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

• 批准号: 10152709
• 负责人: Lola Kola
• 金额: $ 10.39万
• 依托单位: COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-01 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10152709
• 关键词: Address; Adolescent; Adult; Award; Car Phone; Caring; Cellular Phone; Child; Child Rearing; Child health care; Communities; Competence; Complement; Consolidated Framework for Implementation Research; Data; Development; Educational workshop; Effectiveness; Ensure; Evaluation Studies; Feeling; Focus Groups; Foundational Skills; Future; Goals; Guidelines; Health Personnel; Health Services Accessibility; Healthcare; 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 disorders; Mentors; Mentorship; Methodology; Methods; Mission; Modification; National Institute of Mental Health; Nigeria; Nigerian; Outcome; Participant; Patients; Perinatal Care; Phase; Population; Preparation; Primary Health Care; Process; Protocols documentation; Psyche structure; 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; base; care providers; computer program; design; effective therapy; evidence base; global health; health care availability; health care delivery; implementation research; improved; informant; innovation; international center; knowledge translation; low and middle-income countries; mHealth; mobile computing; patient oriented; perinatal intervention; perinatal women; peripartum depression; psychosocial; routine care; scale up; skills; social stigma; technology validation; teenage mother; tool; translational approach; usability; user centered design

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

项目总结/文摘