Digital Delivery of Evidence-Based Mental Health Content and Mentoring to Adolescents
以数字方式向青少年提供循证心理健康内容和指导
基本信息
- 批准号:10758731
- 负责人:
- 金额:$ 55.84万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-07-01 至 2026-06-30
- 项目状态:未结题
- 来源:
- 关键词:AccountabilityAddressAdolescentAdolescent and Young AdultAdvertisingAffectAge YearsAnxietyBehavioralCaregiversCaringCellular PhoneClinicalClinical effectivenessCognitiveCognitive TherapyComputersControl GroupsCost AnalysisCost Effectiveness AnalysisCoupledDataDevelopmentDropsEarly InterventionEducationEducational process of instructingEffectivenessElementsEmploymentEnsureEquityFinancial HardshipFriendsFundingGoalsHealthHealth PersonnelInternetInterventionKnowledgeLearningLightMarketingMeaning and purposeMeasurementMeasuresMental DepressionMental HealthMental Health ServicesMental disordersMentorsMentorshipMethodologyOutcomeParticipantPersonal SatisfactionPersonsPhasePilot ProjectsPreventionPrevention strategyProceduresQuality of lifeRandomizedRandomized, Controlled TrialsReportingResearchResourcesRiskSalesSamplingSchoolsScienceServicesSiliconSmall Business Innovation Research GrantStructureSupervisionSymptomsTeenagersTheory of ChangeTherapeuticTikTokTrainingTreatment EfficacyUnited StatesUniversitiesUse EffectivenessWaiting ListsWashingtonYouthagedanxiety symptomsarmcaregiver strainchild depressioncommercializationcostcost effectivecost effectivenessdepressive symptomsdesigndiadenosine pyrophosphatedigitaldigital deliverydigital mental healthdigital platformdigital tooleffectiveness researcheffectiveness studyeffectiveness trialevidence baseexperienceimplementation strategyimprovedinnovationparticipant retentionpeer coachingpeer supportphysical conditioningpilot testpilot trialprematureprogramspsychoeducationpsychoeducationalpsychosocialrandomized, clinical trialsrecruitself esteemself helpsevere mental illnessskillssocial relationshipssymptomatic improvementtoolvideo deliveryyoung adult
项目摘要
PROJECT SUMMARY. This direct to Phase II SBIR proposal will study Appa Health, an adolescent-facing
mental health smartphone and computer app. Appa combines (1) delivery of short-form digital evidence-based
mental health content, emphasizing Cognitive Behavioral Therapy, via educational videos delivered by mental
health experts who are internet influencers, with (2) trained and supervised near-peer mentors with relatable
lived experiences who use supportive accountability to facilitate adolescents’ use of the evidence-based
content. According to Appa’s theory of change, near-peer mentoring directly impacts adolescents’ mental
health and well-being via relational and instrumental support, but also indirectly through the acquisition of
evidence-based skills (e.g., cognitive restructuring, behavioral activation) taught via educational videos. We will
examine the psychosocial mechanisms of the two primary elements of Appa, establish the effectiveness of
Appa on adolescent depression and anxiety, other measures of functioning, and theoretical mechanisms, and
examine the cost-effectiveness of the full Appa experience as well as a video-only condition that Appa is
considering marketing. Aim 1 will collect initial data and improve study procedures via a small pilot study.
Seventy-five adolescents aged 13-18 with elevated scores on measures of depression and/or anxiety will be
randomly assigned to one of three conditions: (1) near-peer mentoring and digital tools (Full Appa), (2) digital
content only (Appa Light), and (3) waitlist control. Results will be used to optimize methodology to achieve
study goals with minimum burden and maximum retention. Aims 2 & 3 will examine Appa’s cost and
effectiveness via a well-powered randomized clinical trial replicating the pilot trial using 400 adolescents.
Variables will include clinical outcomes such as adolescent symptoms of depression, anxiety, and well-being,
as well as treatment mechanisms and proximal outcomes. Because of the mental health workforce shortage,
this study will have an impact on science by demonstrating the effectiveness of using laypersons (near-peer
mentors) combined with expert digital content delivery and clinical supervision to support adolescents’ mental
health. This study is innovative in the unique combination of near-peer mentoring with evidence-based
content delivered via youth-targeted TikTok-style videos conducted by existing internet influencers. Questions
on how to increase adolescent engagement with and use of evidence-based skills are important to intervention
developers. The data from this study will directly impact Appa’s commercialization plan. Appa is scaling
quickly, expanding from direct-to-consumer sales to partnerships with schools and self-funded employers, both
of which are eager for documented clinical outcomes and identification of replicable mechanisms of change to
ensure quality as Appa scales services. Cost-effectiveness analyses will drive development and design
decisions (e.g., focusing resources on mentorship, content, or the mentorship-content integration), as well as
commercialization decisions regarding target organizations and advertising.
项目总结。这项直接进入II期的SBIR提案将研究Appa Health,一种面向青少年的药物
项目成果
期刊论文数量(0)
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Michael David Pullmann其他文献
Michael David Pullmann的其他文献
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{{ truncateString('Michael David Pullmann', 18)}}的其他基金
Measuring the Multilevel Outcomes of Children's Mental Health Services Implementation
衡量儿童心理健康服务实施的多层次成果
- 批准号:
9892909 - 财政年份:2020
- 资助金额:
$ 55.84万 - 项目类别:
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