Project 2

项目2 项目2的总体目标是优化同侪辅导，以优化参与和成果 在数字治疗中。社区大学生未得到满足的心理健康需求是惊人的， 一项研究表明，在训练有素的社区的帮助下， 没有心理健康高级学位的成员是满足这些需求的有效和可扩展的方式。 尽管有效地改善症状和功能，在那些谁从事它，摄取和 数字治疗的参与度通常很低。最近的研究表明， 拉丁裔人，他们往往有独特的和重大的未满足的心理健康需求。为了解决这些问题， 项目2将检查治疗参与度、治疗满意度、症状和功能结果 在东洛杉矶学院（ELAC）的拉丁裔学生中， STAND程序。ELAC是一个大型和多样化的社区学院，主要是拉丁裔。240个样本 ELAC学生谁标识为拉丁裔将被独立招募，从签名项目分开。一 2x2设计将ELAC学生随机分配到四种同伴教练条件之一（每种条件n = 60）：1） 人口匹配+标准监督，2）人口匹配+减少监督，3）无 人口统计匹配+标准监督，以及4）无人口统计匹配+减少的监督。 在人口匹配条件下的学生将被分配给同龄人教练谁也确定为拉丁裔， 而那些在人口统计学上不匹配的人将被分配给那些不认同 拉丁人监督将涉及个别会议审查和个性化的反馈或没有。学生 我将参加这个项目为24周，并将完成简短的每周评估电池和更长的时间 在基线和第8、16和24周的评估组合。解释/干预变量， 还将探讨假设解释治疗效果的因素。除了收集的定量数据外， 在随机对照试验中，我们将通过年度焦点小组收集和分析同侪教练的定性数据， 将评估成本效益，特别侧重于与监督有关的费用。这些数据将 告知在签名项目中对第二层所做的迭代改进，并将文献中的重大空白 关于人口统计学匹配，临床监督，以及Latinx经历的心理健康差异 个人，特别是因为他们涉及到发展中的数字心理健康领域。

Project 2 Abstract The overarching goal of Project 2 is to optimize peer coaching in order to optimize engagement and outcomes in digital therapy. The unmet mental health needs of community college students are staggering and a growing body of research demonstrates that therapy provided digitally with the assistance of trained community members without advanced degrees in mental health is an effective and scalable way to address these needs. Despite being effective for improving symptoms and functioning in those who engage in it, uptake and engagement in digital therapy is generally quite low. Recent research suggests that this is especially true of Latinx individuals, who tend to have unique and significant unmet mental health needs. To address these issues, Project 2 will examine treatment engagement, treatment satisfaction, symptoms, and functioning outcomes among Latinx students at East Los Angeles College (ELAC) receiving digital therapy with peer coaching in the STAND program. ELAC is a large and diverse community college that is predominantly Latinx. A sample of 240 ELAC students who identify as Latinx will be independently recruited, separate from the Signature Project. A 2x2 design will randomize ELAC students to one of four peer coaching conditions (n = 60 per condition): 1) demographic matching + standard supervision, 2) demographic matching + reduced supervision, 3) no demographic matching + standard supervision, and 4) no demographic matching + reduced supervision. Students in the demographic matching condition will be assigned to peer coaches who also identify as Latinx, whereas those in the no demographic matching condition will be assigned to peer coaches who do not identify as Latinx. Supervision will either involve individual session review and personalized feedback or not. Students will participate in this project for 24 weeks and will complete brief weekly assessment batteries and longer assessment batteries at baseline and at weeks 8, 16, and 24. Explanatory/intervening variables that are hypothesized to explain treatment effects will also be explored. In addition to the quantitative data collected from the RCT, we will collect and analyze qualitative data from the peer coaches via annual focus groups and will evaluate cost-effectiveness specifically focused on costs related to supervision. Combined, these data will inform the iterative refinements made to Tier II in the Signature Project, and will significant gaps in the literature regarding demographic matching, clinical supervision, and mental health disparities experienced by Latinx individuals, particularly as they relate to the developing field of digital mental health.