权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

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

基本信息

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
项目类别：
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

项目摘要

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.

摘要