何 DRIVEN 将是一项为期 6 周的干预措施，主要通过智能手机应用程序进行（例如，网络研讨会、定制目标、具有游戏化功能）。然而，鉴于电子卫生干预措施通常是受到高损耗率的困扰，DRIVEN 将包含多个旨在提高参与度的组件，通过增加社会支持和问责制（例如，每两周一次与工作教练的现场会议、电子邮件签到、游戏化练习、匿名社交媒体支持平台）。确保 DRIVEN 能够接触到有需要的求职者，因为它主要侧重于向正在寻找职位的公司进行营销再就业服务，即雇主为最近解雇的雇员提供的资源，以减少公司因大规模裁员而面临的声誉损失风险方法：第一阶段将采用以用户为中心的方法。设计方法（例如，由求职者、潜在客户、领域专家组成的咨询委员会人力资源）来设计、开发并进行 DRIVEN 原型的 alpha 和 beta 测试，第二阶段将测试 DRIVEN 的原型。在一项针对 125 名求职者的随机对照试验中，通过将 DRIVEN 与对照进行比较，得出 DRIVEN 的功效第二阶段还将利用强化自回归模型。纵向数据来测试变化的中介因素（例如，抑郁症的改善是否会带来更好的就业机会）寻求，和/或反之亦然）影响：DRIVEN 将满足 COVID-19 带来的高社会需求大流行——帮助许多患有重度抑郁症的失业美国人找到有意义和持久的职业。在这个为期 3 年的项目结束时，COVID-19 将（希望）成为过去，仍然需要帮助抑郁症求职者灵活并成功找到工作的干预措施。