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（“有效录像带服务的开发 旨在预防精神障碍和促进精神健康”）。的 这项研究的长期目标是开发一个录像带， 相关的教育材料，使我们能够提供在一个 生活技能研讨会提供标准化和一致的方式， 培训应对技能，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），这在先前的研究中已经显示出来 不仅会让人痛苦，而且会增加 发展出危及生命的疾病在第一阶段的研究中， 我们将开发和生产两个原型视频模块，并评估 他们的可行性方面的影响，以增加知识之间的天真 观看原型视频中展示的生活技能内容。我们 将招募120名受试者--男女人数相等，白人和 黑人-谁将完成测试他们的知识的“科学”， 背景”和“断言”原型模块前后查看 具有中性内容的控制模块和两个原型模块。如果 在查看对照品后，测试分数没有改善 但在观看了这些模块后，分数提高了20%或更高， 原型模块，它将记录这些原型的可行性 模块，以增加有关生活技能需求的知识（之后 查看“科学背景”模块）和一个特定的 LifeSkill，assertion（在“Assertion”模块之后）。在第二阶段， 在成功演示了视频的可行性之后， 在第一阶段，我们将完成整个九个模块的生产- 模块录像带和附带的教育材料，并评估其 减少心理社会风险因素的有效性， 医疗服务和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，使卫生保健提供者能够提供 以标准化、可复制和具有成本效益的方式提供培训， 减少心理社会风险因素，改善心理健康。 拟定商业应用： 1.保健组织中高利用率者的需求管理，估计为500万人 患者每年可节省50亿美元。 2.公司健康和预防计划，具有潜在的市场 由数百家公司组成（即，财富500强）和政府 机构（例如，美国宇航局和美国陆军战争学院， 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).