Mental Health
Conditions
Keywords
Digital Mental Health Technology, Digital Mental Health, Mental Health Disorders, Mental Health Wellness
Brief summary
The goal of this study is to use and adapt existing digital mental health technologies to advance the engagement, assessment, detection, treatment, and delivery of services for pediatric mental health in families from underserved communities.
Detailed description
The goal of this study is to use and adapt existing digital mental health technologies to advance the engagement, assessment, detection, treatment, and delivery of services for pediatric mental health. Specifically, user-centered design methodologies and an implementation science framework will be used to guide the development and implementation of the Teen Assess, Check, and Heal (TeACH) System into a pediatric primary care clinic serving teens and families from underserved communities. Study objectives include: 1. Collaborating with underserved teens and their parents to identify strategies to target top barriers to engagement as well as top ethical concerns and requirements for cultural relevance, usability, and usefulness of the TeACH System (Phase 1) 2. Refining the plan for implementing the TeACH System through observations, interviews, and co-design workshops with pediatric primary care pediatricians and staff (Phase 2), and 3. Implementing the TeACH System into a primary care clinics and evaluating it in a randomized trial. (Phase 3) The team will measure engagement outcomes and satisfaction with the TeACH System
Interventions
BEHAVIORALTeACH System Resources
Patients who screen positive for anxiety will receive psychoeducation and mental health recommendations (e.g., evidence-based apps) selected for use with the TeACH System through a collaborative, stakeholder-engaged approach completed in phases 1 and 2 of this project.
Sponsors
Rush University Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Intervention group (TeACH System psychoeducation and recommendations) and control group (evidence-based online educational materials)
Eligibility
Sex/Gender
ALL
Age
13 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Are receiving care at specified Rush University Health System and University of Illinois at Chicago Pediatric Primary Care locations * Are between 13-17 years of age * Are able to speak and read in English * Symptoms of anxiety disorder
Exclusion criteria
* Absence of the above inclusion criteria.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Enrollment | Through study completion, an average of once per year. | We will track the number of teens who use the TeACH System during implementation phases and will compare this to the number of teens who were eligible but did not use the system. |
| Likelihood of using DMH for Anxiety: Maintenance | Administered one week after interaction with TeACH System | 1 item (Likert Scale); We will ask participants to rate how likely they are to use digital mental health tools for their anxiety on a Likert scale (1-5; 1 being Never to 5 being Absolutely). Specifically: If I feel anxiety, I would use a digital tool to help (app, website, reel/video). |
| DMH use for Anxiety: Baseline | Administered following assent (in case of participant attrition through the interaction) | 1 item (Yes/No/Unsure); We will ask participants to report if they have used digital mental health tools for their anxiety symptoms. Specifically: I have used a digital tool to help with anxiety (app, website, reel/video). |
| DMH use for Anxiety: Post Interaction | Administered immediately after receiving randomized feedback/resources | 1 item (Yes/No/Unsure); We will ask participants to report if they have used digital mental health tools for their anxiety symptoms. Specifically: I have used a digital tool to help with anxiety (app, website, reel/video). |
| DMH use for Anxiety: Maintenance, Change in DMH Use Following TeACH System Interaction | Administered one week after interaction with TeACH System | 1 item (Yes/No/Unsure); We will ask participants to report if they have used digital mental health tools for their anxiety symptoms. Specifically: I have used a digital tool to help with anxiety (app, website, reel/video). |
| Anxiety Understanding: Baseline | Administered following assent (in case of participant attrition through the interaction) | 1 item (Likert Scale); We will ask participants to rate their understanding of anxiety on a Likert scale (1-5; 1 being Not at All and 5 being Completely). Specifically: I understand what anxiety is. |
| Anxiety Understanding: Post Interaction | Administered immediately after receiving randomized feedback/resources | 1 item (Likert Scale); We will ask participants to rate their understanding of anxiety on a Likert scale (1-5; 1 being Not at All and 5 being Completely). Specifically: I understand what anxiety is. |
| Anxiety Understanding: Maintenance | Administered one week after interaction with TeACH System | 1 item (Likert Scale); We will ask participants to rate their understanding of anxiety on a Likert scale (1-5; 1 being Not at All and 5 being Completely). Specifically: I understand what anxiety is. |
| Confidence to Act: Baseline | Administered following assent (in case of participant attrition through the interaction) | 1 item (Likert Scale); We will ask participants to rate how confident they feel to take action to help their anxiety symptoms on a Likert scale (1-5; 1 being Not at All to 5 being Completely). Specifically: I feel confident I can do something if I feel anxiety. |
| Confidence to Act: Post Interaction | Administered immediately after receiving randomized feedback/resources | 1 item (Likert Scale); We will ask participants to rate how confident they feel to take action to help their anxiety symptoms on a Likert scale (1-5; 1 being Not at All to 5 being Completely). Specifically: I feel confident I can do something if I feel anxiety. |
| Confidence to Act: Maintenance | Administered one week after interaction with TeACH System | 1 item (Likert Scale); We will ask participants to rate how confident they feel to take action to help their anxiety symptoms on a Likert scale (1-5; 1 being Not at All to 5 being Completely). Specifically: I feel confident I can do something if I feel anxiety. |
| Likelihood of using DMH for Anxiety: Baseline | Administered following assent (in case of participant attrition through the interaction) | 1 item (Likert Scale); We will ask participants to rate how likely they are to use digital mental health tools for their anxiety on a Likert scale (1-5; 1 being Never to 5 being Absolutely). Specifically: If I feel anxiety, I would use a digital tool to help (app, website, reel/video). |
| Likelihood of using DMH for Anxiety: Post Interaction | Administered immediately after receiving randomized feedback/resources | 1 item (Likert Scale); We will ask participants to rate how likely they are to use digital mental health tools for their anxiety on a Likert scale (1-5; 1 being Never to 5 being Absolutely). Specifically: If I feel anxiety, I would use a digital tool to help (app, website, reel/video). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Kiddie-Computerized Adaptive Tests (K-CAT) Anxiety Module | Administered immediately after initiating use of the TeACH System; teen participants complete only once. | \<1 minute to complete; Uses item response theory to pull from a large question item bank to accurately diagnose anxiety symptom severity. |
| After-Scenario Questionnaire (ASQ): Post Interaction | Administered immediately after receiving randomized feedback/resources from TeACH System | 3-item tool with seven response options (1-Strongly Disagree to 7-Strongly Agree) to assess satisfaction |
| After-Scenario Questionnaire (ASQ): Maintenance | Administered one week after interaction with TeACH System | 3-item tool with seven response options (1-Strongly Disagree to 7-Strongly Agree) to assess satisfaction |
Other
| Measure | Time frame | Description |
|---|---|---|
| Demographics | Administered immediately after initiating use of the TeACH System; teen participants complete only once. | Name, date of birth, ethnicity, race, pronouns, gender, preferred language, reason for visiting primary care today, preferred channel of contact (i.e., text or email for follow-up) |
Countries
United States
Outcome results
None listed