Mobile Health Solutions for Behavioral Skill Implementation through Homework

描述（由申请人提供）：这项为期两年的R34治疗开发资助的目标是开发一个移动的健康（mHealth）应用程序，该应用程序将推进家庭作业（HW）实施的理论和临床实践。HW可以被描述为会话之间的练习，其中客户练习会话内学到的特定技能，以促进技能的获得，这最终导致改善的急性以及目标结果的长期治疗益处，治疗效果的推广和治疗收益的维持。尽管有数据表明，HW是从循证治疗中获得最大获益的关键，但很少有理论驱动的方法专注于改善HW过程。通过利用自我决定理论作为指导框架，并整合“游戏化”和目标设定领域的原则，目的是开发一个双组件mHealth硬件应用程序（My MFG）。第一个组成部分侧重于通过一个高度吸引人的、多人的、互动的、合作的和技能培养的游戏平台来提供硬件，旨在改善硬件的“设计”和“执行”过程。第二个组成部分侧重于在“执行”过程中与不良硬件实施相关的目标因素。My MFG的开发过程将以诊所和社区开发模型以及迭代软件开发过程为指导，以最大限度地提高My MFG在资源有限的实践环境中的可行性和可持续性。这项研究的结果对青少年和成人精神健康障碍的循证治疗具有广泛的意义，这些治疗强调HW是治疗与目标结果改善之间的联系。

DESCRIPTION (provided by applicant): The goal of this two-year R34 treatment development grant is to develop a mobile health (mHealth) application that will both advance theory in and clinical practice of homework (HW) implementation. HW can be described as between-session exercises where the client practices specific skills learned within-session in order to promote skill acquisition, which ultimately leads to improved acute- as well as longer-term therapeutic benefits on targeted outcomes, generalization of treatment effects and maintenance of treatment gains. Despite data demonstrating that HW is critical to achieving maximal benefits from evidence-based treatments, very little theory-driven approaches have been conducted focusing on improving the HW process. Through utilizing self- determination theory as a guiding framework and integrating principles from the field of "gamification" and goal-setting, the aim is to develop a two-component mHealth HW application (My MFG). The first component focuses on delivering HW via a highly engaging, multiplayer, interactive, cooperative, and skill-building game platform aimed at improving the "Design" and "Do" process of HW. The second component focuses on targeting factors putatively related to poor HW implementation within the "Do" process. The process of the development of My MFG will be guided by the clinic and community development model and iterative software development process to maximize the feasibility and sustainability of My MFG within practice settings often characterized by limited resources. Findings from this study have broad implications for evidence-based treatments for youth and adult mental health disorders that emphasize HW as the link between treatment and improvements in targeted outcomes.