A Mobile Text Approach to Measurement and Feedback for Wraparound Care Coordination

用于测量和反馈的移动文本方法以实现全方位护理协调

• 批准号: 10383526
• 负责人: ERIC J. BRUNS
• 金额: $ 32.82万
• 依托单位: 3-C INSTITUTE FOR SOCIAL DEVELOPMENT
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-02-10 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10383526
• 关键词: Address; Adolescent; Adult; Algorithms; Back; Behavioral; Caregivers; Caring; Child; Child health care; Client satisfaction; Clinical; Collection; Communities; Complex; Computer software; Controlled Study; Custom; Data; Data Display; Decision Making; Electronic Mail; Emotional disorder; Enrollment; Evaluation; Evidence based practice; Family; Feedback; Focus Groups; Foundations; Future; Goals; Health Expenditures; Health behavior; Home; Hospitalization; Intervention; Licensing; Measurement; Measures; Mental Health; Mental disorders; Meta-Analysis; Modality; Modeling; Modification; Monitor; Nature; Online Systems; Outcome; Parents; Participant; Phase; Property; Provider; Psychometrics; Public Health; Recommendation; Reporting; Research; Role; Service delivery model; Service setting; Services; Small Business Innovation Research Grant; Solid; Stress; Surgeon; Surveys; Symptoms; System; Technology; Testing; Text; Text Messaging; Therapeutic; Time; Violence; Work; Youth; base; behavioral health; care coordination; care providers; caregiver stress; commercial application; cost efficient; dashboard; design; efficacy evaluation; evidence base; experience; follow-up; handheld mobile device; health application; improved; member; multimodality; novel; optimism; outreach; pilot test; predict clinical outcome; programs; prototype; recruit; research and development; satisfaction; software development; software systems; usability

Abstract Fifteen million children and adolescents in the U.S. experience a diagnosable mental health (MH) disorder, with approximately half (6 to 8 million) considered to experience a serious emotional disorder (SED). Integrated, multi- modal community systems to coordinate multiple helpers and provision of multiple interventions have been identified to address the complex and multifaceted problems faced by youth with SED. One such model, the Wraparound service model (WSM), has been cited in multiple major reviews of effective community treatments, and is listed in the Surgeon General's Reports on youth mental health and violence. As is the case for other evidence-based practices, the degree to which data are consistently measured and used to inform care—i.e., “measurement-based care” or MBC—accounts for a large proportion of variance in outcomes for Wraparound. The goal of this SBIR project is to develop and test the Short Message Assisted Responsive Treatment for Wraparound (SMART-Wrap) application to overcome the current barriers to measuring and using data in everyday service settings. SMART-Wrap will facilitate MBC with an SMS system and thus inform and improve both service and clinical outcomes. In Phase I, we will accomplish four specific aims. First, we will work with a diverse group of expert advisors, experienced in developing mental health applications and administering WSM services, to create prototype assessment items and program a web-based `back-end' system for deploying assessment items via customized SMS. Second, we will assess feasibility of this prototype system for youth with SED and their caregivers, as well as determine the psychometric properties of the SMS-based items. Third, we will design and program prototype WSM care team dashboard functions to provide a feasible and acceptable online system for tracking collected data, identifying key findings, and facilitating MBC. Lastly, we will conduct an initial pilot test to evaluate feasibility of SMART-Wrap in typical Wraparound service for youth with SED by having both families and Wraparound care team members use the prototype over a 2-month period. Phase I quantitative and qualitative data will be used to inform the Phase II R&D plan. The proposed SMART-Wrap product will harness the simplicity and accessibility benefits of SMS to significantly improve engagement in Wraparound services and shift current Wraparound practice toward MBC. The end result will be a rigorously tested new mobile Routine Outcome Monitoring (ROM) solution to help improve service and clinical outcomes for the over six million youth in the U.S. with SED.

抽象的 美国1500万儿童和青少年患有诊断性心理健康（MH）疾病，患有 大约一半（6至800万）被认为患有严重的情绪障碍（SED）。综合，多 模态社区系统以协调多个助手并提供多种干预措施 确定要解决SED青年面临的复杂而多方面的问题。一种这样的模型， Wrapararound服务模型（WSM）已在有效社区治疗的多个重大评论中引用 并在外科医生关于青年心理健康和暴力的报告中列出。与其他情况一样 基于证据的实践，一致测量和用于告知护理的数据的程度 - 即 “基于测量的护理”或MBC - 符合环绕型结果差异很大一部分的学会。 这个SBIR项目的目的是开发和测试简短的消息辅助响应疗法 Wrapararound（智能包装）应用程序以克服当前测量和使用数据的障碍 日常服务设置。智能包装将通过SMS系统促进MBC，从而告知和改进 服务和临床结果。在第一阶段，我们将实现四个具体目标。首先，我们将与 多样化的专家顾问，在开发心理健康应用方面经验丰富并管理WSM 服务，创建原型评估项目并为部署的基于Web的“后端”系统编程 通过自定义SMS进行评估项目。第二，我们将评估该原型系统的可行性 SED及其护理人员，并确定了基于SMS的项目的心理测量特性。第三，我们 将设计和编程原型WSM护理团队仪表板功能，以提供可行且可接受的 在线系统，用于跟踪收集的数据，识别关键发现并支持MBC。最后，我们将进行 初步的试点测试，以评估智能包装在典型的sed典型环绕式服务中的可行性 在2个月的时间内，都有使用该原型的家庭和环绕式护理团队成员。第一阶段 定量和定性数据将用于告知II阶段R＆D计划。拟议的智能包装 产品将利用SMS的简单性和可及性优势，以显着提高参与度 环绕式服务，并将当前的环绕式实践转移到MBC。最终结果将是严格的 测试了新的移动常规结果监控（ROM）解决方案，以帮助改善服务和临床结果 对于美国超过600万年轻人来说，有SED。