利用 JoyPop 移动心理健康应用程序增加 12-17 岁原住民青少年获得心理健康支持的机会：一项随机对照试验的研究方案。

Increasing access to mental health supports for 12-17-year-old Indigenous youth with the JoyPop mobile mental health app: study protocol for a randomized controlled trial.

机构信息

Department of Psychology, Lakehead University, Thunder Bay, Canada.

Dilico Anishinabek Family Care, Fort William First Nation, Canada.

出版信息

Trials. 2024 Apr 4;25(1):234. doi: 10.1186/s13063-024-08076-y.

DOI:10.1186/s13063-024-08076-y

PMID:38575945

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10993577/

Abstract

BACKGROUND

Indigenous youth in Northwestern Ontario who need mental health supports experience longer waits than non-Indigenous youth within the region and when compared to youth in urban areas. Limited access and extended waits can exacerbate symptoms, prolong distress, and increase risk for adverse outcomes. Innovative approaches are urgently needed to provide support for Indigenous youth in Northwestern Ontario. Using a randomized controlled trial design, the primary objective of this study is to determine the effectiveness of the JoyPop app compared to usual practice (UP; monitoring) in improving emotion regulation among Indigenous youth (12-17 years) who are awaiting mental health services. The secondary objectives are to (1) assess change in mental health difficulties and treatment readiness between youth in each condition to better understand the app's broader impact as a waitlist tool and (2) conduct an economic analysis to determine whether receiving the app while waiting for mental health services reduces other health service use and associated costs.

METHODS

A pragmatic, parallel arm randomized controlled superiority trial will be used. Participants will be randomly allocated in a 1:1 ratio to the control (UP) or intervention (UP + JoyPop) condition. Stratified block randomization will be used to randomly assign participants to each condition. All participants will be monitored through existing waitlist practices, which involve regular phone calls to check in and assess functioning. Participants in the intervention condition will receive access to the JoyPop app for 4 weeks and will be asked to use it at least twice daily. All participants will be asked to complete outcome measures at baseline, after 2 weeks, and after 4 weeks.

DISCUSSION

This trial will evaluate the effectiveness of the JoyPop app as a tool to support Indigenous youth waiting for mental health services. Should findings show that using the JoyPop app is beneficial, there may be support from partners and other organizations to integrate it into usual care pathways.

TRIAL REGISTRATION

https://clinicaltrials.gov/study/NCT05898516 [registered on June 1, 2023].

摘要

背景

在安大略省西北部需要心理健康支持的土着青年比该地区的非土着青年以及与城市地区的青年相比，等待时间更长。有限的获取途径和延长的等待时间会使症状恶化，延长痛苦，并增加不良后果的风险。迫切需要创新方法为安大略省西北部的土着青年提供支持。本研究采用随机对照试验设计，主要目的是确定与常规做法（UP；监测）相比，JoyPop 应用程序在改善等待心理健康服务的土着青年（12-17 岁）情绪调节方面的有效性。次要目标是：（1）评估每个条件下青年的心理健康困难和治疗准备情况的变化，以更好地了解应用程序作为候补名单工具的更广泛影响；（2）进行经济分析，以确定在等待心理健康服务时使用该应用程序是否会减少其他卫生服务的使用和相关成本。

方法

将使用实用、平行臂随机对照优势试验。参与者将以 1:1 的比例随机分配到对照组（UP）或干预组（UP+JoyPop）。分层块随机化将用于将参与者随机分配到每个条件。所有参与者将通过现有的候补名单实践进行监测，其中包括定期打电话检查和评估功能。干预组的参与者将获得 4 周的 JoyPop 应用程序访问权限，并要求他们每天至少使用两次。所有参与者将在基线、2 周后和 4 周后完成结果测量。