Implementing a Digital Adolescent Behavioral Health Screening, Literacy, and Low-Intensity Intervention for Common Adolescent Mental Health Problems in Kenya

针对肯尼亚常见青少年心理健康问题实施数字化青少年行为健康筛查、扫盲和低强度干预

• 批准号: 10459507
• 负责人: Keng-Yen Huang
• 金额: $ 18.22万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-01 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10459507
• 关键词: 8 year old; Address; Adolescent; Adolescent Behavior; African; Anxiety; Behavior; Behavioral; Big Data Methods; Canada; Caregivers; Child Mental Health; Cognitive; Communities; Community Health Aides; Country; Data; Data Science; Disease; Economics; Effectiveness; Emotional; Environment; Environmental Risk Factor; Feasibility Studies; Goals; Health; Health Educators; Health Professional; Health Promotion; Health Services Research; Health system; Institution; Intervention; Intervention Studies; Kenya; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Mental health promotion; Methodology; Modality; Modeling; National Institute of Mental Health; Neurologic; Outcome; Parents; Phase; Population; Prevention; Preventive; Preventive service; Process; Psyche structure; Public Health; Randomized Controlled Trials; Research; Research Domain Criteria; Research Personnel; Resources; Risk; Screening Result; Self Perception; Services; Technology; Testing; Training; Uganda; United States National Institutes of Health; Youth; abuse victim; adolescent health; base; behavioral health; childhood adversity; conduct problem; cost; cost effective; cost efficient; design; digital; digital health; digital intervention; digital mental health; disability-adjusted life years; eHealth; effectiveness evaluation; effectiveness testing; empowered; empowerment; feasibility testing; health literacy; health training; implementation outcomes; implementation research; improved; infancy; innovation; literacy; low and middle-income countries; mHealth; meetings; novel; peer; personalized care; personalized health care; pregnant teen; prevent; preventive intervention; rapid growth; screening; self help; service gap; skills; social; systems research; theories; therapy development; tool; trial design; usability; user centered design; years of life lost

ABSTRACT The burden mental, neurological, and substance (MNS) disorders in low-and middle-income countries (LMICs) is tremendous, but solutions for addressing the MNS burden remain limited in global adolescent mental health research. The rapid growth and widespread use of technology has the potential to address MNS burden by offering new solutions for transforming services; however, e-Health has not been systematically studied for preventive mental health intervention in LMICs. This proposed two-phase R21/R33 study seeks to respond to the growing burden of adolescent MNS disorders and urgent preventive service needs in LMIC by testing usability, feasibility (R21 phase) and effectiveness (R33 phase) of a mHealth intervention, mHealth Toolkit for Screening & Empowering Lives of Youth (mSELY), to promote adolescent mental health in Kenya. The mSELY is a preventive intervention tool to be used by adolescents and/or their caregivers as a self-help support modality. The mSELY-A is designed for adolescents and mSELY-P is designed for parents/caregivers. The mSELY integrates 4 key mental health service functions: i) comprehensive screening for adolescent social-emotional/mental health and relevant risks (in multiple RDoC domains); ii) a strength and weakness profile for an adolescent’s behaviors; iii) tailored mental health literacy and promotion strategies, and iv) tailored referral resources. To promote accessibility and to have broader reach, the mSELY will be embedded in diverse community based organizations (CBOs) that already provide services to adolescents. In addition, a youth empowerment approach of task-shifting will be applied to train a team of adolescent-peer-community- health workers (A-CHWs) to support the mSELY implementation. This project is conceptualized within the Social Action Theory, mHealth/Technology Acceptance Model, and Implementation Outcomes Framework. The specific aims are: (1) to build research and service capacity for digital and public health approaches of adolescent mental health promotion; (2) to employ a user-centered design to test and enhance usability of the mSELY-A and P (in R21 Year 1) and to test feasibility and efficacy of mSELY-A alone, mSELY-P alone, and combination of mSELY-A + P in youth-served CBOs; (3) to test the effectiveness of the optimized versions of mSELY-A and P using a cluster-randomized control trial (cRCT); and 4) to disseminate and explore big data analytic approaches using the Toolkit data to improve Digital-Toolkit decision support functions and accuracy of mental health precision care.

