المؤلفون: Sanatkar, Samineh, Heinsch, Milena, Baldwin, Peter Andrew, Rubin, Mark, Geddes, Jenny, Hunt, Sally, Baker, Amanda L, Woodcock, Kathryn, Lewin, Terry J, Brady, Kathleen, Deady, Mark, Thornton, Louise, Teesson, Maree, Kay-Lambkin, Frances

المصدر: JMIR Mental Health, Vol 8, Iss 6, p e23986 (2021)

مصطلحات موضوعية: Psychology, BF1-990

الوصف: BackgroundMental health and alcohol use problems are among the most common causes of disease burden in young Australians, frequently co-occur (comorbidity), and lead to significant lifetime burden. However, comorbidities remain significantly underdetected and undertreated in health settings. Digital mental health tools designed to identify at-risk individuals, encourage help-seeking, or deliver treatment for comorbidity have the potential to address this service gap. However, despite a strong body of evidence that digital mental health programs provide an effective treatment option for a range of mental health and alcohol use problems in young adults, research shows that uptake rates can be low. Thus, it is important to understand the factors that influence treatment satisfaction and quality-of-life outcomes for young adults who access e–mental health interventions for comorbidity. ObjectiveIn this study, we seek to understand the factors that influence treatment satisfaction and quality-of-life outcomes for young adults who access e–mental health interventions for comorbid alcohol and mood disorders. The aim is to determine the importance of personality (ie, Big Five personality traits and intervention attitudes), affective factors (ie, depression, anxiety, and stress levels), and baseline alcohol consumption in predicting intervention trial engagement at sign-up, satisfaction with the online tool, and quality of life at the end of the iTreAD (Internet Treatment for Alcohol and Depression) trial. MethodsAustralian adults (N=411) aged between 18 and 30 years who screened positive for depression and alcohol use problems signed up for the iTreAD project between August 2014 and October 2015. During registration, participants provided information about their personality, current affective state, alcohol use, treatment expectations, and basic demographic information. Subsequent follow-up surveys were used to gauge the ongoing trial engagement. The last follow-up questionnaire, completed at 64 weeks, assessed participants’ satisfaction with web-based treatment and quality-of-life outcomes. ResultsMultiple linear regression analyses were used to assess the relative influence of predictor variables on trial engagement, treatment satisfaction, and quality-of-life outcomes. The analyses revealed that the overall predictive effects of personality and affective factors were 20% or lower. Neuroticism constituted a unique predictor of engagement with the iTreAD study in that neuroticism facilitated the return of web-based self-assessments during the study. The return of incentivized follow-up assessments predicted treatment satisfaction, and state-based depression predicted variance in quality-of-life reports at study completion. ConclusionsOur findings suggest that traditional predictors of engagement observed in face-to-face research may not be easily transferable to digital health interventions, particularly those aimed at comorbid mental health concerns and alcohol misuse among young adults. More research is needed to identify what determines engagement in this population to optimally design and execute digital intervention studies with multiple treatment aims. Trial RegistrationAustralian New Zealand Clinical Trials Registry (ACTRN): 12614000310662; http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=365137&isReview=trueTest. International Registered Report Identifier (IRRID)RR2-10.1186/s12889-015-2365-2

وصف الملف: electronic resource

العلاقة: https://mental.jmir.org/2021/6/e23986Test; https://doaj.org/toc/2368-7959Test

الوصول الحر: https://doaj.org/article/3387c74920f54dc69afd902b018c164dTest

المؤلفون: Thornton, Louise, Gardner, Lauren Anne, Osman, Bridie, Green, Olivia, Champion, Katrina Elizabeth, Bryant, Zachary, Teesson, Maree, Kay-Lambkin, Frances, Chapman, Cath

المصدر: JMIR Formative Research, Vol 5, Iss 4, p e25513 (2021)

