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: 10570236
• 负责人: ERIC J. BRUNS
• 金额: $ 16.49万
• 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/10570236
• 关键词: Address; Adolescent; Adult; Algorithms; Caregivers; Caring; Child; Child health care; Client satisfaction; Clinical; Collection; Communities; Complex; Computer software; Controlled Study; 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; Violence; Work; Youth; acceptability and feasibility; 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 administration; 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 美国有 1500 万儿童和青少年患有可诊断的心理健康 (MH) 障碍，其中 大约一半（6 至 800 万人）被认为患有严重情绪障碍 (SED)。集成、多 协调多个帮助者并提供多种干预措施的模式社区系统已经建立 旨在解决 SED 青年面临的复杂且多方面的问题。一种这样的模型， 环绕式服务模式（WSM）已在有效社区治疗的多项主要评论中被引用， 并被列入卫生局局长关于青少年心理健康和暴力的报告中。与其他情况一样 基于证据的实践，数据被一致测量和用于为护理提供信息的程度，即 “基于测量的护理”（MBC）是 Wraparound 结果差异的很大一部分原因。 该 SBIR 项目的目标是开发和测试短信辅助响应治疗 Wraparound (SMART-Wrap) 应用程序可克服当前测量和使用数据的障碍 日常服务设置。 SMART-Wrap 将通过 SMS 系统促进 MBC，从而提供信息并改进 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 多元化的专家顾问团队，在开发心理健康应用程序和管理 WSM 方面经验丰富 服务，创建原型评估项目并对基于网络的“后端”系统进行编程以进行部署 通过定制短信评估项目。其次，我们将评估这个原型系统对于青少年的可行性 SED 及其护理人员，以及确定基于 SMS 的项目的心理测量属性。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 用于跟踪收集的数据、确定关键发现并促进 MBC 的在线系统。最后，我们将进行 初步试点测试，以评估 SMART-Wrap 在为患有 SED 的青少年提供典型 Wraparound 服务中的可行性 让家人和 Wraparound 护理团队成员在两个月的时间内使用原型。第一阶段 定量和定性数据将用于为第二阶段研发计划提供信息。拟议的 SMART-Wrap 该产品将利用短信的简单性和可访问性优势来显着提高参与度 Wraparound 服务并将当前的 Wraparound 实践转向 MBC。最终的结果将是严格的 测试了新的移动常规结果监测 (ROM) 解决方案，以帮助改善服务和临床结果 为美国超过 600 万 SED 青少年服务。