Mindfulness and Acceptance Applied in Colleges Through Web-Based Guided Self-Help

通过基于网络的引导式自助在大学中应用正念和接受

• 批准号: 8122484
• 负责人: Michael Levin
• 金额: $ 22.94万
• 依托单位: CONTEXTUAL CHANGE, LLC
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-01 至 2013-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8122484
• 关键词: Alcohol or Other Drugs use; Anxiety; Anxiety Disorders; Area; Characteristics; Client; Clinical; Commit; Counseling; Eating; Education; Elements; Emotions; Feasibility Studies; Feedback; Focus Groups; Intake; Intervention; Interview; Judgment; Knowledge; Licensing; Marketing; Mental Depression; Mental Health; Mental disorders; Methods; Monitor; Online Systems; Outcome; Parents; Phase; Population; Prevention; Procedures; Process; Professional counselor; Public Health; Reporting; Resources; Sales; Sampling; Series; Services; Severities; Site; Solutions; Stress; Students; Substance abuse problem; Suicide; Surveys; Technology; Testing; Thinking; Time; Training; Treatment Effectiveness; Universities; Waiting Lists; Work; Workload; base; college; cost effective; cost effectiveness; design; effective therapy; evidence base; experience; improved; innovation; investigator training; meetings; mindfulness; programs; prototype; psychologic; randomized trial; satisfaction; self help; skill acquisition; treatment program; university student; usability

DESCRIPTION (provided by applicant): Nearly half of all college students have a diagnosable mental health problem (Blanco et al., 2008). College counseling centers (CCCs) are faced with increasing demands for services from Universities, students and parents to meet the treatment needs of their students (Beamish, 2005), in the context of increasingly severe cases and declining resources (Gallagher, 2009). Innovative, cost effective solutions are needed that can improve treatment effectiveness with a range of presenting problems while reducing counselor workloads. The proposed project seeks to meet these needs by developing a web-based guided self-help version of Acceptance and Commitment Therapy (ACT; Hayes, Strosahl and Wilson, 1999), an evidence-based transdiagnostic therapy that has been found to effectively treat a range of mental health problems by targeting experiential avoidance, the tendency to avoid unwanted emotions and negative thoughts (Hayes et al., 2006). An ACT program would provide a means of implementing effective treatment for the range of problems encountered in the CCC setting, while the online guided self-help format would reduce counselors' workload for each client, improving cost- effectiveness and reducing waiting lists. This product would both treat students through a series of self-help modules and train CCC counselors in how to implement the guided self-help intervention. Phase I will focus on developing two self-help modules (mindfulness and acceptance) as well as a counselor portal to review students' use of the program and to receive training on implementing ACT guided self-help. Focus groups with treatment seeking students and focused interviews with counselors will be used to better adapt program content and design for these populations. The prototype self-help and counselor portals will be evaluated in terms of usability with think aloud procedures followed by a pre-post feasibility trial with 20 counselors and 60 clients (3 student clients per CCC counselor). Phase II will expand the program to include 12 self-help modules across the main ACT concepts: mindfulness, acceptance, defusion, noticing self, values, and committed action, with targeted content in the committed action module for specific problem areas based on initial assessment and counselor judgment. The counselor portal will be further developed to provide access to training material in relation to each module, to allow for greater interactions with and between students (e.g., addition of mobile technologies; creating a moderated forum for students) and to allow for advanced time-saving features (e.g., generating reports on student use of the program which can be filed as progress notes). These components together will provide a comprehensive self-help intervention for college students as well as a portal for counselors to monitor and support students' progress. The Phase II product will be evaluated in a randomized trial across various higher education settings, counselor expertise levels with ACT, and different program features. PUBLIC HEALTH RELEVANCE: College counseling centers are expected to serve an increasingly higher number of students, presenting with increasingly more severe problems, despite a concurrent reduction in or stagnation of available resources. The proposed project seeks to improve college counseling centers' ability to effectively and efficiently treat students presenting with a range of mental health problems, while reducing counselor workloads, by developing a web-based guided self- help program. A substantial percentage of the US population is in college at some point in their lives, and improving college counseling treatment programs could have a broad public health impact.

描述（由申请人提供）：近一半的大学生有可诊断的心理健康问题（Blanco 等，2008）。在案件日益严重和资源不断减少的背景下，大学咨询中心（CCC）面临着大学、学生和家长日益增长的服务需求，以满足学生的治疗需求（Beamish，2005）（Gallagher，2009）。我们需要创新且具有成本效益的解决方案，以提高针对一系列现有问题的治疗效果，同时减少咨询师的工作量。拟议的项目旨在通过开发基于网络的引导式自助版本的接受与承诺疗法（ACT；Hayes、Strosahl 和 Wilson，1999）来满足这些需求，这是一种基于证据的跨诊断疗法，已被发现可以通过针对体验性回避、避免不良情绪和消极想法的倾向来有效治疗一系列心理健康问题（Hayes 等，2006）。 ACT 计划将为 CCC 环境中遇到的一系列问题提供一种有效治疗的方法，而在线指导自助形式将减少咨询师为每个客户提供的工作量，提高成本效益并减少等待名单。该产品既可以通过一系列自助模块来治疗学生，也可以培训 CCC 辅导员如何实施引导式自助干预。第一阶段将重点开发两个自助模块（正念和接受）以及一个辅导员门户网站，以审查学生对该计划的使用情况，并接受有关实施 ACT 指导自助的培训。将利用寻求治疗的学生的焦点小组以及与辅导员的集中访谈来更好地适应这些人群的项目内容和设计。自助和辅导员门户原型将通过“出声思考”程序进行可用性评估，然后由 20 名辅导员和 60 名客户（每个 CCC 辅导员 3 名学生客户）进行事前可行性试验。第二阶段将扩展该计划，包括涵盖主要 ACT 概念的 12 个自助模块：正念、接受、解离、注意自我、价值观和承诺行动，并根据初步评估和咨询师的判断，在承诺行动模块中针对特定问题领域提供有针对性的内容。辅导员门户将进一步开发，以提供与每个模块相关的培训材料的访问，以允许与学生之间以及学生之间更好的互动（例如，添加移动技术；为学生创建一个主持的论坛），并允许高级省时功能（例如，生成关于学生使用该程序的报告，可以将其作为进度说明归档）。这些组件将为大学生提供全面的自助干预，并为辅导员提供一个监控和支持学生进步的门户。 II 期产品将通过随机试验进行评估，涵盖各种高等教育环境、ACT 辅导员专业知识水平以及不同的项目特点。 公共卫生相关性：尽管可用资源同时减少或停滞，但大学咨询中心预计将为越来越多的学生提供服务，这些学生面临着越来越严重的问题。拟议的项目旨在通过开发基于网络的指导自助计划，提高大学咨询中心有效和高效地治疗存在一系列心理健康问题的学生的能力，同时减少咨询师的工作量。美国人口中很大一部分人在一生中的某个阶段正在上大学，改善大学咨询治疗计划可能会对公共健康产生广泛的影响。