eHealth Familias Unidas Mental Health: Protocol for an effectiveness-implementation hybrid Type 1 trial to scale a mental health preventive intervention for Hispanic youth in primary care settings.

eHealth Familias Unidas Mental Health: Protocol for an effectiveness-implementation hybrid Type 1 trial to scale a mental health preventive intervention for Hispanic youth in primary care settings.
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DOI:
10.1371/journal.pone.0283987
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发表时间:
2023
期刊:
影响因子:
3.7
通讯作者:
--
中科院分区:
综合性期刊3区
文献类型:
--
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本文重点介绍 eHealth Familias Unidas Mental Health 的有效性-实施混合 I 型随机试验的基本原理、设计和方法,该试验是一项以家庭为基础、在线为西班牙裔家庭提供的干预措施,旨在预防/减少西班牙裔青少年的抑郁和焦虑症状、自杀意念/行为以及吸毒。这项研究利用 18 个儿科初级保健诊所和 468 个家庭的推广设计,解决了干预有效性、实施研究问题和干预维持问题,以开始弥合研究与实践之间的差距,消除西班牙裔青少年的心理健康和药物使用差异。此外,我们将研究干预效果是否部分由改善家庭沟通和减少外化行为(包括吸毒)介导,并由父母抑郁症调节。最后,我们将探讨干预措施对心理健康和药物使用的影响以及诊所干预措施的维持是否因诊所和临床医生层面的实施质量而异。试验注册:ClinicalTrials.gov 标识符:NCT05426057,首次发布于 2022 年 6 月 21 日。
This article focuses on the rationale, design and methods of an effectiveness-implementation hybrid type I randomized trial of eHealth Familias Unidas Mental Health, a family-based, online delivered intervention for Hispanic families to prevent/reduce depressive and anxious symptoms, suicide ideation/behaviors, and drug use in Hispanic youth. Utilizing a rollout design with 18 pediatric primary care clinics and 468 families, this study addresses intervention effectiveness, implementation research questions, and intervention sustainment, to begin bridging the gap between research and practice in eliminating mental health and drug use disparities among Hispanic youth. Further, we will examine whether intervention effects are partially mediated by improved family communication and reduced externalizing behaviors, including drug use, and moderated by parental depression. Finally, we will explore whether the intervention’s impact on mental health and drug use, as well as sustainment of the intervention in clinics, varies by quality of implementation at clinic and clinician levels. Trail registration: ClinicalTrials.gov Identifier: NCT05426057, First posted June 21, 2022.
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