مصطلحات موضوعية: Medicine

الوصف: BackgroundThe link between chronic diseases and the Big 6 lifestyle risk behaviors (ie, poor diet, physical inactivity, smoking, alcohol use, sedentary recreational screen time, and poor sleep) is well established. It is critical to target these lifestyle risk behaviors, as they often co-occur and emerge in adolescence. Smartphones have become an integral part of everyday life, and many adolescents already use mobile apps to monitor their lifestyle behaviors and improve their health. Smartphones may be a valuable platform for engaging adolescents with interventions to prevent key chronic disease risk behaviors. ObjectiveThe aim of this paper is to describe the development, usability, and acceptability of the Health4Life app, a self-monitoring smartphone app for adolescents that concurrently targets the Big 6 lifestyle behaviors. MethodsThe development of the Health4Life app was an iterative process conducted in collaboration with adolescents and experts. The development process consisted of three stages: scoping the literature; end user consultations, which included a web-based survey (N=815; mean age 13.89, SD 0.89 years) and a focus group (N=12) among adolescents; and app development and beta testing. Following this development work, 232 adolescents were asked to rate the usability and acceptability of the app. ResultsThe process resulted in a self-monitoring smartphone app that allows adolescent users to track and set goals for the Big 6 health behaviors, using in-app rewards and notifications to enhance engagement. The overall adolescent feedback was positive in terms of user-friendly design, content, relevance, and helpfulness. Commonly identified areas for improvement were to increase interactive features and display recorded health behaviors differently to improve interpretability. ConclusionsThe Health4Life app is a co-designed, self-monitoring smartphone app for adolescents that concurrently targets the Big 6 lifestyle behaviors. Adolescents rated the app as highly acceptable and usable. The app has the potential to efficiently and effectively modify important risk factors for chronic disease among young people and is currently being evaluated in a world-first trial of 6640 secondary school students in 71 schools across Australia.

وصف الملف: electronic resource

العلاقة: https://formative.jmir.org/2021/4/e25513Test; https://doaj.org/toc/2561-326XTest

الوصول الحر: https://doaj.org/article/9e67255bed0d4a3bac3ca73b741ce601Test

المؤلفون: Champion, Katrina Elizabeth, Gardner, Lauren Anne, McGowan, Cyanna, Chapman, Cath, Thornton, Louise, Parmenter, Belinda, McBride, Nyanda, Lubans, David R, McCann, Karrah, Spring, Bonnie, Teesson, Maree, Newton, Nicola Clare

المصدر: JMIR Formative Research, Vol 4, Iss 7, p e19485 (2020)

مصطلحات موضوعية: Medicine

الوصف: BackgroundChronic diseases are the leading cause of death worldwide. Addressing key lifestyle risk factors during adolescence is critical for improving physical and mental health outcomes and reducing chronic disease risk. Schools are ideal intervention settings, and electronic health (eHealth) interventions afford several advantages, including increased student engagement, scalability, and sustainability. Although lifestyle risk behaviors tend to co-occur, few school-based eHealth interventions have targeted multiple behaviors concurrently. ObjectiveThis study aims to summarize the co-design and user testing of the Health4Life school-based program, a web-based cartoon intervention developed to concurrently prevent 6 key lifestyle risk factors for chronic disease among secondary school students: alcohol use, smoking, poor diet, physical inactivity, sedentary recreational screen time, and poor sleep (the Big 6). MethodsThe development of the Health4Life program was conducted over 18 months in collaboration with students, teachers, and researchers with expertise relevant to the Big 6. The iterative process involved (1) scoping of evidence and systematic literature review; (2) consultation with adolescents (N=815) via a cross-sectional web-based survey to identify knowledge gaps, attitudes, barriers, and facilitators in relation to the Big 6; (3) content and web development; and (4) user testing of the web-based program with students (n=41) and teachers (n=8) to evaluate its acceptability, relevance, and appeal to the target audience. ResultsThe co-design process resulted in a six-module, evidence-informed program that uses interactive cartoon storylines and web-based delivery to engage students. Student and teacher feedback collected during user testing was positive in terms of acceptability and relevance. Commonly identified areas for improvement concerned the length of modules, age appropriateness of language and alcohol storyline, the need for character backstories and links to syllabus information, and feasibility of implementation. Modifications were made to address these issues. ConclusionsThe Health4Life school-based program is the first universal, web-based program to concurrently address 6 important chronic disease risk factors among secondary school students. By adopting a multiple health behavior change approach, it has the potential to efficiently modify the Big 6 risk factors within one program and to equip young people with the skills and knowledge needed to achieve and maintain good physical and mental health throughout adolescence and into adulthood.

