Youth Mental Health Outcomes Tracking System: Self, Parent, & Clinician-Reported

青少年心理健康结果跟踪系统：自我、家长、

• 批准号: 7801042
• 负责人: BENJAMIN B BRODEY
• 金额: $ 13.73万
• 依托单位: TELESAGE RESEARCH, INC.
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-15 至 2012-01-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7801042
• 关键词: 19 year old; Administrator; Admission activity; Adolescent; Adopted; Adult; Adverse effects; Advocacy; Age; Alcohol consumption; Anxiety; Arts; Attention; Behavior; Behavioral; California; Caregivers; Child; Cognitive; Computer software; Computerized Medical Record; Computers; Contracts; County; Data; Data Reporting; Development; Disabled Persons; Doctor of Philosophy; Drug usage; Electronics; Ensure; Family; Funding; Gold; Grant; Health system; Healthcare; Hyperactive behavior; Internet; Interview; Iowa; Manuals; Marijuana; Measures; Mediation; Medicaid; Medicare; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Mentally Ill Persons; National Institute of Drug Abuse; National Institute of Mental Health; Ohio; Outcome; Paper; Parenting behavior; Parents; Patient Self-Report; Patients; Pennsylvania; Personal Digital Assistant; Pharmaceutical Preparations; Phase; Population; Positioning Attribute; Private Sector; Process; Provider; Psychiatrist; Psychologist; Reporting; Research; Residential Treatment; Resources; Respondent; Risk Behaviors; Running; Sampling; Schools; Screening procedure; Self Assessment; Severities; Site; Small Business Innovation Research Grant; Social Functioning; Solutions; Stress; Substance Abuse Detection; Substance abuse problem; Surveys; Symptoms; System; Techniques; Technology; Teenagers; Telephone; Tennessee; Testing; Time; Tobacco use; Translating; Translations; Triad Acrylic Resin; United States; United States National Institutes of Health; Validation; Washington; Work; Writing; Youth; addiction; adolescent substance use; aged; autism spectrum disorder; base; cost effective; design; experience; follow-up; functional status; improved; indexing; instrument; meetings; next generation; novel; peer; psychologic; public health relevance; response; routine care; satisfaction; success; technique development; theories; tool; touchscreen; user-friendly; young adult

DESCRIPTION (provided by applicant): With funding from NIMH, TeleSage has developed a state-of-the-art mental health outcomes tracking survey instrument for use with both public- and private-sector adults. This survey is currently in statewide use in Tennessee and Iowa. Unfortunately, no corresponding cutting-edge survey instrument exists for youth. TeleSage has used the Ohio Scales in two state-wide projects, but this instrument has several important shortcomings. The overall aim of this project is to develop a youth mental health outcomes tracking instrument and associated software for use by state mental health agencies and managed behavioral healthcare organizations (MBHO). The package will feature a set of item banks for the domains that are most frequently requested by administrators and clinicians, and which are most relevant to patients, their families, and advocacy groups. There will be three versions of these item banks: one to be completed by youth (ages 13-17) receiving mental health services, one to be completed by parents of youth (ages 5-17) receiving mental health services, and one to be completed by clinicians of youth (ages 5-17) receiving mental health services. States, agencies, and MBHOs will be able to choose the domains most relevant to their needs, as well as select technological solutions (e.g., IVR, PCs, PDAs, touch-screens) for collecting patient-reported data and delivering reports to stakeholders. This Phase I project will utilize the same survey development techniques as those used by the NIH PROMIS initiative. TeleSage has already developed core item pools for 13 domains. Additional items will be developed based on expert panel review. We will pretest items for the 13 previously developed domains, as well as a new parenting stress domain and domains appropriate for use with Autism Spectrum Disorders, using cognitive interviewing with a sample of 20 youth (ages 13-17), 20 parents of youth, and 20 clinicians treating youth. An expert panel will review results and recommend items for full validation. Full validation of items, using IRT analysis and comparisons with gold standard instruments will be completed in Phase II. In addition, respondent-specific domains, a Spanish translation, and crosswalks to the relevant domains of existing instruments will also be created. PUBLIC HEALTH RELEVANCE: Mental illness in adolescents is qualitatively different from mental illness in adults; as such, a youth specific instrument is needed to offer a reliable and valid self-assessment for this population. This project aims to develop a state-of-the-art, multi-domain state outcomes tracking instrument for youth, their parents, and clinicians. The proposed instrument would greatly improve upon existing measures by using IRT, cognitive interviewing, and a DSM-oriented set of domains to reliably track change in youth ages 5-17.

描述（由申请人提供）：在 NIMH 的资助下，TeleSage 开发了一种最先进的心理健康结果跟踪调查工具，可供公共和私营部门的成年人使用。这项调查目前在田纳西州和爱荷华州全州范围内使用。不幸的是，目前还没有针对年轻人的相应的尖端调查工具。 TeleSage 已在两个全州项目中使用了俄亥俄量表，但该仪器有几个重要的缺点。 该项目的总体目标是开发一种青少年心理健康结果跟踪工具和相关软件，供州心理健康机构和行为医疗管理组织 (MBHO) 使用。该软件包将包含一组项目库，涵盖管理员和临床医生最常请求的领域，以及与患者、其家人和倡导团体最相关的领域。这些项目库将有三个版本：一种由接受心理健康服务的青少年（13-17 岁）完成，一种由接受心理健康服务的青少年（5-17 岁）的父母完成，一种由接受心理健康服务的青少年（5-17 岁）的临床医生完成。州、机构和 MBHO 将能够选择与其需求最相关的领域，以及选择技术解决方案（例如 IVR、PC、PDA、触摸屏）来收集患者报告的数据并向利益相关者提供报告。 该第一阶段项目将利用与 NIH PROMIS 计划所使用的相同的调查开发技术。 TeleSage 已经为 13 个领域开发了核心项目池。将根据专家小组的审查制定其他项目。我们将通过对 20 名青少年（13-17 岁）、20 名青少年父母和 20 名治疗青少年的临床医生进行认知访谈，对先前开发的 13 个领域以及新的养育压力领域和适用于自闭症谱系障碍的领域进行预测试。专家小组将审查结果并推荐项目进行全面验证。使用 IRT 分析以及与黄金标准仪器进行比较的全面验证将在第二阶段完成。此外，还将创建受访者特定的领域、西班牙语翻译以及现有文书相关领域的交叉路口。 公共卫生相关性：青少年精神疾病与成人精神疾病有本质上的不同；因此，需要专门针对青年的工具来为这一人群提供可靠和有效的自我评估。该项目旨在为青少年、他们的父母和临床医生开发一种最先进的、多领域的状态结果跟踪工具。拟议的工具将通过使用 IRT、认知访谈和一组面向 DSM 的领域来可靠地跟踪 5-17 岁青少年的变化，从而极大地改进现有措施。