Document text
Principal Investigator: ANNE Marie MAURICIO
Organization: NORTHWEST PREVENTION SCIENCE INC
Fiscal Year: 2024
Award: $1,257,942
Funding agency: National Institute of Mental Health
Project Summary/Abstract
Youth with mental health and behavior disorders have been underserved for decades, and many children
receive no services at all. Since the COVID-19 pandemic, the need for effective mental health treatments for
children and families has increased substantially, with research suggesting that 25% of children and
adolescents now report levels of depression in the clinical range (Raccine et al., 2021). For most children,
schools are the primary delivery source for mental health and behavioral treatments, yet schools have been
adversely impacted by a lack of providers and limited funding to support vulnerable students. Efficacious
treatments for mental health problems in children typically involve support for families to improve student
behavior at home, yet schools lack the tools to deliver this support. To meet this need, we developed the
Family Check-Up Online, a digital health intervention designed to improve child mental health through family-
centered intervention. The Family Check-Up is grounded in over 25 years of evidence-based research and has
been shown to improve child mental health and behavior including depression and conduct problems. We were
supported by an SBIR Phase I award (R43MH132191) to evaluate the feasibility and acceptability of the digital
health product in schools and adapt the product based on our findings. Our findings suggested the model is a
good fit for schools, with school providers stating a need for family-centered interventions that target child
behavior and mental health, but with few resources or evidence-based programs available. We received
feedback that suggests the model should be evaluated as both an uncoached version and coached version,
delivered with provider support. In our proposed SBIR Phase II, we plan to continue our work in schools to
develop the model for commercialization, including understanding the process for embedding the FCU Online
into current student support systems and implementation factors that lead to maintenance of the model in
schools. We plan to conduct a hybrid type 2 effectiveness-implementation trial to evaluate the effectiveness of
the FCU Online when delivered by real world providers. We will randomly assign 30 providers (N=600
students/families) to receive training in the FCU Online coached vs. uncoached models. We will then evaluate
outcomes including family relationships, parenting skills, and child mental health and behavior. We predict that
the FCU Online will improve child mental health and behavior, and we will test for moderators such as provider
training and child baseline risk. Findings will have implications for commercialization of the product in schools
and implementation of the model in a range of different school settings.
Terms: <0-11 years old><21+ years old><Adolescent><Adolescent Youth><Adoption><Adult><Adult Human><Award><Behavior><Behavior Conditioning Therapy><Behavior Disorders><Behavior Modification><Behavior Therapy><Behavior Treatment><Behavioral><Behavioral Conditioning Therapy><Behavioral Modification><Behavioral Therapy><Behavioral Treatment><COVID crisis><COVID epidemic><COVID pandemic><COVID-19 affected><COVID-19 consequence><COVID-19 crisis><COVID-19 effect><COVID-19 epidemic><COVID-19 era><COVID-19 global health crisis><COVID-19 global pandemic><COVID-19 health crisis><COVID-19 impact><COVID-19 impacted><COVID-19 pandemic><COVID-19 period><COVID-19 public health crisis><COVID-19 years><Characteristics><Check-up><Child><Child Behavior><Child Mental Health><Child Rearing><Child Youth><Children (0-21)><Clinical><Clinical Trials><Communities><Conditioning Therapy><Data><Data Collection><Early Intervention><Enrollment><Evidence based practice><Evidence based program><Family><Family Relations><Family Relationship><Family Violence><Feedback><Funding><Future><Health Benefit><Health Care Technology><Health Technology><Healthcare Technology><Home><Human Resources><Hybrids><Intervention><Intervention Strategies><Interview><Investigators><Maintenance><Manpower><Marketing><Mental Depression><Mental Health><Mental Health Services><Mental Hygiene><Mental Hygiene Services><Methods><Modeling><Monitor><Outcome><Parenting><Parenting behavior><Parents><Personal Satisfaction><Persons><Phase><Population><Preventative intervention><Primary Schools><Problem behavior><Process><Provider><Psychological Health><Public Health><RE-AIM><Randomized><Reach, Effectiveness, Adoption, Implementation, and Maintenance><Reporting><Research><Research Personnel><Research Resources><Researchers><Resources><Risk><SARS-CoV-2 epidemic><SARS-CoV-2 global health crisis><SARS-CoV-2 global pandemic><SARS-CoV-2 pandemic><SARS-coronavirus-2 epidemic><SARS-coronavirus-2 pandemic><SBIR><Schools><Series><Services><Severe Acute Respiratory Syndrome CoV 2 epidemic><Severe Acute Respiratory Syndrome CoV 2 pandemic><Severe acute respiratory syndrome coronavirus 2 epidemic><Severe acute respiratory syndrome coronavirus 2 pandemic><Small Business Innovation Research><Small Business Innovation Research Grant><Social Support System><Source><Students><Support System><System><Testing><Training><Trust><Underserved Population><United States><Work><Youth><Youth 10-21><academic preparation><academic readiness><acceptability and feasibility><adulthood><assess effectiveness><behavior intervention><behavioral disorder><behavioral health><behavioral health intervention><behavioral intervention><behavioral problem><checkup><checkup examination><childrearing><commercialization><comparative effectiveness trial><conduct problem><coronavirus disease 2019 consequence><coronavirus disease 2019 crisis><coronavirus disease 2019 effect><coronavirus disease 2019 epidemic><coronavirus disease 2019 global health crisis><coronavirus disease 2019 global pandemic><coronavirus disease 2019 health crisis><coronavirus disease 2019 impact><coronavirus disease 2019 pandemic><coronavirus disease 2019 public health crisis><coronavirus disease crisis><coronavirus disease epidemic><coronavirus disease pandemic><coronavirus disease-19 global pandemic><coronavirus disease-19 impact><coronavirus disease-19 pandemic><depression><determine effectiveness><digital><digital health><digital technology><effectiveness and implementation trial><effectiveness assessment><effectiveness evaluation><effectiveness trial><effectiveness/implementation hybrid trial><effectiveness/implementation trial><efficacious therapy><efficacious treatment><enroll><evaluate effectiveness><evidence base><examine effectiveness><experience><family support><high risk><homes><implementation determinants><implementation factors><implementation framework><implementation research framework><implementation science framework><implementation strategy><improved><improved outcome><intervention design><intervention for prevention><interventional strategy><junior high><junior high school><juvenile><juvenile human><kids><mental health care><mental healthcare><middle school><novel><online app><parent><personnel><preference><prevent><preventing><prevention intervention><preventional intervention strategy><preventive intervention><programs><randomisation><randomization><randomly assigned><reach, efficacy, adoption, implementation, and maintenance><routine care><school environment><severe acute respiratory syndrome coronavirus 2 global health crisis><severe acute respiratory syndrome coronavirus 2 global pandemic><skills><strategies for implementation><therapy design><tool><treatment design><under served group><under served individual><under served people><under served population><underserved group><underserved individual><underserved people><uptake><web app><web application><web based app><web based application><well-being><wellbeing><youngster>