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Prevention of College Student Mental Health Problems: A Web-Based ACT Program

大学生心理健康问题的预防：基于网络的 ACT 计划

基本信息

批准号：
7801679
负责人：
STEVEN C HAYES
金额：
$ 19.71万
依托单位：
CONTEXTUAL CHANGE, LLC
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-07-01 至 2011-12-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7801679
关键词：
Address Age Alcohol or Other Drugs use American Anxiety Area Behavioral Characteristics Commit Communities Development Distress Eating Disorders Education Emotions Evaluation Feasibility Studies Feedback Feeling Focus Groups Health Hour Internet Intervention Licensing Life Link Marketing Mental Depression Mental Health Motivation Online Systems Participant Peer Group Penetration Performance Persons Phase Plague Plant Roots Population Populations at Risk Prevention Prevention program Problem Solving Problem behavior Procedures Process Provider Psyche structure Public Health Randomized Relative (related person)Reporting Risk Sales Sampling Screening procedure Site Stigmata Stress Students Substance Use Disorder Substance abuse problem System Technology Testing Text Thinking Time Treatment Protocols Universities Ursidae Family Waiting Lists Work animation base behavioral health college cost cost effective design follow-up high risk behavior innovation mindfulness novel prevent programs prototype psychologic public health relevance randomized trial self help social stigma university student usability willingness

项目摘要

DESCRIPTION (provided by applicant): There is a strong need for the development and dissemination of effective prevention programs for mental health problems with college students, who are at risk for depression, anxiety, eating disorders, substance use, and many other difficulties (American College Health Association, 2007). Despite the fact that University settings are well suited to deliver such programs, their penetration into this setting, with a few exceptions, is limited. This may be because available effective prevention programs tend to rely on costly, in-person interventions or else target a restricted range of problems. Finding delivery systems that are cost effective and have a high possibility of utilization, such as a web-based course, might solve the problem of accessibility. However, the question of which students/problems to target for prevention still remains. College students tend to be plagued by a variety of mental health concerns. If we prevent one problem at a time, Universities would need to bear the financial and practical burden of multiple prevention programs to address the numerous problems that might develop. An alternative approach is to target core psychological processes that underlie a wide variety of mental health problems. Experiential avoidance (EA), the tendency to avoid unwanted emotions and negative thoughts, contributes to many psychological problems (e.g., Hayes et al., 2004) and Acceptance and Commitment Therapy (ACT; Hayes, Strosahl and Wilson, 1999) has been found to impact these problems through its ability to move experiential avoidance and related processes (Hayes et al., 2006). This project thus seeks to develop a universal web-based ACT prevention course for college students targeting the development and exacerbation of mental health problems. The project will involve the novel adaption of ACT intervention content to an interactive web-based format. A 12-session format will be used with two half-hour course modules for each of the primary treatment components of ACT. Phase I will focus on developing two modules for first year college students-- acceptance of unwanted emotions and defusion from thoughts. Focus groups and interface design testing will be used to better adapt intervention content and program design to college students. The prototype intervention will be evaluated in Phase I in terms of usability and feasibility using think aloud procedures and a subsequent randomized trial. Phase II will expand the intervention to include the final ten ACT course modules (one each in defusion and acceptance of unwanted emotions and feelings, and two each in values clarification; being present; noticing self; and committed action), with targeted content in the committed action module for specific problem areas based on an initial universal screening and treatment tailoring based on participants' reported distress and motivation to change. The Phase II intervention will be evaluated in a randomized trial across various higher education settings. PUBLIC HEALTH RELEVANCE: Mental health problems including depression, anxiety, eating disorders, and substance use disorders are major public health problems in the US that often take root in the college years. The proposed project seeks to prevent the development and exacerbation of mental health problems in college students by targeting a core psychological process that underlies these problems through a web-based educational program. A substantial percentage of the US population is in college at some point in their lives, and successful prevention programs in this setting could have a broad public health impact.

描述（由申请人提供）：有一个强烈的需要，为大学生的心理健康问题，谁是在抑郁症，焦虑，饮食失调，物质使用的风险，和许多其他困难（美国大学健康协会，2007年）的有效预防计划的发展和传播。尽管大学环境非常适合提供此类课程，但除了少数例外，它们在这种环境中的渗透是有限的。这可能是因为现有的有效预防方案往往依赖于昂贵的亲自干预或针对有限范围的问题。找到成本效益高、利用率高的授课系统，如网络课程，可能会解决无障碍问题。然而，针对哪些学生/问题进行预防的问题仍然存在。大学生往往受到各种心理健康问题的困扰。如果我们一次预防一个问题，大学将需要承担多个预防项目的财政和实际负担，以解决可能出现的众多问题。另一种方法是针对构成各种心理健康问题基础的核心心理过程。经验回避（EA），避免不想要的情绪和消极思想的倾向，导致许多心理问题（例如，Hayes等人，2004）和接受和承诺疗法（ACT; Hayes，Strosahl和Wilson，1999）已经被发现通过其移动经验回避和相关过程的能力来影响这些问题（Hayes等人，2006年）。因此，本项目旨在为大学生开发一个通用的基于网络的ACT预防课程，针对心理健康问题的发展和恶化。该项目将涉及对ACT干预内容进行新颖的改编，以采用基于网络的交互式格式。ACT的每个主要治疗部分将采用12节课的形式，包括两个半小时的课程模块。第一阶段将集中于为大学一年级学生开发两个模块--接受不想要的情绪和从思想中解脱出来。焦点小组和界面设计测试将用于更好地适应干预内容和程序设计，以大学生。原型干预将在第一阶段使用有声思维程序和随后的随机试验评估其可用性和可行性。第二阶段将扩大干预措施，包括最后十个ACT课程模块（一个是化解和接受不想要的情绪和感受，两个是澄清价值观，在场，注意自我;和承诺的行动），在承诺行动模块中针对具体问题领域提供有针对性的内容，其基础是初步的普遍筛查和根据参与者报告的痛苦和动机定制治疗，变化第二阶段的干预措施将在各种高等教育环境中进行随机试验。公共卫生关系：心理健康问题包括抑郁症，焦虑症，饮食失调和物质使用障碍是美国的主要公共卫生问题，通常在大学期间扎根。拟议的项目旨在通过基于网络的教育计划，针对这些问题背后的核心心理过程，以防止大学生心理健康问题的发展和恶化。相当大比例的美国人口在他们生命中的某个时刻都在上大学，在这种情况下成功的预防计划可能会产生广泛的公共卫生影响。