grant

Design of a Lay Health Worker Training to Promote Youth's Access to mHealth Interventions

Organization UNIVERSITY OF CALIFORNIA SANTA BARBARALocation SANTA BARBARA, UNITED STATESPosted 1 Sept 2024Deadline 31 Dec 2026
NIHUS FederalResearch GrantFY2024Access to CareAddressAdherenceAnxietyAttitudeBehaviorCare GiversCare giver supportCaregiver supportCaregiversCaringChild Mental HealthCognitive DiscriminationColorCommunitiesCompetenceComplexDataDecrease disparityDiscriminationEducation for InterventionEducational InterventionEffectivenessEnrollmentEvaluationExperimental TherapiesExposure toFaceFamilyFeedbackFocus GroupsGoalsHealthHealth Care ProvidersHealth InequityHealth PersonnelHealth ServicesHealth Services AccessibilityHealthcare ProvidersHealthcare workerIndividualInequalities in HealthInequities in HealthInstruction InterventionInterventionIntervention StrategiesInterviewInvestigational TherapiesInvestigational TreatmentsKnowledgeLanguageLatineLatinxLived experienceLived experiencesLower disparityMental DepressionMental HealthMental Health ServicesMental HygieneMental Hygiene ServicesMental disordersMental health disordersMental health promotionMethodsModelingNIMHNational Institute of Mental HealthOutcomeParentsPatientsPopulationPriceProviderPsychiatric DiseasePsychiatric DisorderPsychological HealthPublic HealthResearchResearch SupportRiskSelf EfficacyServicesSiteSpecific qualifier valueSpecifiedTechnologyTerminologyTestingThinkingTrainingTraining InterventionTraumaWorkYouthYouth 10-21access to health careaccess to health servicesaccess to healthcareaccess to servicesaccess to treatmentaccessibility of health careaccessibility to health careaccessibility to health servicesaccessibility to healthcareavailability of servicesblack patientcare accesscare servicescare systemschildren of colorcis-gendercisgendercommunity partnerscommunity-based partnerscultural healthdepressiondesigndesigningdevelop therapydiscrimination based on racediscrimination due to racedisparity reductionenrollevidence baseexperienceexperimental therapeutic agentsexperimental therapeuticsfacesfacialgender affirmationgender affirminggender identity affirmationgender identity affirminghealth care accesshealth care availabilityhealth care personnelhealth care service accesshealth care service availabilityhealth care workerhealth equity promotionhealth inequalitieshealth providerhealth service accesshealth services availabilityhealth workforcehealthcare accesshealthcare accessibilityhealthcare availabilityhealthcare personnelhealthcare service accesshealthcare service availabilityhigh riskhuman centered designimprovedinnovateinnovationinnovativeinstructional interventioninterestintervention developmentintervention refinementinterventional strategym-HealthmHealthmHealth therapeuticmHealth therapymHealth treatmentmedical personnelmental health caremental healthcaremental illnessmethod developmentmhealth interventionsminority stressmitigate disparitymobile healthmobile health interventionmobile health therapeuticmobile health therapymobile health treatmentonline interventionparentpricingpromote health equityprototypepsychiatric illnesspsychoeducationpsychological disorderrace discriminationrace-based discriminationrace-related discriminationracial discriminationracial diversityracially diversereduce disparityreduction in disparityresponsesatisfactionservice availabilityskillsstress among minoritiesstress in minoritiesstress to minoritiessuicidalsuicidalitytherapy developmentthoughtstrans*transgendertransphobiatransphobictreatment accesstreatment developmenttreatment providerusabilityverbalyouth of color
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Full Description

Modified Project Summary/Abstract Section

Youth today face a high risk for serious mental health problems (e.g., suicidality, depression, anxiety), which is exacerbated by significant barriers to mental health care. mHealth interventions have been developed to address the needs of youth and their caregivers, but are underutilized. Lay health worker (LHWs) are individuals who use their lived-experience, language and/or culture to support patients and/or families in mental health service access and engagement. In response to PAR-22-109 and NIMH Strategic Objective 4: Strengthen the Public Health Impact of NIMH-Supported Research, we seek to increase mental health care access for youth by enhancing the dissemination of evidence-based mHealth interventions through the design of a training intervention for LHWs – Getting Access on the INternet (GAIN). Specifically, we will use human centered design (HCD) to adapt a mental health provider training intervention (developed by MPI Price K23MH124670) based on data from MPI Barnett (R01MH117123-02S1) on the needs of youth and their parents receiving LHW services.

The proposed R21 study involves working with community partners (i.e., youth, their parents, and LHWs) to (Aim 1) co-design GAIN - a mechanism-driven training intervention for LHWs, then (Aim 2) build the LHW training intervention via usability testing. This study will result in an acceptable and refined training intervention ready for testing in a large, multisite R01 study.

Grant Number: 1R21MH135234-01A1
NIH Institute/Center: NIH

Principal Investigator: Miya Barnett

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