SAGE Mental Health

圣人心理健康

基本信息

批准号：
10301997
负责人：
Christine L Gray
金额：
$ 15.38万
依托单位：
DUKE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-08-15 至 2025-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10301997
关键词：
Address Adolescent Adopted Africa Africa South of the Sahara African Age Applied Research Area Characteristics Child Child Mental Health Cognitive Therapy Communities Competence Country Data Demographic and Health Surveys Development Dissemination and Implementation Education Effectiveness Elements Ensure Evidence based treatment Funding Goals Health Health Personnel Incidence Infrastructure Intervention Interview K-Series Research Career Programs Kenya Knowledge Maps Mental Health Mental Health Services Mentors Mentorship Methods Modeling National Institute of Mental Health Orphan Outcome Parents Partnership Practice Pathway Analysis Patient Self-Report Persons Phase Policies Policy Maker Population Professional counselor Provider Public Health Qualitative Methods Randomized Clinical Trials Reading Research Research Personnel Research Priority Research Project Grants Resources Science Scientist Senior Scientist Site Social Network Strategic Planning Structure Supervision Surveys System Target Populations Testing Time Training Trauma United States National Institutes of Health Work base career networking disorder prevention dissemination research effectiveness implementation trial effectiveness-implementation randomized trial evidence base experience feasibility research implementation efforts implementation research improved innovation interest intervention effect low and middle-income countries post-traumatic stress programs scale up service gap tool trauma exposure traumatic event

项目摘要

A recent study of orphaned children in five low- and middle-income countries, including Kenya, showed that more than 90% experience trauma by age 13; annual incidence of a traumatic event is 25%. The result is substantial burden of post-traumatic stress and its long-term sequelae. Yet, the mental health services gap in African countries is the highest in the world, and resources for children are particularly scarce. Scale-up of mental health interventions through task-shifting models has great potential to narrow the mental health services gap. Lay counselor delivery of evidence-based treatments can be implemented with fidelity and result in reduced post- traumatic stress. Now, there is an urgent need for strategies that facilitate sustainability of scaled-up interventions and, equally important, a need to equip leaders and policy makers with information about the generalizability of the interventions to other communities. The goal of this K01 Mentored Research Scientist Career Development award is to expand the candidate’s expertise to the science of dissemination and implementation. Through a rigorous plan including coursework, directed reading, applied research experience, and individualized mentorship from globally-recognized scientific experts, the candidate will acquire competencies in 4 areas: (1) content expertise in dissemination and implementation of mental health evidence-based treatments, (2) mixed methods tools for conducting sustainment research to identify strategies enabling the continuation of scaled-up interventions, (3) approaches to generalize trial results and extend the policy reach of evidence-based treatments, and (4) professional development to become an NIH-funded independent investigator conducting culturally-sensitive research in low-resource settings. The candidate has a team of interdisciplinary senior scientists who are thought leaders in their respective fields, led by Primary Mentor Dr. Kathryn Whetten and co- Mentors Dr. Shannon Dorsey and Dr. James Moody. They are joined by three Scientific Advisors, Augustine Wasonga, Dr. Kearsley Stewart, and Dr. Daniel Westreich. Their mentorship will guide a set of research aims that expands an ongoing NIMH-funded implementation effectiveness trial in western Kenya. This research specifically begins after all 40 sites in a cluster-randomized clinical trial are at least one year post-implementation. Both qualitative methods and social network analysis will be used during the sustainment phase to identify the critical strategies employed by lay counselors and the structural elements of their social networks that facilitate continued sustainment. In addition, generalizability of the intervention effects in children will be estimated for all This research is directly responsive to local interest in understanding the potential for broader scale-up, addressing NIMH Strategic Objective 4 “Strengthening the Public Health Impact of NIH- Supported Work,” specifically Objective 4.2 to “Strengthen research-practice partnerships to expedite… sustained implementation...of evidence-based mental health service.” Results will identify testable strategies to achieve continuation of mental health interventions implemented in low-resource settings. orphaned children in Kenya.

最近对包括肯尼亚在内的五个低收入和中等收入国家的孤儿儿童的研究表明，更多到13岁时，超过90％的创伤经历了创伤；创伤事件的年度发病率为25％。结果很大创伤后压力及其长期后遗症的负担。但是，非洲的心理健康服务差距国家是世界上最高的国家，儿童资源特别稀缺。心理健康通过任务转移模型的干预措施具有缩小心理健康服务差距的巨大潜力。放置辅导员提供基于证据的治疗的交付可以以忠诚进行实施，并减少后创伤应力。现在，迫切需要制定扩大干预的可持续性的策略而且，同样重要的是，需要为领导者和政策制定者提供有关可普遍性的信息对其他社区的干预措施。该K01指导研究科学家职业发展的目标奖项是将候选人的专业知识扩展到传播和实施科学。通过一个严格的计划，包括课程工作，定向阅读，应用研究经验和个性化的候选人将获得全球认可的科学专家的遗产，将在4个领域获得能力：（1）在传播和实施心理健康循证治疗方面的内容专业知识，（2）进行维持研究的混合方法工具确定能够继续的策略扩大干预措施，（3）概括试验结果并扩展基于证据的政策的方法治疗和（4）专业发展成为NIH资助的独立调查员的指导低资源环境中对文化敏感的研究。候选人有一个跨学科的高级团队由主要导师凯瑟琳·惠顿（Kathryn Whetten）博士和共同领导的各自领域的思想家的科学家导师Shannon Dorsey博士和James Moody博士。他们加入了三位科学顾问奥古斯丁 Wasonga，Kearsley Stewart博士和Daniel Westreich博士。他们的攻击性将指导一系列研究目的这扩大了肯尼亚西部持续的NIMH资助的实施效力试验。这项研究在一项集群随机临床试验中，所有40个地点都在实施后至少一年后开始。定性方法和社交网络分析都将在维持阶段使用以确定外行硬币采用的关键策略及其社交网络的结构要素继续维持。此外，将估算所有人的干预效果的普遍性这项研究直接响应当地的兴趣，以理解潜力对于更广泛的规模，解决NIMH战略目标4“加强NIH-的公共卫生影响支持工作，“特别是目标4.2，以加强研究实践伙伴关系以加快…… 持续实施...基于证据的心理健康服务。”结果将确定可检验的策略实现在低资源环境中实施的心理健康干预措施。肯尼亚的孤儿。