Expanding College Student Mental Health with Stress Management Mobile Technologies

对于许多美国人和大学来说，大学时代是一个心理痛苦加剧的时期 学生们报告说，心理健康治疗存在重大障碍。PI的目标是成为一名独立的 在创建和评估行为干预技术(BITS)方面具有专业知识的调查员 在现有系统内扩大精神卫生保健服务的提供范围。这份提案概述了一个 计划实现这一目标，通过将培训和研究计划推向成功的R01 求婚。培训计划充分利用了强有力的制度支持和环境 西北大学范伯格医学院和行为干预中心 技术，该计划由该计划的主要导师领导。私家侦探职业生涯所需的培训目标 目标包括增长(1)以用户为中心的BITS开发设计，(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；(4)高级 专业技能。这项计划建立在PI临床心理学背景的基础上，该背景侧重于远程教育 心理健康、压力管理干预和认知行为疗法(CBT)。在这个K08中，PI 将把她的工作扩展到包括新的人群(例如大学生)和环境(大学咨询 通过早期干预来增加她的研究的影响。中国的长期目标是 研究是将BITS整合到现有的大学医疗保健环境中，从而扩大范围和覆盖范围 精神卫生保健服务。该研究计划将开发和测试学生压力管理(SSM) 在抑郁症和焦虑症的循证治疗框架内的流动方案。这 该计划将增加对精神健康治疗的参与，并通过以下方式补充现有的护理 作为一种独立的治疗形式，获得更广泛的精神健康治疗选择。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，以 细化SSM计划的功能和工具，并确定该计划的可行性和可接受性 在校园内；2)在两年内进行SSM计划的混合有效性试点实施试验 大学社区；以及3)为了获得评估SSM计划有效性的初步数据， 与功效相关的假设机制，以及促进或延缓的大学系统层面的因素 该计划的采用、实施和可持续性。这些研究有望推动 为年轻人设计BITS，并最终在大学环境中改进和增加BITS的使用 增加循证实践的影响范围和影响。通过实施项目获得的技能 本申请中提出的建议将使PI能够成功竞争R01资金，以便进行 更大的有效性--实施试验。

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.