Expanding College Student Mental Health with Stress Management Mobile Technologies

通过压力管理移动技术扩大大学生的心理健康

• 批准号: 10002030
• 负责人: Emily Gardiner Lattie
• 金额: $ 17.66万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-20 至 2022-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10002030
• 关键词: Address; Adoption; Adult; Age; Age of Onset; Alcohol or Other Drugs use; American; Anxiety; Appointment; Area; Behavior Therapy; Behavioral; Car Phone; Caring; Cellular Phone; Chicago; Clinic; Clinical; Clinical Psychology; Clinical Research; Clinical Sciences; Cognitive; Cognitive Therapy; Communities; Coping Skills; Counseling; Data; Data Collection; Development; Early Intervention; Enrollment; Ensure; Environment; Evaluation; Evidence based practice; Evidence based treatment; Exercise; Exhibits; Failure; Feedback; Funding; General Population; Goals; Growth; Health; Health Personnel; Health Services Accessibility; Health system; Healthcare; Illinois; Impairment; Individual; Intake; Intervention; Knowledge; Laboratories; Life; Measures; Mediating; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Mentors; Mentorship; Penetration; Persons; Phase; Population; Procedures; Process; Productivity; Program Acceptability; Program Evaluation; Program Sustainability; Psyche structure; Qualitative Research; Recommendation; Relaxation; Reporting; Research; Research Methodology; Research Personnel; Research Project Grants; Resources; Scientist; Seasonal Variations; Services; Site; Students; Symptoms; System; Technology; Teenagers; Telemental; Testing; Time; Training; Universities; Work; base; care systems; career; clinical risk; clinically significant; college; depressive symptoms; design; digital; effectiveness implementation study; effectiveness implementation trial; experience; follow-up; health care availability; health care service; health care settings; health literacy; high school; implementation research; implementation science; implementation strategy; implementation trial; improved; iterative design; medical schools; member; mobile computing; multidisciplinary; population based; preference; programs; psychological distress; screening; skills; smartphone Application; social relationships; stress management; stressor; tool; university student; usability; user centered design; young adult

The college years present a period of increased psychological distress for many Americans and college students report significant barriers to mental health treatment. The PI's goal is to become an independent investigator with expertise in the creation and evaluation of behavioral intervention technologies (BITs) in order to broaden the scope of mental healthcare service availability within existing systems. This proposal outlines a plan to achieve this goal, through the culmination of training and research plans into a successful R01 proposal. The training plan takes full advantage of the strong institutional support and environment at Northwestern University's Feinberg School of Medicine and the Center for Behavioral Intervention Technologies, which is led by the primary mentor for this proposal. Training goals necessary to the PI's career goal include growth in (1) user-centered design for the development of BITs, (2) implementation science, (3) clinical science including qualitative research and new clinical research methodologies, and (4) advanced professional skills. This plan builds on the PI's background in clinical psychology, which has focused on tele- mental health, stress management interventions, and cognitive behavioral therapy (CBT). In this K08, the PI will extend her work to include new populations (e.g. college students) and settings (college counseling centers) to increase the impact of her research through earlier intervention. The long-terms goal of the research is to integrate BITs into existing university healthcare settings, thus broadening the scope and reach of mental healthcare services. The research plan will develop and test a Student Stress Management (SSM) mobile program based within the framework of an evidence-based treatment for depression and anxiety. This program will increase engagement with mental health treatment, and supplement existing care by serving as an access point to more extensive mental health treatment options and as an independent treatment form. This will be achieved through the following specific aims: 1) to conduct user-centered design and usability testing to refine features and tools of the SSM program and determine feasibility and acceptability of the program for use on campus; 2) to conduct a pilot hybrid effectiveness-implementation trial of the SSM program within two university communities; and 3) to obtain preliminary data assessing efficacy the SSM program, changes in hypothesized mechanisms related to efficacy, and university system-level factors that would facilitate or retard the adoption, implementation, and sustainability of the program. These studies are expected to advance the design of BITs for young adults, and improve and increase the use of BITs in university settings, ultimately increasing the reach and impact of evidence-based practices. Skills acquired by carrying out the projects proposed in this application will allow the PI to successfully compete for R01 funding in order to conduct a larger effectiveness-implementation trial.

对许多美国人来说，大学时代是一个心理压力增加的时期， 学生们报告说，心理健康治疗存在重大障碍。PI的目标是成为独立的 具有创建和评估行为干预技术（BIT）专业知识的调查员， 在现有系统内扩大精神保健服务的范围。该提案概述了 计划实现这一目标，通过培训和研究计划的高潮，成为一个成功的R 01 提议培训计划充分利用了以下机构的有力支持和环境： 西北大学范伯格医学院和行为干预中心 技术，由本提案的主要导师领导。PI职业生涯所需的培训目标 目标包括：（1）发展以用户为中心的双边投资条约设计，（2）实施科学，（3） 临床科学，包括定性研究和新的临床研究方法，以及（4）先进的 专业技能。该计划建立在PI的临床心理学背景之上，该背景侧重于远程， 心理健康，压力管理干预和认知行为疗法（CBT）。在此K 08中，PI 我将把她的工作扩展到新的人群（如大学生）和环境（大学咨询 中心），以增加她的研究通过早期干预的影响。的长期目标 研究的目的是将双边投资条约纳入现有的大学医疗保健环境，从而扩大范围和覆盖面 心理健康服务。该研究计划将开发和测试学生压力管理（SSM） 移动的程序基于抑郁症和焦虑症的循证治疗框架内。这 该计划将增加对心理健康治疗的参与，并通过作为 获得更广泛的心理健康治疗选择的一个接入点，并作为一种独立的治疗形式。这 将通过以下具体目标实现：1）进行以用户为中心的设计和可用性测试， 完善SSM计划的特点和工具，确定该计划的可行性和可接受性 在校园内; 2）在两个月内进行SSM计划的试点混合有效性实施试验 大学社区;和3）获得初步数据评估的有效性SSM计划，变化， 与功效相关的假设机制，以及大学系统层面的因素， 方案的采纳、实施和可持续性。这些研究有望推动 为年轻人设计双边投资条约，并最终改进和增加双边投资条约在大学环境中的使用 扩大循证做法的范围和影响。通过实施项目获得的技能 本申请中提出的建议将允许PI成功竞争R 01资金，以便进行 更大的有效性实施试验。