وصف الملف: electronic resource

العلاقة: http://formative.jmir.org/2020/7/e19485Test/; https://doaj.org/toc/2561-326XTest

الوصول الحر: https://doaj.org/article/693171c0fd9943e2aef8a855daf2b5e7Test

المؤلفون: Birrell, Louise, Newton, Nicola C, Slade, Tim, Chapman, Catherine, Mewton, Louise, McBride, Nyanda, Hides, Leanne, Chatterton, Mary Lou, Allsop, Steve, Healy, Annalise, Mather, Marius, Quinn, Catherine, Mihalopoulos, Cathrine, Teesson, Maree

المصدر: JMIR Research Protocols, Vol 8, Iss 9, p e15391 (2019)

مصطلحات موضوعية: Medicine, Computer applications to medicine. Medical informatics, R858-859.7

وصف الملف: electronic resource

العلاقة: https://www.researchprotocols.org/2019/9/e15391Test/; https://doaj.org/toc/1929-0748Test

الوصول الحر: https://doaj.org/article/91cc247c716e4190bc3676c1b2cc62eeTest

المؤلفون: Birrell, Louise, Deen, Hannah, Champion, Katrina Elizabeth, Newton, Nicola C, Stapinski, Lexine A, Kay-Lambkin, Frances, Teesson, Maree, Chapman, Cath

المصدر: JMIR mHealth and uHealth, Vol 6, Iss 12, p e11107 (2018)

مصطلحات موضوعية: Information technology, T58.5-58.64, Public aspects of medicine, RA1-1270

الوصف: BackgroundDespite evidence of increasing harms and community concern related to the drug crystal methamphetamine (“ice”), there is a lack of easily accessible, evidence-based information for community members affected by its use, and to date, no evidence-based mobile apps have specifically focused on crystal methamphetamine. ObjectiveThis study aims to describe the co-design and beta testing of a mobile app to provide evidence-based, up-to-date information about crystal methamphetamine to the general community. MethodsA mobile app about crystal methamphetamine was developed in 2017. The development process involved multiple stakeholders (n=12), including technology and drug and alcohol experts, researchers, app developers, a consumer expert with lived experience, and community members. Beta testing was conducted with Australian general community members (n=34), largely recruited by the Web through Facebook advertising. Participants were invited to use a beta version of the app and provide feedback about the content, visual appeal, usability, engagement, features, and functions. In addition, participants were asked about their perceptions of the app’s influence on awareness, understanding, and help-seeking behavior related to crystal methamphetamine, and about their knowledge about crystal methamphetamine before and after using the app. ResultsThe vast majority of participants reported the app was likely to increase awareness and understanding and encourage help-seeking. The app received positive ratings overall and was well received. Specifically, participants responded positively to the high-quality information provided, usability, and visual appeal. Areas suggested for improvement included reducing the amount of text, increasing engagement, removing a profile picture, and improving navigation through the addition of a “back” button. Suggested improvements were incorporated prior to the app’s public release. App use was associated with an increase in perceived knowledge about crystal methamphetamine; however, this result was not statistically significant. ConclusionsThe Cracks in the Ice mobile app provides evidence-based information about the drug crystal methamphetamine for the general community. The app is regularly updated, available via the Web and offline, and was developed in collaboration with experts and end users. Initial results indicate that it is easy to use and acceptable to the target group.

