R03 – Improving Usability of a Comprehensive Self-Management Intervention to Address Anxiety and Depression Among Persons with Irritable Bowel Syndrome
Many interventions shown to be effective in clinical trials are never adopted in clinical settings. This study seeks to explore and address the reasons for non-adoption of an evidence-based psychosocial intervention (EBPI) that addresses anxiety, depression, and gastrointestinal (GI) symptoms among individuals with a common GI problem, irritable bowel syndrome (IBS). Approximately 30-50% of individuals …
R03 – Iterative (Re)Design of a Virtual Postpartum Depression Intervention with Latina Mothers
Postpartum depression (PPD) affects up to 15% of mothers in the U.S. Prevalence rates as high as 54% have been documented among Latina women, who are significantly less likely to receive postpartum mental health care. Cognitive-behavioral therapy (CBT) and interpersonal psychotherapy (IPT) are effective evidence-based psychosocial interventions (EBPIs) for treating PPD among ethnic populations. These …
R03 – Designing and Evaluating an Asynchronous Remote Communication Approach to Behavioral Activation with Clinicians and Adolescents at Risk for Depression
National data indicate 7.5-12% adolescents are diagnosed with depression (MDD) each year. Adolescents across the spectrum of MDD severity are at risk for lifelong negative outcomes such as increased odds for MDD recurrence into adulthood. Despite the rise in MDD in adolescence, only 1% of U.S. youths receive outpatient care for MDD each year with …
R03 – Increasing the Usability and Cultural Relevance of an EBPI for Suicidality in Schools
Suicide is a major public health concern. Over the past year, 1 in 5 high school students have seriously considered suicide, and 1 in 13 have attempted suicide. Schools provide a uniquely suitable environment for the identification and management of suicide risk, yet there is no evidence-based individual-level psychosocial intervention tailored for school clinicians to …
R03 – Using Human Centered Design for Technology-Enabled Behavioral Treatment of Depression in Urban and Rural Cancer Centers
Depression is highly prevalent but undertreated in patients with cancer, particularly in rural populations. The overall objective of this research is to use technology to enhance depression care for patients in cancer centers by improving access to behavioral activation (BA), an evidence-based treatment. This research supports the UW ALACRITY Center mission by applying expertise in mental …
R03 – Discovering the Capacity of Primary Care Frontline Staff to Deliver a Low-Intensity, Technology-Enhanced Intervention to Treat Geriatric Depression
Older adults with depression typically present to primary care rather than specialty mental health treatment and are often un- or undertreated, as the demand for mental health services is greater than the supply of trained providers. Technology is one method to improve access to care by making evidence-based psychosocial interventions (EBPIs) readily accessible. A second …
R03 – Iterative Redesign of a Behavioral Skills Training Program for Use in Educational Settings
Approximately 50% of children with autism spectrum disorder (ASD) exhibit disruptive behaviors such as tantrums, aggression, and noncompliance that significantly impact social, adaptive, and academic functioning. The RUBI program is an evidence-based parent-mediated intervention that improves disruptive behavior in children with ASD. RUBI is offered to caregivers in specialty mental health clinics, which requires families to overcome access barriers such …
R03 – Design, Development, and Testing of a Virtual Relaxation Environment to Reduce Stress in Teens (RESeT)
Adolescents are the most stressed generation, with almost a third of teens reporting very high levels of daily stress. Chronic stress is associated with adverse physiological (e.g., immune dysregulation, obesity) and psychological (e.g., anxiety, depression) health outcomes and negatively impacts learning and memory. For many students, school is the only access point for mental health services, but …
R03 – Improving the Usability of Decision Support for PTSD in Primary Care
Evidence-based psychosocial interventions (EBPIs) are first-line treatments for PTSD yet very few patients receive them, even in the Veterans Health Administration (VA) where there is excellent access to EBPIs. Patients’ preferences for and initiation of EBPIs are influenced by how providers present and discuss these PTSD treatment options. In specialty mental health settings, shared decision …
Continue reading “R03 – Improving the Usability of Decision Support for PTSD in Primary Care”
R03 – Modification of a Parenting Intervention for Primary Care Based Delivery to Women with Perinatal Depression and Anxiety: Promoting First Relationships
Background: Women with PDA frequently experience parenting challenges which are associated with both worsening postpartum depression and negative child outcomes. These parenting factors do not respond to PDA treatments alone, and persist after remission of maternal depressive symptoms, underscoring the importance of including attention to parenting in maternal PDA treatments. By using mental health and …
R03 – mHealth in West Africa: Developing An Evidence-Based Psychosocial Intervention Toolkit
Worldwide, serious mental illnesses (SMI) such as schizophrenia and bipolar disorder are major causes of impairment and disability. The majority of people with SMI in West Africa receive care from traditional and faith healers who have no formal training in the etiology, assessment, or evidence-based treatment of mental illness. Our multidisciplinary team is partnering with …
R03 – Supporting Iterative Design of Homework in Problem Solving Therapy
A critical element of learning-based evidence-based psychosocial treatments is goals setting and out-of-session action plans, known as homework. This research will employ Human Centered Design (HCD) methods to identify challenges patients and clinicians face in the use of homework. The research will identify opportunities for clinicians and patients to iteratively design, plan, implement and revise …
Continue reading “R03 – Supporting Iterative Design of Homework in Problem Solving Therapy”
R34 – Remote Training in Evidence-based Practices for Clinicians Who Work with Migrant Workers
This study is a partnership between The University of Washington’s School of Social Work and Paul G. Allen School of Computer Science and Engineering; The Social Work Department at Heritage University in Toppenish, Wash.; and The Yakima Valley Farm Workers Clinic. This study will expand and enhance training in evidence-based psychosocial interventions (EBPIs) by designing and testing …
R34 – REACH: DDBT adapted EBPI for Primary Care
This study is a partnership between The University of Washington’s Department of Psychiatry and Behavioral Sciences, the Department of Communications, and the Bighorn Valley Health System in Eastern Montana. While evidence-based psychosocial interventions (EBPIs) are important, their design is cumbersome, complex, overwhelming, inflexible, and minimizes factors that are crucial for quality delivery of care. This study …
Continue reading “R34 – REACH: DDBT adapted EBPI for Primary Care”
R34 – Participatory design of clinical decision support tools for problem solving therapy
This study will partner with the University of Washington Behavioral Health Integration Program (BHIP). Several recent studies have found that for evidence-based psychosocial interventions (EBPIs) to be delivered more effectively, sustained quality, ongoing supervision, and guidance is critical. This study will develop an electronic support tool to support quality delivery of PST that is based on …