Handling of outcome missing data dependent on measured or unmeasured background factors in micro-randomized trial: Simulation and application study

Digital Health, Год журнала: 2024, Номер 10

Опубликована: Янв. 1, 2024

Micro-randomized trials (MRTs) enhance the effects of mHealth by determining optimal components, timings, and frequency interventions. Appropriate handling missing values is crucial in clinical research; however, it remains insufficiently explored context MRTs. Our study aimed to investigate appropriate methods for data simple MRTs with uniform intervention randomization no time-dependent covariates. We focused on outcome depending participants' background factors.

Язык: Английский

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Systematic Review of Mindfulness-Based Ecological Momentary Interventions: Synthesizing Current Methods and Identifying Directions for Future Research

Journal of Technology in Behavioral Science, Год журнала: 2024, Номер unknown

Опубликована: Май 25, 2024

Язык: Английский

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Funding and Connecting Disjointed Mental Health Services to Ensure the Right Services, the First Time

Oxford University Press eBooks, Год журнала: 2024, Номер unknown, С. 77 - 96

Опубликована: Окт. 1, 2024

Abstract The United States is in a public mental health crisis, despite policy efforts and practice improvements over the last 75 years. system remains complicated, disjointed, difficult to navigate—leaving many without treatment access. This chapter reimagines US care as tailored continuum equitably available all experiencing distress, responsive social determinants of among people intersecting disadvantage, vulnerability, marginalization. It details unique needs who are involved criminal justice system, homelessness, transitioning from child adult services, propose several feasible system-level reforms. If such approaches were systematically scaled up via federal state sponsorship, could achieve true community that prevention-focused wide array needs.

Язык: Английский

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Augmenting Parenting Programs with the ‘Pause’ Mobile App: Pilot Evaluation (Preprint)

Опубликована: Ноя. 14, 2024

Parenting programs are the recommended treatment for common mental health problems of childhood such as conduct disorder. In UK, Local Authorities have responsibility providing or commissioning these through face-to-face and videocall groups online asynchronous offerings. However, there has been a shortage research into potential digital resources to enhance parenting groups. This pilot study aimed explore whether microinterventions in mobile app (Pause) augment is feasible strategy. Pause fits prompts supports parents use each week’s new skill at home. Specifically, we want understand (1) Parents Pause; (2) What type features/tools most frequently used support; (3) perceived strengths weakness Pause? The was provided attending selection delivered across three local authorities UK. During weekly sessions, were supported add ‘tools’ which mapped onto training their session. Pre-program surveys obtained first After completed, post-program administered measure usage, gather tools used, weaknesses app. Participants practitioners invited interviews where augmenting with discussed more detail. 53 recruited from 25 (47%) completed post-surveys distributed final group session, keeping typical rates attrition programs. addition, 7 3 agreed after program. 23 out (92%) had Other than journal, by 17 parents, popular relax tool praise 10 parents. Survey data revealed specific app, particularly highlighting that wanted provide ideas distraction relaxation activities. Interviews challenges face, range family members using diverse settings it used. also opportunities improving user interface addressing journalling function. found good acceptability engagement promising evidence suggesting may improve life aid child behaviour change. Future should evaluate adding increases positive effects on children’s health.

Язык: Английский

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Augmenting Parenting Programs with the ‘Pause’ Mobile App: Pilot Evaluation (Preprint)

JMIR Pediatrics and Parenting, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 14, 2024

Parenting programs are the recommended treatment for common mental health problems of childhood such as conduct disorder. In United Kingdom, local authorities have responsibility providing or commissioning these through face-to-face and video call weekly groups e-learning style asynchronous offerings. However, there has been a shortage research into potential digital resources to augment enhance parenting groups. This pilot study aimed explore whether microinterventions in mobile app (Pause) is feasible strategy. Pause fits prompts supports parents use each week's new skill at home. Specifically, we want understand (1) Pause, (2) what type features tools most frequently used support, (3) perceived strengths weaknesses Pause. was provided attending 3 delivered across Kingdom. During sessions, were supported add "tools" app, which mapped onto training their session, example, distracting child, setting age-appropriate consequences, using praise. Preprogram surveys obtained first session. After completed, postprogram administered measure use, gather used, app. Participants practitioners invited interviews, where augmenting with discussed more detail. total, 53 recruited from A total 25 (47%) completed postsurveys distributed final group keeping typical rates attrition programs. addition, 7 agreed interviews after program. Most (23/25, 92%) had Other than journal, by 17 parents, popular relax tool praise tool, 10 parents. Survey data revealed specific particularly highlighting that wanted provide ideas distraction relaxation activities. Interviews challenges face, range family members diverse settings it used. also opportunities improving user interface addressing journaling function. found good acceptability engagement promising evidence, suggesting may improve life aid child behavior change. Future should evaluate adding increases positive effects on children's health.

Язык: Английский

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