وصف الملف: electronic resource

العلاقة: https://mhealth.jmir.org/2018/12/e11107Test/; https://doaj.org/toc/2291-5222Test

الوصول الحر: https://doaj.org/article/c3590e994bda4386a25e367ef5ad08a9Test

المؤلفون: Chapman, Cath, Champion, Katrina Elizabeth, Birrell, Louise, Deen, Hannah, Brierley, Mary-Ellen, Stapinski, Lexine A, Kay-Lambkin, Frances, Newton, Nicola C, Teesson, Maree

المصدر: JMIR mHealth and uHealth, Vol 6, Iss 11, p e10442 (2018)

مصطلحات موضوعية: Information technology, T58.5-58.64, Public aspects of medicine, RA1-1270

الوصف: BackgroundAmid considerable community concern about the prevalence and harms associated with the use of crystal methamphetamine (“ice”), the increased use of smartphones to access health information and a growing number of available smartphone apps related to crystal methamphetamine, no previous reviews have examined the content and quality of these apps. ObjectiveThis study aims to systematically review existing apps in the iTunes and Google Play Stores to determine the existence, composition, and quality of educational smartphone apps about methamphetamines, including ice. MethodsThe iTunes and Google Play Stores were systematically searched in April 2017 for iOS Apple and Android apps, respectively. English-language apps that provided educational content or information about methamphetamine were eligible for inclusion. Eligible apps were downloaded and independently evaluated for quality by 2 reviewers using the Mobile Application Rating Scale (MARS). ResultsA total of 2205 apps were initially identified, of which 18 were eligible and rated using the MARS. The mean MARS quality total score for all rated apps was 3.0 (SD 0.6), indicating poor to acceptable quality. Overall, mean scores were the highest for functionality (mean 4.0, SD 0.5) and lowest for engagement (mean 2.3, SD 0.7). ConclusionsThis study demonstrates a shortage of high-quality educational and engaging smartphone apps specifically related to methamphetamine. The findings from this review highlight a need for further development of engaging and evidence-based apps that provide educational information about crystal methamphetamine.

وصف الملف: electronic resource

العلاقة: http://mhealth.jmir.org/2018/11/e10442Test/; https://doaj.org/toc/2291-5222Test

الوصول الحر: https://doaj.org/article/a02affc691024669a9e792639ef48f1aTest

المؤلفون: Peach, Natalie, Kihas, Ivana, Isik, Ashling, Cassar, Joanne, Barrett, Emma Louise, Cobham, Vanessa, Back, Sudie E., Perrin, Sean, Bendall, Sarah, Brady, Kathleen, Ross, Joanne, Teesson, Maree, Bezzina, Louise, Dobinson, Katherine A., Schollar-Root, Olivia, Milne, Bronwyn, Mills, Katherine L.

المصدر: Advances in Dual Diagnosis, 2024, Vol. 17, Issue 2, pp. 54-71.

الوصول الحر: http://www.emeraldinsight.com/doi/10.1108/ADD-11-2023-0021Test

المؤلفون: Bauducco, Serena, 1988, Gardner, Lauren A., Smout, Scarlett, Champion, Katrina E., Chapman, Cath, Gamble, Amanda, Teesson, Maree, Gradisar, Michael, Newton, Nicola C.

المصدر: Scientific Reports. 14(1)

مصطلحات موضوعية: Mental health, Covid-19 pandemic, Adolescents, Sleep, Psychology, Psykologi

الوصف: The COVID-19 pandemic has seen a rise in anxiety and depression among adolescents. This study aimed to investigate the longitudinal associations between sleep and mental health among a large sample of Australian adolescents and examine whether healthy sleep patterns were protective of mental health in the context of the COVID-19 pandemic. We used three waves of longitudinal control group data from the Health4Life cluster-randomized trial (N= 2781, baseline Mage= 12.6, SD= 0.51; 47% boys and 1.4% ‘prefer not to say’). Latent class growth analyses across the 2 years period identifed four trajectories of depressive symptoms: low-stable (64.3%), average-increasing (19.2%), high-decreasing (7.1%), moderate-increasing (9.4%), and three anxiety symptom trajectories: lowstable (74.8%), average-increasing (11.6%), high-decreasing (13.6%). We compared the trajectories on sociodemographic and sleep characteristics. Adolescents in low-risk trajectories were more likely to be boys and to report shorter sleep latency and wake after sleep onset, longer sleep duration, less sleepiness, and earlier chronotype. Where mental health improved or worsened, sleep patterns changed in the same direction. The subgroups analyses uncovered two important fndings: (1) the majority of adolescents in the sample maintained good mental health and sleep habits (low-stabletrajectories), (2) adolescents with worsening mental health also reported worsening sleep patterns and vice versa in the improving mental health trajectories. These distinct patterns of sleep and mental health would not be seen using mean-centred statistical approaches.

