DEVELOPMENT OF A VIDEO TO TEACH THE LIFESKILLS WORKSHOP

本申请提出了与NIMH相关的研究和开发 研究主题#122B(“发展有效的录像带服务 旨在预防精神障碍和促进精神健康“)。 这项研究的长期目标是开发一盘录像带和 相关的教育材料，使我们能够在 生活技能研讨会以标准化和一致的方式提供 培训应对技能，这将使患者和健康 寻求减少心理社会风险因素(抑郁、焦虑、 敌意和社会孤立)，这在以前的研究中已经显示出来 不仅自己令人痛苦，而且还增加了 患上危及生命的医学疾病。在这个第一阶段的研究中， 我们将开发和制作两个原型视频模块并进行评估 其在幼稚人群中增加知识的效果方面的可行性 观看原型视频中呈现的LifeSkills内容的观众。我们 将招募120名受试者--男女人数相等，白人和 黑人--谁将完成他们对“科学”知识的测试 背景“和”断言“原型模块查看前后 具有中性内容的控制模块和两个原型模块。如果 在查看控件后，测试分数没有提高 模块，但在查看 原型模块，它将记录这些原型的可行性 增加有关LifeSkill需求的知识的模块(之后 查看“科学背景”模块)和一个特殊的 LifeSkill，断言(在“断言”模块之后)。在第二阶段，将 在成功演示视频的可行性后提出建议 在第一阶段，我们将完成全部九个模块的生产- 模块录像带和附带的教学材料，并对其进行评估 减少心理社会危险因素的有效性，利用 医疗服务，以及24小时尿样中的应激激素水平。 成功完成这项研究计划将导致 技术创新，使医疗保健提供者能够提供 以标准化、可重复和具有成本效益的方式进行培训 减少心理社会风险因素，改善心理健康。 建议的商业应用： 1.卫生保健组织对高利用率者的需求管理，估计为500万 每年可能节省50亿美元的患者。 2.企业健康和预防计划，具有潜在市场 由数百家公司(即财富500强)和政府组成 机构(例如，NASA和美国陆军战争学院，我们已经在那里有 合同)。

This application proposes research and development related to NIMH research topic # 122B ("Development of effective videotape services aimed at mental disorder prevention and mental health promotion"). The long term objective of this research is to develop a videotape and related educational materials that will enable us to deliver in a standardized and consistent manner the LifeSkills Workshop that provides training in coping skills that will enable both patients and wellness seekers to reduce psychosocial risk factor (depression, anxiety, hostility, and social isolation) that have been shown in prior research to be not only distressing in themselves but also to increase risks of developing life-threatening medical illnesses. In this Phase I research, we shall develop and produce two prototype video modules and evaluate their feasibility in terms of effects to increase knowledge among naive viewers of the LifeSkills content presented in the prototype videos. We shall recruit 120 subjects -- equal numbers of men and women, whites and blacks -- who will complete tests of their knowledge of the "Scientific Background" and "Assertion" prototype modules before and after viewing control modules with neutral content and the two prototype modules. If there is not improvement in test scores after viewing the control modules but a 20% or better improvement in scores after viewing the prototype modules, it will document the feasibility of these prototype modules to increase knowledge regarding the need for LifeSkill (after viewing the "Scientific Background" module) and one particular LifeSkill, assertion (after the "Assertion" module). In Phase II, to be proposed following successful demonstration of feasibility of the video modules in Phase I, we shall complete production of the entire nine- module videotape and accompanying educational materials and evaluate its effectiveness in reducing psychosocial risk factors, utilization of medical services, and stress hormone levels in 24-hour urine samples. Successful completion of this research program will result in a technological innovation that enables health care deliverers to provide in a standardized, reproducible and cost-effective manner training that reduces psychosocial risk factors and improves mental health. PROPOSED COMMERCIAL APPLICATION: 1. Demand management for high utilizers in HMOs, estimated at 5 million patients with potential savings of $5 billion annually. 2. Corporated wellness and prevention programs, with a potential market composed of hundreds of corporations (i.e., Fortune 500) and government agencies (e.g., NASA and U.S. Army War College, where we already have contracts).