Development and Testing of imHere4U: A Digital Suicide Prevention Intervention for Cyberbullied Adolescents

imHere4U 的开发和测试：针对网络欺凌青少年的数字自杀预防干预措施

• 批准号: 10701842
• 负责人: Candice L Biernesser
• 金额: $ 18.25万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-12 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10701842
• 关键词: Acute; Address; Adolescence; Adolescent; Affect; Age; Algorithms; COVID-19 pandemic; Cause of Death; Clinical; Clinical Trials; Clinical Trials Design; Data; Development; Devices; Distress; Environment; Ethics; Ethnic Origin; Evaluation; Exhibits; Feasibility Studies; Feedback; Feeling suicidal; Goals; Health; Health Care Costs; Hospitalization; Intervention; Interview; Investigation; K-Series Research Career Programs; Knowledge; Life Cycle Stages; Link; Mediation; Mental Health; Mental Health Services; Mentors; Methods; Motivation; Outcome; Parents; Problem Solving; Public Health; Questionnaires; Race; Reporting; Research; Sampling; Scientist; Sexual and Gender Minorities; Social Interaction; Social Problems; Social Workers; Structure; Suicide; Suicide prevention; Testing; Time; Training; Youth; adolescent suicide; behavioral health; brief motivational intervention; bullying; career; chatbot; coping; cyberbullying; design; digital; digital intervention; digital mental health; digital tool; distress tolerance; efficacious intervention; emotional experience; experience; feasibility testing; follow-up; help-seeking behavior; high risk; human centered design; improved; innovation; investigator training; iterative design; machine learning algorithm; machine learning model; minority children; motivational enhancement therapy; multidisciplinary; patient oriented; peer influence; prevent; preventive intervention; primary outcome; prototype; psychological distress; recruit; reducing suicide; retention rate; satisfaction; school health; secondary outcome; service delivery; skills; social media; suicidal; suicidal adolescent; suicidal behavior; suicidal risk; suicide rate; theories; therapy design; therapy development; usability; vulnerable adolescent

Suicide is the second leading cause of death among adolescents, and youth who are cyberbullied are twice as likely to exhibit suicidal thoughts and behaviors as those who are not cyberbullied. Cyberbullying (CB) is strongly associated with suicidal ideation, a phenomenon known to fluctuate rapidly, which suggests need to intervene proximally to instances of CB to reduce suicide risk. There is public health need to reduce suicide risk among cyberbullied adolescents, especially underserved adolescents (i.e., youth from minority backgrounds) who face higher rates of CB and suicidal thoughts and behavior. Yet, current interventions are limited in their capacity to meet the needs of underserved youth and to intervene in moments of high vulnerability. The purpose of this Mentored Patient-Oriented Career Development Award (K23) is to provide the applicant, a behavioral health scientist and clinical social worker, with the skills necessary to bridge the gap between CB intervention and suicide prevention with stakeholder-informed and empirically driven digital interventions for adolescents. To accomplish this long-term goal, a multidisciplinary training plan will provide the applicant with expertise in: (1) design, conduct, and analysis of online clinical trials; (2) theory, research, and methods of adolescent CB assessment and intervention; and (3) methods of enhancing underserved adolescents’ utilization of digital interventions using human centered design (HCD) and brief motivational interventions. The applicant will receive mentoring in a strong multidisciplinary environment with accomplished experts in the fields of adolescent suicide prevention, CB research, HCD, and online clinical trials. Formal training and coursework will advance training in clinical trial design and conduct (ethics and social media- based recruitment), and analysis (mediation and moderation analysis and evaluation of machine learning [ML] models for clinical trials), CB research, and methods for enhancing engagement (HCD and motivational interviewing). A complementary research plan will focus on development and testing of imHere4U, a just-in- time, suicide prevention intervention for cyberbullied adolescents. Based on pilot data suggesting acceptability of imHere4U among cyberbullied youth, parents, and professionals, we propose three aims. Aim 1: Cyberbullied adolescents (N=20; >35% underserved) will participate in iterative design to optimize a digital product for their needs. Aim 2: Recently cyberbullied adolescents (N=80; >35% underserved) will participate in an online RCT testing imHere4U plus Questionnaires of online interactions vs. Questionnaires alone. Aim 3: We will examine the feasibility of using a ML algorithm to deliver feedback to adolescents on their supportive and bullying online interactions. This trial will test the feasibility and preliminary efficacy of imHere4U, essential data for a subsequent R01 application to test imHere4U’s efficacy within a larger sample and dissemination outcomes. Results from this investigation are expected to lead to an efficacious intervention that fills a critical gap in service delivery by intervening when and where CB occurs to prevent adolescent suicide risk.

自杀是青少年死亡的第二大原因，而网络欺凌的年轻人则是两倍 可能表现出自杀的思想和行为，因为那些没有网络欺凌的人。网络欺凌（CB）为 与自杀思想密切相关，这是一种已知会迅速波动的现象，这表明需要 介入与CB降低自杀风险的实例近端。有公共卫生需要减少自杀 网络受伤的青少年，特别是服务不足的青少年（即少数人的青年）的风险 背景）面临更高的CB和自杀思想和行为的比率。但是，当前的干预措施是 他们满足服务不足的青年需求并干预高时刻的能力有限 脆弱性。这个受过指导的以患者为导向的职业发展奖（K23）的目的是提供 申请人，行为健康科学家和临床社会工作者，具有弥合差距所需的技能 在CB干预和预防自杀之间，利益相关者信息和经验驱动的数字 青少年的干预措施。为了实现这一长期目标，多学科培训计划将提供 具有专业知识的申请人：（1）在线临床试验的设计，行为和分析； （2）理论，研究， 和青少年CB评估和干预方法； （3）增强服务不足的方法 青少年使用以人为中心设计（HCD）和简短的励志利用数字干预措施 干预措施。申请人将在强大的多学科环境中获得指导 青少年预防自杀，CB研究，HCD和在线临床试验领域的专家。正式的 培训和课程将提高临床试验设计和行为的培训（道德和社交媒体 - 基于招聘）和分析（机器学习的调解和适度分析和评估[ML] 用于临床试验的模型），CB研究以及增强参与度的方法（HCD和动机） 面试）。完整的研究计划将重点介绍IMHERE4U的开发和测试，这是一个恰恰是 时间，预防网络青少年的自杀干预。根据试点数据建议可接受性 在网络欺凌的青年，父母和专业人士中，我们提出了三个目标。目标1： 网络欺凌的青少年（n = 20;> 35％的服务不足）将参与迭代设计以优化数字 产品满足他们的需求。 AIM 2：最近的网络欺凌青少年（n = 80;> 35％的人都将参与 仅在线RCT测试Imhere4U以及在线互动与问卷的问卷。目标3： 我们将研究使用ML算法向青少年提供反馈的可行性 和欺负在线互动。该试验将测试Imhere4U的可行性和初步效率，必不可少的 随后的R01应用程序的数据，以测试IMHERE4U在较大样本和传播中的效率 结果。预计这项投资的结果将导致有效的干预措施，以填补关键 通过干预CB何时何地进行服务提供服务的差距，以防止青少年自杀风险。

项目成果

Development and codesign of flourish: A digital suicide prevention intervention for LGBTQ+ youth who have experienced online victimization.

• DOI: 10.1016/j.invent.2023.100663
• 发表时间: 2023-12
• 期刊: INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH
• 影响因子: 4.3
• 作者: Biernesser, Candice;Win, Emma;Farzan, Rosta;Rose, Morgan;Goldstein, Tina
• 通讯作者: Goldstein, Tina