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治疗发展资助的目标是开发一个移动健康（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可以被描述为疗程之间的练习，其中客户练习在疗程中学习的特定技能，以促进技能习得，最终导致改善的急性和长期治疗效益的目标结果，治疗效果的普遍化和治疗收益的维持。尽管数据表明，卫生保健对于从循证治疗中获得最大效益至关重要，但很少有理论驱动的方法侧重于改善卫生保健过程。通过利用自决理论作为指导框架，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移动健康HW应用程序（My MFG）。第一个组成部分侧重于通过一个高度参与，多人，互动，合作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确定与“执行”过程中较差的HW实施相关的因素。My MFG的开发过程将以诊所和社区发展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在实践环境中的可行性和可持续性，这些实践环境通常以资源有限为特征。这项研究的发现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，强调健康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.