The COVID-19 pandemic has increased the need for eHealth interventions that target families and children at- risk of family violence and long-term mental health problems. Escalating rates of anxiety and depression during COVID-19 have impacted families adversely, and have led to impaired parent-child relationships and increased family conflict (Russell et al., 2020). These risks are exacerbated by increases in mental health problems and limited access to social support and treatment (Taylor et al., 2021). The challenges of parenting coupled with increases in stress and violence during COVID-19 have accelerated the need for treatments that target these problems. Furthermore, the COVID-19 pandemic has widened the gap between families who have services and support and those who do not, increasing health disparities in this population. As such, we have developed the Family Check-Up Online to support families and children by improving family relationships and mental health. The FCU Online has the potential to reduce health disparities by providing an accessible, easily disseminated version of the FCU to families at-risk of adverse outcomes after COVID-19. A recent and timely systematic review of telehealth therapy for families suggest that they are equally effective as in-person treatments, and improve both parent mental health and child outcomes (McClean et al., 2021), supporting the use of eHealth approaches for mental health intervention. In the proposed application, we will examine the feasibility and commercial potential of the FCU Online by interviewing key stakeholders in schools and school- based mental health settings. We propose to improve the back-end structure of the FCU Online, which was previously developed as part of a clinical trial, to support wide-scale commercialization of the product including flexible module delivery, progress monitoring, and self-enrollment. We will test the product with a series of stakeholder focus groups and usability testing to evaluate the feasibility and acceptability of the product for commercialization. In Phase II, we plan to develop and test e-learning models for coach training as well as evaluate the product in a clinical trial to examine the reach, effectiveness, adoption, implementation, and maintenance of the program in real-world settings. Our team includes experts in implementation and dissemination, evidence-based interventions for at-risk families, business development and marketing, and product development. Letters of support from community and school providers demonstrate our strong partnerships that will facilitate this research. The study will significantly contribute to our understanding of mobile ehealth interventions for students at-risk of violence in school settings.
Public Health Relevance Statement: 8. Project Narrative Violent behavior in the home and the mental health problems that result from violence adversely impact long- term health outcomes for children and adolescents. This application focuses on examining the feasibility and commercial potential of a mobile, web-based application for children and families in order to reduce digital inequalities in treatment delivery in this population and improve long-term mental health. By interviewing school providers, improving the back-end structure, and conducting usability testing, we plan to evaluate the commercial-ready version of the product in order to promote wide-scale dissemination of this evidence-based treatment to schools.
Project Terms: Acceleration; Adoption; Anxiety; Child; 0-11 years old; Child Youth; Children (0-21); kids; youngster; Child Rearing; Parenting; Parenting behavior; childrearing; Clinical Trials; Communities; E-learning; computer-assisted instruction; computer-based education; computer-based instruction; computer-based learning; computer-based training; digital education; digital learning; eLearning; electronic learning; internet-assisted education; internet-based training; multimedia learning; on-line education; on-line learning; online education; online learning; technology-enhanced learning; virtual learning; web-based instruction; web-based training; Conflict (Psychology); Conflict; Professional counselor; Counselor; Mental Depression; depression; Epidemic; Family; Family Relationship; Family Relations; Family psychotherapy; Family Therapy; Feedback; Focus Groups; Goals; Health; Health Resources; Recording of previous events; History; histories; Incentives; Interview; Lead; Pb element; heavy metal Pb; heavy metal lead; Marketing; Mental Health; Mental Hygiene; Psychological Health; Mental Health Services; Mental Hygiene Services; mental health care; mental healthcare; Methods; Persons; Online Systems; On-Line Systems; online computer; web based; Parent-Child Relations; Parent-Child Relationship; parent child interaction; parent offspring interaction; Parents; parent; Primary Schools; Problem Solving; Public Health; Research; Resources; Research Resources; Risk; Schools; Social support; social support network; Social Workers; Stress; Students; Supervision; Testing; Time; Violence; violent; violent behavior; Child of Impaired Parents; Offspring of Impaired Parents; Administrator; Businesses; Health Benefit; Youth 10-21; Youth; prevent violence; violence prevention; rural location; rural region; rural area; urban location; urban region; urban area; improved; Phase; Series; Adolescent Youth; juvenile; juvenile human; Adolescent; Family Violence; Evaluation; Training; teacher; Data Bases; data base; Databases; Funding; behavioral problem; Problem behavior; Letters; programs; System; Services; experience; Performance; stressor; checkup examination; Check-up; checkup; Self Efficacy; Structure; skills; Participant; family structure; Health Technology; Health Care Technology; Healthcare Technology; Emotional; Modeling; behavioral health; Intervention; Intervention Strategies; interventional strategy; Cell Phone; Cellular Telephone; Mobile Phones; iPhone; smart phone; smartphone; Cellular Phone; Provider; disparity in health; health disparity; preventing; prevent; telehealth; Health system; Child Mental Health; Enrollment; enroll; Small Business Innovation Research Grant; SBIR; Small Business Innovation Research; Monitor; Process; Development; developmental; Behavioral; Evidence based treatment; suicidal behavior; suicide behavior; systematic review; cost; pediatric anxiety; youth anxiety; childhood anxiety; digital; adolescent depression; adolescents with depression; childhood depression; childhood onset depression; depressed adolescents; depression in adolescence; pediatric depression; youth depression; child depression; Outcome; Population; Coupled; Evidence based intervention; usability; commercialization; data base structure; database structure; product development; flexible; flexibility; adverse consequence; adverse outcome; m-Health; mobile health; mHealth; e-Health; electronic health; eHealth; family support; disparities in treatment; inequality in treatment; treatment inequality; treatment inequity; treatment disparity; online app; web application; web based app; web based application; web app; Service provision; COVID19; CV-19; CV19; corona virus disease 2019; coronavirus disease 2019; coronavirus disease-19; coronavirus infectious disease-19; COVID-19; COVID crisis; COVID epidemic; COVID pandemic; COVID-19 crisis; COVID-19 epidemic; COVID-19 global health crisis; COVID-19 global pandemic; COVID-19 health crisis; COVID-19 public health crisis; COVID19 crisis; COVID19 epidemic; COVID19 global health crisis; COVID19 global pandemic; COVID19 health crisis; COVID19 pandemic; COVID19 public health crisis; SARS-CoV-2 epidemic; SARS-CoV-2 global health crisis; SARS-CoV-2 global pandemic; SARS-CoV-2 pandemic; SARS-CoV2 epidemic; SARS-CoV2 pandemic; SARS-coronavirus-2 epidemic; SARS-coronavirus-2 pandemic; 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; corona virus disease 2019 epidemic; corona virus disease 2019 pandemic; coronavirus disease 2019 crisis; coronavirus disease 2019 epidemic; coronavirus disease 2019 global health crisis; coronavirus disease 2019 global pandemic; coronavirus disease 2019 health crisis; 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 pandemic; severe acute respiratory syndrome coronavirus 2 global health crisis; severe acute respiratory syndrome coronavirus 2 global pandemic; COVID-19 pandemic; Dissemination and Implementation; RE-AIM; reach, efficacy, adoption, implementation, and maintenance; Reach, Effectiveness, Adoption, Implementation, and Maintenance; acceptability and feasibility; digital health; homes; Home; coaching calls; phone coach; telephone based coaching; telephone counseling; telephone coaching; school environment; Reduce health disparities; Decrease health disparities; Health disparity mitigation; Health disparity reduction; Lower health disparities; Mitigate health disparities