抽象的 低收入和中等收入国家 (LMIC) 的精神、神经和物质 (MNS) 疾病负担 巨大，但解决全球青少年心理健康中 MNS 负担的解决方案仍然有限 研究。技术的快速发展和广泛使用有可能通过以下方式解决 MNS 负担： 为服务转型提供新的解决方案；然而，电子医疗尚未得到系统研究 中低收入国家的预防性心理健康干预。这项拟议的两阶段 R21/R33 研究旨在回应 通过测试，中低收入国家青少年 MNS 疾病负担日益沉重，迫切需要预防服务 移动医疗干预措施的可用性、可行性（R21 阶段）和有效性（R33 阶段），移动医疗工具包 Screening & Empowering Lives of Youth (mSELY)，旨在促进肯尼亚青少年的心理健康。这 mSELY 是一种预防性干预工具，供青少年和/或其护理人员用作自助 支持方式。 mSELY-A 专为青少年设计，mSELY-P 专为父母/看护者设计。 mSELY整合了4个关键的心理健康服务功能： i) 青少年综合筛查 社会情感/心理健康和相关风险（在多个 RDoC 领域）； ii) 优点和缺点 青少年行为概况； iii) 量身定制的心理健康素养和促进策略，以及 iv) 量身定制的推荐资源。为了促进可及性并扩大影响范围，mSELY 将被嵌入 已经为青少年提供服务的各种社区组织 (CBO)。此外，还有一个 将采用任务转移的青年赋权方法来培训一支由青少年同侪社区组成的团队 卫生工作者 (A-CHW) 支持 mSELY 的实施。该项目的概念是在 社会行动理论、移动医疗/技术接受模型和实施成果框架。 具体目标是：（1）建设数字和公共卫生方法的研究和服务能力 促进青少年心理健康； (2)采用以用户为中心的设计来测试和增强可用性 mSELY-A 和 P（在 R21 第 1 年），并测试单独使用 mSELY-A、单独使用 mSELY-P 的可行性和功效，以及 mSELY-A + P 在青年服务的 CBO 中的组合； (3) 测试优化版本的有效性 mSELY-A 和 P 使用整群随机对照试验 (cRCT)； 4）传播和探索大数据 使用工具包数据的分析方法来提高数字工具包决策支持功能和准确性 心理健康精准护理。

项目成果

Making cities mental health friendly for adolescents and young adults.

使城市对青少年和年轻人的心理健康有利。

• DOI: 10.1038/s41586-023-07005-4
• 发表时间: 2024
• 期刊: Nature
• 影响因子: 64.8
• 作者: Collins,PamelaY;Sinha,Moitreyee;Concepcion,Tessa;Patton,George;Way,Thaisa;McCay,Layla;Mensa-Kwao,Augustina;Herrman,Helen;deLeeuw,Evelyne;Anand,Nalini;Atwoli,Lukoye;Bardikoff,Nicole;Booysen,Chantelle;Bustamante,Inés;Chen,Yaju
• 通讯作者: Chen,Yaju

Applying technology to promote sexual and reproductive health and prevent gender based violence for adolescents in low and middle-income countries: digital health strategies synthesis from an umbrella review.

• DOI: 10.1186/s12913-022-08673-0
• 发表时间: 2022-11-19
• 期刊: BMC health services research
• 影响因子: 2.8

Burden and risk factors of mental and substance use disorders among adolescents and young adults in Kenya: results from the Global Burden of Disease Study 2019.

• DOI: 10.1016/j.eclinm.2023.102328
• 发表时间: 2024-01
• 期刊: ECLINICALMEDICINE
• 影响因子: 15.1
• 作者: Kumar, Manasi;Njuguna, Simon;Amin, Nabila;Kanana, Sarah;Tele, Albert;Karanja, Mercy;Omar, Nasri;Yator, Obadia;Wambugu, Christine;Bukusi, David;Weaver, Marcia R.
• 通讯作者: Weaver, Marcia R.