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.

项目概要/摘要 低收入幼儿母亲是弱势群体，面临特殊风险 抑郁综合症以及获得心理健康服务的机会越来越有限。尽管 尽管有有效的治疗方法，但大多数抑郁症患者并未接受治疗。在众多之中 治疗障碍，其中最重要的几个包括缺乏心理健康保险、安排困难 儿童保育和缺乏交通对社会经济地位较低的妇女产生不同程度的影响。对于农村 对于女性来说，这些困难可能会因在合理距离内缺乏提供者而变得更加复杂。在我们的 在早期的工作中，为了解决访问障碍，我们开发并评估了 Mom-Net，这是一个互联网辅助的 针对幼儿母亲的抑郁症 CBT 干预。 Mom-Net 是在 2 项 NIMH 资助的随机对照试验（R01MH091199 和 R01MH070426），证明对抑郁症状具有临床显着效果。拟议项目 旨在开发和评估该项目的原型 Mom-Net 教练培训工具，该工具将促进 在社区环境中实施。第一阶段可行性和可用性试验的参与者将包括 15 将参与制定的培训和认证流程的学员。在第二阶段，开发 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 为有关这种经验支持的干预措施的传播潜力的证据基础做出贡献， 适应措施有可能使更多人获得并受益 从它。 拟议的基于技术的培训工具应该具有高度可持续性，因为它 (a) 依赖于社区 设置专业辅助人员来提供干预措施，(b) 可能会证明具有成本效益，因为我们将 利用可以大规模提供培训的技术，并且 (c) 将通过利用技术来提高保真度 为学员提供一致的培训体验，包括计算机介导的音频录制 观察客户教练课程，由专家培训师进行审查和评分，以提高 干预实施保真度的可能性。