Mobile Health Solutions for Behavioral Skill Implementation Through Homework

NCT01917838 | Completed

• 1 other identifier: R34MH100407-01
• Study Type: interventional
• Target: 96
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this two-year R34 treatment development grant is to develop a mobile health (mHealth) application that will both advance theory in and clinical practice of homework (HW) implementation. HW can be described as between-session exercises where the client practices specific skills learned within-session in order to promote skill acquisition, which ultimately leads to improved acute- as well as longer-term therapeutic benefits on targeted outcomes, generalization of treatment effects and maintenance of treatment gains. Despite data demonstrating that HW is critical to achieving maximal benefits from evidence-based treatments, very little theory-driven approaches have been conducted focusing on improving the HW process. Through utilizing self-determination theory as a guiding framework and integrating principles from the field of "gamification" and goal-setting, the aim is to develop a two-component mHealth HW application (My MFG). The first component focuses on delivering HW via a highly engaging, multiplayer, interactive, cooperative, and skill-building game platform aimed at improving the "Design" and "Do" process of HW. The second component focuses on targeting factors putatively related to poor HW implementation within the "Do" process. The process of the development of My MFG will be guided by the clinic and community development model and iterative software development process to maximize the feasibility and sustainability of My MFG within practice settings often characterized by limited resources. Findings from this study have broad implications for evidence-based treatments for youth and adult mental health disorders that emphasize HW as the link between treatment and improvements in targeted outcomes.

Conditions

Mental Health Wellness 1

Keywords

Mental Health Services

Outcome Measures

Primary Outcomes (2)

• DADR Process- HW quantity and quality, Homework Rating Scale-II

  This assessment helps to understand the DADR process and to assess if homework was completed and how much.

  Weekly for 16 weeks; duration of group

• DADR Proces- Homework Adherence and Competence Scales

  An independent observer will assess level of homework adherence and competence in every session.

  Participants will be tracked up to 16 weeks and feedback will be collected every week.

Secondary Outcomes (5)

• DBD Symptoms -DBD Rating Scale

  Day 1- 1st contact

• Children's Impairment Rating Scale

  Day 1- 1st Contact

• Attendance

  Weekly- duration of the 16 week group

• IOWA Conners Oppositional/Defiant Scale

  1st contact and at the end of the 16 week group

• Consumer Satisfaction & Feedback- Treatment Attitude Inventory

  1st contact and at the end of the 16 week group

Study Arms (1)

MFG plus MyMFG

EXPERIMENTAL

MFG plus MyMFG will be tested and the aim is: 1. Greater quality of the "Design" and "Do" process rated by therapists, parents, and independent coders. 2. Greater quantity and quality of HW assignments rated by therapists and parents. 3. Greater quality of the "Review" process as rated by therapists, parents, and independent coders. 4. Greater satisfaction with treatment as rated by the parent, target child, and therapists.

Behavioral: MFG plus MyMFG

Interventions

MFG plus MyMFG BEHAVIORAL

Specific aim is to utilize mHealth to improve the "Design" and "Do" process of HW within the context of the Family Groups for Youth with Behavioral Difficulties (MFG) intervention, an EBT for DBDs in youth and their families who seek assistance at outpatient mental health clinics in urban communities. The first component focuses on delivering HW via a highly engaging, multiplayer, interactive, cooperative, and skill-building game platform aimed at improving the "Design" and "Do" process of HW. The second component focuses on targeting factors putatively related to poor HW implementation within the "Do" process.

MFG plus MyMFG

Eligibility Criteria

• Age: 7 Years - 13 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• \) youth between the ages of 7 to 13 years and an accompanying adult primary caregiver available to participate in the research and intervention activities 2) English speaking youth and adult caregiver and 3) youth meeting criteria for DBD via parent reports based on the Disruptive Behavior Disorder (DBD) rating scales of DSM symptoms and cross-situational impairment as assessed through parent ratings on the Impairment Rating Scale (IRS). Children will be diagnosed with DBD if they meet DSM symptom criteria for DBD by parent report (i.e., at least four symptoms of ODD or 3 symptoms of CD), and impairment ratings indicate at least one impairment domain.

You may not qualify if:

• Children will also be excluded if there is:
• Evidence of psychosis
• If the youth or adult caregiver presents with emergency psychiatric needs that require services beyond that which can be managed within an outpatient setting (e.g. hospitalization, specialized placement outside the home), active intervention by clinic and research staff to secure what is needed will be made
• Children will not be excluded if they participate in other psychosocial or pharmacological interventions.

Sponsors & Collaborators

• NYU Silver School of Social Work: lead

Study Sites (1)

McSilver Institute for Poverty Policy and Research - New York University Silver School of Social Work

New York, New York, 10003, United States

Location

Related Publications (1)

• Chacko A, Isham A, Cleek AF, McKay MM. Using mobile health technology to improve behavioral skill implementation through homework in evidence-based parenting intervention for disruptive behavior disorders in youth: study protocol for intervention development and evaluation. Pilot Feasibility Stud. 2016 Sep 20;2:57. doi: 10.1186/s40814-016-0097-4. eCollection 2016.

  PMID: 27965873 DERIVED

Study Officials

• Mary M McKay, PhD

  New York University Silver School of Social Work

  PRINCIPAL INVESTIGATOR

• Tyrone M Parchment, LMSW

  New York University Silver School of Social Work

  STUDY DIRECTOR

• Ozge Sensoy-Bahar, PhD

  New York University Silver School of Social Work

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: McSilver Professor of Poverty Studies, Director, McSilver Institute for Poverty Policy and Research

Study Record Dates

• First Submitted: July 18, 2013
• First Posted: August 7, 2013
• Study Start: November 1, 2015
• Primary Completion: May 1, 2016
• Study Completion: June 1, 2016
• Last Updated: March 2, 2020

Record last verified: 2020-02

Locations

US (1)