School based mental health intervention for young people: development and feasibility study of a digital information prescription intervention.

以学校为基础的青少年心理健康干预：数字信息处方干预的开发和可行性研究。

• 批准号: MR/R002606/1
• 负责人: Siobhan Hugh-Jones
• 金额: $ 19.16万
• 依托单位: University of Leeds
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2017
• 资助国家: 英国
• 起止时间: 2017 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FR002606%2F1
• 关键词: based; mental; health; intervention; young

There is overwhelming evidence that the foundation of lifelong mental health begins in childhood and adolescence. Currently, more than half of young people will, by the age of 21, have experienced mental health difficulties [3,4]. This is of concern since mental health difficulties in adolescence typically persist into adulthood [5]. The cost of poor mental health to the young person, their families, and the healthcare system is extensive [6]. In the UK, the need for specialist mental health services far outweighs resources, and only a quarter of those referred to specialist services will be seen [7]. Young people and families are often left to cope with mental health difficulties on their own. This project aligns with strategic shifts in national and international policy [8,9] to promote mental health through public health initiatives and with recommendations for early intervention when mental health difficulties arise [5]. In regional (Leeds) plans for implementing the NHS England and Department of Health's Future in Mind strategy [8], young people say that "We want it to be easy to find information about mental health and well-being so we can help ourselves" and "We want to be able to get help quickly and easily when we ask for it" [10]. This project therefore adopts a public health approach to examine the potential of information prescription to help young people with early signs of mental health difficulties get the information they need to help themselves. Information prescription involves the prescription of evidence-based, personalised information and guidance, at the right time, to help people understand their experiences, and equip them with knowledge, strategies and motivation to improve their well-being. Studies with adults show high levels of user satisfaction with self-help information interventions for physical and mental health conditions [11, 12], but the potential of self-help information prescription to help the mental health of young people is unexplored. There is currently no information prescription intervention for young people's mental health that can be delivered in schools. We will develop and feasibility test a digital information prescription intervention suitable for delivery by trained staff in schools to 14-18 year olds who are experiencing mild-moderate (but non-clinical) mental health difficulties and who are in the help-seeking stage [13]. A sister intervention for parents/carers will be developed as they currently report feeling insufficiently equipped to help. The primary aim of the intervention is to halt the progression of early mental health difficulties and to help the young person resume a productive and enjoyable life by developing their knowledge, understanding and resources to improve their mental health. Our project adopts a recovery approach, stressing the first person view of the service user, including personal views of what recovery and good mental health means [14].Our early phase study will work closely with YP with mental health difficulties, parents of YP with difficulties, school staff and mental health professionals to identify their support and information needs, before building an information repository relevant to the six most common mental health difficulties experienced by young people in local schools, and which would be suitable for early intervention via information prescription in school. We will convert this repository into a secure, interactive, multi-media platform, suitable for web and app based access, with monitoring potential, delivered via trained school staff. The project will also co-design school based implementation and training materials as well as safety and evaluation protocols to ensure that any young person whose need escalates will receive help quickly. We will use the study outcomes to co-design a trial comparing the effectiveness of the intervention with other early intervention approaches for young peoples' mental health.

有压倒性的证据表明，终身心理健康的基础始于童年和青春期。目前，超过一半的年轻人在21岁之前会经历心理健康问题[3，4]。这是令人担忧的，因为青春期的心理健康问题通常会持续到成年[5]。精神健康状况不佳对年轻人，他们的家庭和医疗保健系统的成本是广泛的[6]。在英国，对专业精神卫生服务的需求远远超过了资源，只有四分之一的人被转介到专业服务机构[7]。年轻人和家庭往往不得不独自科普心理健康问题。该项目符合国家和国际政策的战略转变[8，9]，通过公共卫生举措促进心理健康，并建议在出现心理健康问题时进行早期干预[5]。在区域（利兹）计划实施NHS英格兰和卫生部的未来思维战略[8]，年轻人说，“我们希望它很容易找到有关心理健康和福祉的信息，这样我们就可以帮助自己”和“我们希望能够得到帮助，当我们要求它快速和容易”[10]。因此，该项目采用公共卫生方法，研究信息处方的潜力，以帮助有精神健康问题早期迹象的年轻人获得自助所需的信息。信息处方涉及在适当的时候提供基于证据的个性化信息和指导，以帮助人们了解他们的经历，并为他们提供知识，战略和动力，以改善他们的福祉。对成年人的研究表明，用户对针对身心健康状况的自助信息干预措施的满意度很高[11，12]，但自助信息处方在帮助年轻人心理健康方面的潜力尚未开发。目前，学校还没有针对青少年心理健康的信息处方干预措施。我们将开发和可行性测试一种数字信息处方干预，适合由学校训练有素的工作人员向14-18奥尔兹的青少年提供，这些青少年正在经历轻度-中度（但非临床）心理健康困难，并处于寻求帮助阶段。将为父母/照顾者制定姐妹干预措施，因为他们目前报告说，他们没有足够的能力提供帮助。干预的主要目的是通过发展青年人的知识、理解和资源来改善他们的心理健康，阻止早期心理健康问题的发展，并帮助他们恢复富有成效和愉快的生活。我们的计划采用康复方法，强调服务使用者的第一人称观点，包括个人对康复和良好精神健康的看法[14]。我们的早期研究将与有精神健康问题的YP，有困难的YP的家长，学校员工和精神健康专业人员密切合作，以确定他们的支持和信息需求，然后才建立一个有关本港学校青少年六种最常见的精神健康问题的资料库，并适合透过在学校提供资料处方，及早介入。我们将把这个储存库转换成一个安全，互动，多媒体平台，适合基于Web和应用程序的访问，具有监控潜力，通过训练有素的学校工作人员提供。该项目还将共同设计以学校为基础的实施和培训材料以及安全和评估协议，以确保任何需要升级的年轻人都能迅速获得帮助。我们将利用研究结果共同设计一项试验，比较干预措施与其他早期干预措施对青少年心理健康的有效性。

项目成果

MindMate2U: Development and feasibility study of a co-designed school-based mHealth intervention for symptomatic adolescents (Preprint)

MindMate2U：针对有症状青少年共同设计的基于学校的移动健康干预措施的开发和可行性研究（预印本）

• DOI: 10.2196/preprints.29834
• 发表时间: 2021
• 作者: Hugh-Jones S

Adolescents accept digital mental health support in schools: A co-design and feasibility study of a school-based app for UK adolescents

• DOI: 10.1016/j.mhp.2022.200241
• 发表时间: 2022-09-01
• 期刊: MENTAL HEALTH & PREVENTION
• 作者: Hugh-Jones, Siobhan;Pert, Kirsty;West, Robert
• 通讯作者: West, Robert