Digital Mental Health Screening, Feedback, and Referral System for Teens with Socially Complex Needs: Protocol for a Randomized Controlled Trial Integrating the TeACH System into Pediatric Primary Care (Preprint) DOI Creative Commons
Colleen Stiles‐Shields,

Gabriella Bobadilla,

Karen M. Reyes

et al.

JMIR Research Protocols, Journal Year: 2024, Volume and Issue: 14, P. e65245 - e65245

Published: Dec. 16, 2024

Background Teens with socially complex needs—those who face multiple and potentially overlapping adversities—are disproportionately affected by several barriers to mental health screening treatment. Pediatric primary care (PPC) is a typically low-stigmatized setting for teens that visited at least annually. As such, implementing digital tools (DMH), as low-intensity treatments in PPCs may increase the reach of such needs. Objective This study aimed evaluate Teen Assess, Check, Heal (TeACH) System comparison control condition while integrated into 2 Medical Centers serving teen patients Chicago, Illinois. Through collaboration key players throughout design implementation planning phases, TeACH hypothesized patient self-reported engagement DMH address specific individual-level care, compared psychoeducation condition. Methods Eligible participants will be recruited through PPC clinics housed within University Illinois Chicago (UIC) Rush Center (RUSH). Recruitment involves invitations from research staff members clinicians members, well posting flyers QR codes specified clinics. All complete brief demographic survey, baseline Kiddie-Computerized Adaptive Tests Anxiety Module. Participants are randomized receive either (digital evidence-based workbook) or intervention (TeACH Feedback Resources). then invited an immediate 1-week follow-up survey. The outcomes assess changes (ie, likelihood use anxiety actual use) symptom understanding confidence act). Descriptive analyses conducted characterize sample usability ratings System. Linear generalized linear mixed effects regression models examine differences over time. Results began July 2024 data collection expected completed August 2025. To date, 122 have assented activities, 80 been (an additional 24 had subthreshold symptoms were therefore not randomized), 42 assessment. Conclusions provide preliminary feasibility inform how other might better engage support Trial Registration ClinicalTrials.gov NCT05466929; https://clinicaltrials.gov/study/NCT05466929 International Registered Report Identifier (IRRID) DERR1-10.2196/65245

Language: Английский

A personal sensing technology enabled service versus a digital psychoeducation control for primary care patients with depression and anxiety: a pilot randomized controlled trial DOI Creative Commons
Colleen Stiles‐Shields, Karen M. Reyes, Tanvi Lakhtakia

et al.

BMC Psychiatry, Journal Year: 2024, Volume and Issue: 24(1)

Published: Nov. 19, 2024

Technology-enabled services (TES; clinical that include both technology-driven [e.g., personal sensing technologies] and person-powered support elements) may address gaps in depression anxiety treatments healthcare settings. The current study: (1) developed a TES tailored for Primary Care patients with and/or anxiety, (2) conducted pilot randomized controlled trial to assess the efficacy of compared digital psychoeducation control app. Participants were either: TES: "Vira" smartphone app (Ksana Health Inc.), informed by behavioral activation using passive technology provide "insights" target behaviors associated mental health symptoms, alongside lay-provider coaching, or Control: Mood Education mobile (ME), containing static psychoeducational resources designed symptoms. Both apps collected usage data. completed assessments on (PHQ-9), (GAD-7), health-related quality life (PedsQL), engagement (TWEETs) at baseline, mid-treatment (week 4), end-of-treatment 8), post-treatment 12). (N = 130) receive either (Vira; Mage= 30) ME (Mage= 33). Linear mixed-effects models determined significant improvements PHQ-9 GAD-7 scores participants across conditions (ps < 0.001). There was no interactive effect intervention time (p .90) nor .49). Adjusting baseline differences randomization strata, reported greater change rating Physical Functioning (PedsQL) .018). also higher levels demonstrated usage. However, adjusting symptom severity, neither coach interaction frequency moderated outcomes ≥ 0.2). While superior engagement, depressive anxious symptoms speak potential benefit low-intensity care Future research is needed better understand which might differentially from TESs broader technologies over treatments. ClinicalTrials.gov NCT05406791.

