Advancing mHealth-supported Adoption and Sustainment of an Evidence-based Mental Health Intervention for Youth in a School-based Delivery Setting in Sierra Leone

在塞拉利昂校内分娩环境中推进移动医疗支持的青少年循证心理健康干预措施的采用和维持

基本信息

  • 批准号:
    10489910
  • 负责人:
  • 金额:
    $ 74.91万
  • 依托单位:
  • 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:
    2022-08-05 至 2027-06-30
  • 项目状态:
    未结题

项目摘要

PROJECT SUMMARY This study will examine a new implementation strategy for the Youth Readiness Intervention (YRI), an evidence-based mental health intervention. The strategy will (a) leverage a delivery setting (schools) and workforce (teachers) used effectively in low- and middle- income countries; and (b) innovate with technology and mHealth tools to enhance mental health service delivery quality. The YRI will be implemented as an extracurricular resilience-building afterschool activity in Sierra Leone. Teachers will deliver the YRI and receive either mobile phone-supported supervision or standard in-person supervision. Mobile-based supervision will integrate WhatsApp, a free cross-platform messaging and voice service used widely throughout Africa, with a new mHealth app. The mHealth app was recently designed to support fidelity monitoring of Sierra Leonean lay workers delivering the evidence-based Family Strengthening Intervention (R21MH124071). The mHealth app will support supervision through key features, including voice activated content, fillable forms (i.e., YRI fidelity checklist), visual dashboards to monitor fidelity, and training videos to support school-based YRI delivery. The Exploration, Preparation, Implementation, Sustainment (EPIS) framework, a broad multilevel, context- sensitive implementation science model, will guide the study. A hybrid type 3 implementation-effectiveness design will allow for evaluation of both mobile phone-based supervision as a new implementation strategy, and clinical effectiveness of the YRI on youth mental and behavioral health as secondary outcomes. Aim 1 (Exploration and Preparation) will investigate barriers and facilitators to successful YRI implementation aided by mobile-based tools in Sierra Leone’s secondary schools. A mixed methods evaluation with teachers, principals, and government ministry officials will inform co-development of an implementation blueprint prior to YRI delivery. User-centered design methods will be used to adapt the mHealth supervision app and incorporate WhatsApp to create an integrated user model of mobile phone-based supervision. Aim 2 (Implementation) will examine the feasibility, acceptability, cost, and fidelity to the YRI delivered by teachers receiving mobile-based supervision compared with those receiving standard supervision via a mixed methods approach. Aim 3 (Impact of Delivery Approach on YRI Effectiveness) will compare the effectiveness of the YRI in improving mental health, emotion regulation and daily functioning in youth (aged 14-24) when delivered in school settings by teachers who receive either mobile-based supervision (N=480 youth) or those who receive standard supervision (N=480 youth). Aim 4 (Sustainment) will (a) investigate mechanisms of adoption and sustainment of the YRI delivered by teachers through a mixed methods evaluation with teachers, youth, and principals; and (b) conduct a cost-effectiveness and return on investment analysis to evaluate relative costs vs. benefits of the YRI from a broad societal perspective, including educational outcomes.
项目摘要 这项研究将探讨一个新的实施战略,为青年准备干预(YRI), 循证心理健康干预。该战略将(a)利用交付环境(学校), 在低收入和中等收入国家有效利用劳动力(教师);(B)利用技术进行创新 和移动健康工具,以提高精神卫生服务的提供质量。YRI将作为一个 在塞拉利昂开展的课外自律建设活动。教师将提供YRI并获得 移动的电话支持的监督或标准的亲自监督。基于移动的监管将 整合WhatsApp,一个在非洲广泛使用的免费跨平台消息和语音服务, 新的mHealth应用程序。mHealth应用程序最近被设计用于支持塞拉利昂人的保真度监测。 工作人员提供基于证据的家庭强化干预(R21 MH 124071)。mHealth app 将通过关键功能支持监督,包括语音激活内容,可填写的表格(即,YRI保真度 检查表),视觉仪表板,以监测保真度,和培训视频,以支持学校为基础的YRI交付。 探索、准备、实施和维持(EPIS)框架,一个广泛的多层次、背景- 敏感的实施科学的模式,将指导研究。混合型3实施有效性 设计将允许评估基于移动的电话的监督作为新的实施策略, YRI对青少年心理和行为健康的临床有效性作为次要结果。 目标1(探索和准备)将调查YRI成功的障碍和促进因素 在塞拉利昂的中学里,在移动工具的帮助下,混合方法评价 与教师,校长和政府部门官员将共同制定一项实施方案, YRI交付前的蓝图。以用户为中心的设计方法将用于适应移动健康监管 应用程序,并结合WhatsApp创建一个基于移动的手机监管的集成用户模型。目的2 (实施)将审查教师提供的YRI的可行性,可接受性,成本和忠诚度 与通过混合方法接受标准监督的人相比,接受基于移动的监督 approach.目标3(交付方法对YRI有效性的影响)将比较YRI的有效性 改善青少年(14-24岁)的心理健康、情绪调节和日常功能, 接受移动监督的教师(N=480名青少年)或接受移动监督的教师的学校设置 标准监督(N=480名青年)。目标4(持续)将(a)调查采用的机制, 通过与教师、青年和 (B)进行成本效益及投资回报分析,以评估相对成本与 从广泛的社会角度,包括教育成果的YRI的好处。

项目成果

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Alethea Desrosiers其他文献

Alethea Desrosiers的其他文献

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{{ truncateString('Alethea Desrosiers', 18)}}的其他基金

Advancing mHealth-supported Adoption and Sustainment of an Evidence-based Mental Health Intervention for Youth in a School-based Delivery Setting in Sierra Leone
在塞拉利昂校内分娩环境中推进移动医疗支持的青少年循证心理健康干预措施的采用和维持
  • 批准号:
    10676884
  • 财政年份:
    2022
  • 资助金额:
    $ 74.91万
  • 项目类别:
mHealth Tools to Improve Service Delivery Quality of an Evidence-Based Family Home Visiting Intervention to Prevent Family Violence among High Risk Families in Sierra Leone
移动医疗工具可提高塞拉利昂高风险家庭中基于证据的家庭访问干预措施的服务提供质量,以防止家庭暴力
  • 批准号:
    10053361
  • 财政年份:
    2020
  • 资助金额:
    $ 74.91万
  • 项目类别:

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