A Digital Health Technology to Prevent Family Violence and Improve Child Mental Health

预防家庭暴力、改善儿童心理健康的数字健康技术

• 批准号: 10604116
• 负责人: Christopher Hazen
• 金额: $ 25.19万
• 依托单位: NORTHWEST PREVENTION SCIENCE INC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-03-01 至 2024-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10604116
• 关键词: Acceleration; Administrator; Adolescent; Adoption; Anxiety; Behavioral; Businesses; COVID-19; COVID-19 pandemic; Cellular Phone; Child; Child Mental Health; Child Rearing; Child of Impaired Parents; Clinical Trials; Communities; Conflict (Psychology); Coupled; Databases; Development; Dissemination and Implementation; E-learning; Emotional; Enrollment; Epidemic; Evaluation; Evidence based intervention; Evidence based treatment; Family; Family Relationship; Family Violence; Family psychotherapy; Feedback; Focus Groups; Funding; Goals; Health; Health Benefit; Health Resources; Health Technology; Health system; Home; Incentives; Intervention; Interview; Lead; Letters; Marketing; Mental Depression; Mental Health; Mental Health Services; Methods; Modeling; Monitor; Online Systems; Outcome; Parent-Child Relations; Parents; Participant; Performance; Persons; Phase; Population; Primary Schools; Problem Solving; Problem behavior; Process; Professional counselor; Provider; Public Health; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Recording of previous events; Reduce health disparities; Research; Resources; Risk; Schools; Self Efficacy; Series; Service provision; Services; Small Business Innovation Research Grant; Social Workers; Social support; Stress; Structure; Students; Supervision; System; Testing; Time; Training; Violence; Youth; acceptability and feasibility; adverse outcome; behavioral health; checkup examination; child depression; childhood anxiety; commercialization; cost; database structure; digital; digital health; eHealth; experience; family structure; family support; flexibility; health disparity; improved; mHealth; prevent; product development; programs; rural area; school environment; skills; stressor; suicidal behavior; systematic review; teacher; telehealth; telephone coaching; treatment disparity; urban area; usability; violence prevention; web app

7. Project Summary/Abstract The COVID-19 pandemic has increased the need for eHealth interventions that target families and children at- risk of family violence and long-term mental health problems. Escalating rates of anxiety and depression during COVID-19 have impacted families adversely, and have led to impaired parent-child relationships and increased family conflict (Russell et al., 2020). These risks are exacerbated by increases in mental health problems and limited access to social support and treatment (Taylor et al., 2021). The challenges of parenting coupled with increases in stress and violence during COVID-19 have accelerated the need for treatments that target these problems. Furthermore, the COVID-19 pandemic has widened the gap between families who have services and support and those who do not, increasing health disparities in this population. As such, we have developed the Family Check-Up Online to support families and children by improving family relationships and mental health. The FCU Online has the potential to reduce health disparities by providing an accessible, easily disseminated version of the FCU to families at-risk of adverse outcomes after COVID-19. A recent and timely systematic review of telehealth therapy for families suggest that they are equally effective as in-person treatments, and improve both parent mental health and child outcomes (McClean et al., 2021), supporting the use of eHealth approaches for mental health intervention. In the proposed application, we will examine the feasibility and commercial potential of the FCU Online by interviewing key stakeholders in schools and school- based mental health settings. We propose to improve the back-end structure of the FCU Online, which was previously developed as part of a clinical trial, to support wide-scale commercialization of the product including flexible module delivery, progress monitoring, and self-enrollment. We will test the product with a series of stakeholder focus groups and usability testing to evaluate the feasibility and acceptability of the product for commercialization. In Phase II, we plan to develop and test e-learning models for coach training as well as evaluate the product in a clinical trial to examine the reach, effectiveness, adoption, implementation, and maintenance of the program in real-world settings. Our team includes experts in implementation and dissemination, evidence-based interventions for at-risk families, business development and marketing, and product development. Letters of support from community and school providers demonstrate our strong partnerships that will facilitate this research. The study will significantly contribute to our understanding of mobile ehealth interventions for students at-risk of violence in school settings.

7. 项目总结/摘要 COVID-19 大流行增加了针对家庭和儿童的电子卫生干预措施的需求： 家庭暴力和长期心理健康问题的风险。期间焦虑和抑郁的发生率不断上升 COVID-19 对家庭产生了不利影响，导致亲子关系受损，并增加 家庭冲突（Russell 等，2020）。这些风险因心理健康问题的增加而加剧 获得社会支持和治疗的机会有限（Taylor 等人，2021）。育儿的挑战加上 COVID-19 期间压力和暴力的增加加速了对针对这些问题的治疗的需求 问题。此外，COVID-19 大流行扩大了获得服务的家庭之间的差距 并支持和不支持的人，从而扩大了这一人群的健康差距。因此，我们开发了 在线家庭检查通过改善家庭关系和心理支持家庭和儿童 健康。 FCU Online 有潜力通过提供易于访问的、轻松的方式来减少健康差距 向 COVID-19 后面临不良后果风险的家庭分发 FCU 版本。最近且及时的 对家庭远程医疗治疗的系统审查表明，远程医疗治疗与面对面治疗同样有效 治疗，并改善父母心理健康和儿童结局（McClean 等人，2021），支持 使用电子健康方法进行心理健康干预。在拟议的申请中，我们将审查 通过采访学校和学校的主要利益相关者，了解 FCU Online 的可行性和商业潜力 基于心理健康的设置。我们建议改进FCU Online的后端结构， 之前作为临床试验的一部分开发，以支持该产品的大规模商业化，包括 灵活的模块交付、进度监控和自助注册。我们将通过一系列的测试来测试产品 利益相关者焦点小组和可用性测试，以评估产品的可行性和可接受性 商业化。在第二阶段，我们计划开发和测试教练培训以及 在临床试验中评估产品，以检查其范围、有效性、采用、实施和 在现实环境中维护程序。我们的团队包括实施专家和 传播、针对高危家庭的循证干预措施、业务发展和营销，以及 产品开发。来自社区和学校提供者的支持信证明了我们的强大实力 将促进这项研究的伙伴关系。这项研究将极大地有助于我们理解 针对学校环境中面临暴力风险的学生的移动电子健康干预措施。