Language: Английский

Citations

3
Introduction to the special issue: Improving digital health implementation in pediatric populations, from design to sustainment DOI
Alexandra M. Psihogios, Colleen Stiles‐Shields

Journal of Pediatric Psychology, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 12, 2024

Language: Английский

Citations

1
Digital Mental Health Screening, Feedback, and Referral System for Teens with Socially Complex Needs: Protocol for a Randomized Controlled Trial Integrating the TeACH System into Pediatric Primary Care (Preprint) DOI Creative Commons
Colleen Stiles‐Shields,

Gabriella Bobadilla,

Karen M. Reyes

et al.

Published: Aug. 19, 2024

BACKGROUND Teens with socially complex needs–those who face multiple and potentially overlapping adversities–are disproportionately affected by several barriers to mental health screening treatment. Pediatric Primary Care (PPC) is a typically low-stigmatized setting for teens that visited at least annually. As such, implementing digital tools (DMH) as low-intensity treatments (LITs) in PPCs may increase the reach of such needs. OBJECTIVE This study evaluates Teen Assess, Check, Heal (TeACH) System compared control condition while integrated into two Medical Centers serving teen patients Chicago, IL. Through collaboration key players throughout design implementation planning phases, TeACH hypothesized patient self-reported engagement DMH address specific individual-level healthcare, psychoeducation condition. METHODS Eligible participants will be recruited through PPC clinics housed within University Illinois Chicago (UIC) Rush Center (RUSH). Recruitment involves invitations from research staff primary care clinicians/staff, well posting flyers QR codes specified clinics. All complete brief demographic survey, baseline Kiddie-Computerized Adaptive Tests (K-CAT) Anxiety Module. Participants are randomized receive either (digital evidence-based workbook) or intervention (TeACH Feedback Resources). then invited an immediate one-week follow-up survey. The outcomes assess changes (i.e., likelihood use anxiety, actual use) healthcare symptom understanding, confidence act). Descriptive analyses conducted characterize sample usability ratings System. Linear generalized linear mixed effects regression models examine differences over time. RESULTS began July 2024 data collection expected completed August 2025. CONCLUSIONS current provide preliminary feasibility inform how other LITs might better engage support CLINICALTRIAL ClinicalTrials.gov ID NCT05466929

Language: Английский

Citations

0
Digital Mental Health Screening, Feedback, and Referral System for Teens with Socially Complex Needs: Protocol for a Randomized Controlled Trial Integrating the TeACH System into Pediatric Primary Care (Preprint) DOI Creative Commons
Colleen Stiles‐Shields,

Gabriella Bobadilla,

Karen M. Reyes

et al.

JMIR Research Protocols, Journal Year: 2024, Volume and Issue: 14, P. e65245 - e65245

Published: Dec. 16, 2024

Background Teens with socially complex needs—those who face multiple and potentially overlapping adversities—are disproportionately affected by several barriers to mental health screening treatment. Pediatric primary care (PPC) is a typically low-stigmatized setting for teens that visited at least annually. As such, implementing digital tools (DMH), as low-intensity treatments in PPCs may increase the reach of such needs. Objective This study aimed evaluate Teen Assess, Check, Heal (TeACH) System comparison control condition while integrated into 2 Medical Centers serving teen patients Chicago, Illinois. Through collaboration key players throughout design implementation planning phases, TeACH hypothesized patient self-reported engagement DMH address specific individual-level care, compared psychoeducation condition. Methods Eligible participants will be recruited through PPC clinics housed within University Illinois Chicago (UIC) Rush Center (RUSH). Recruitment involves invitations from research staff members clinicians members, well posting flyers QR codes specified clinics. All complete brief demographic survey, baseline Kiddie-Computerized Adaptive Tests Anxiety Module. Participants are randomized receive either (digital evidence-based workbook) or intervention (TeACH Feedback Resources). then invited an immediate 1-week follow-up survey. The outcomes assess changes (ie, likelihood use anxiety actual use) symptom understanding confidence act). Descriptive analyses conducted characterize sample usability ratings System. Linear generalized linear mixed effects regression models examine differences over time. Results began July 2024 data collection expected completed August 2025. To date, 122 have assented activities, 80 been (an additional 24 had subthreshold symptoms were therefore not randomized), 42 assessment. Conclusions provide preliminary feasibility inform how other might better engage support Trial Registration ClinicalTrials.gov NCT05466929; https://clinicaltrials.gov/study/NCT05466929 International Registered Report Identifier (IRRID) DERR1-10.2196/65245

Language: Английский

Citations

0