وصف الملف: electronic

الوصول الحر: https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-113599Test
https://doi.org/10.1038/s41598-024-60974-yTest
https://oru.diva-portal.org/smash/get/diva2:1857651/FULLTEXT01.pdfTest

المؤلفون: Rezapour, Tara, Rafei, Parnian, Baldacchino, Alex, Conrod, Patricia J., Dom, Geert, Fishbein, Diana H., Kazemi, Atefeh, Hendriks, Vincent, Newton, Nicola, Riggs, Nathaniel R., Squeglia, Lindsay M., Teesson, Maree, Vassileva, Jasmin, Verdejo-Garcia, Antonio, Ekhtiari, Hamed

المصدر: Rezapour , T , Rafei , P , Baldacchino , A , Conrod , P J , Dom , G , Fishbein , D H , Kazemi , A , Hendriks , V , Newton , N , Riggs , N R , Squeglia , L M , Teesson , M , Vassileva , J , Verdejo-Garcia , A & Ekhtiari , H 2024 , ' Neuroscience-informed classification of prevention interventions in substance use disorders : an RDoC-based approach ' , Neuroscience and Biobehavioral Reviews , vol. 159 , 105578 . https://doi.org/10.1016/j.neubiorev.2024.105578Test

مصطلحات موضوعية: Adolescence, Interventions, Substance use disorders, Research Domain Criteria, Prevention, Neuroscience

الوصف: Neuroscience has contributed to uncover the mechanisms underpinning substance use disorders (SUD). The next frontier is to leverage these mechanisms as active targets to create more effective interventions for SUD treatment and prevention. Recent large-scale cohort studies from early childhood are generating multiple levels of neuroscience-based information with the potential to inform the development and refinement of future preventive strategies. However, there are still no available well-recognized frameworks to guide the integration of these multi-level datasets into prevention interventions. The Research Domain Criteria (RDoC) provides a neuroscience-based multi-system framework that is well suited to facilitate translation of neurobiological mechanisms into behavioral domains amenable to preventative interventions. We propose a novel RDoC-based framework for prevention science and adapted the framework for the existing preventive interventions. From a systematic review of randomized controlled trials using a person-centered drug/alcohol preventive approach for adolescents, we identified 22 unique preventive interventions. By teasing apart these 22 interventions into the RDoC domains, we proposed distinct neurocognitive trajectories which have been recognized as precursors or risk factors for SUDs, to be targeted, engaged and modified for effective addiction prevention.

وصف الملف: application/pdf

العلاقة: https://research-portal.st-andrews.ac.uk/en/researchoutput/neuroscienceinformed-classification-of-prevention-interventions-in-substance-use-disordersTest(3324a91e-ccac-439f-810f-b40a6fb36ebf).html

الإتاحة: https://doi.org/10.1016/j.neubiorev.2024.105578Test
https://research-portal.st-andrews.ac.uk/en/researchoutput/neuroscienceinformed-classification-of-prevention-interventions-in-substance-use-disordersTest(3324a91e-ccac-439f-810f-b40a6fb36ebf).html
https://research-repository.st-andrews.ac.uk/bitstream/10023/29468/1/Rezapour_2024_NBR_Neuroscience-Informed_AAM.pdfTest

المؤلفون: Lynch, Samantha J., Sunderland, Matthew, Forbes, Miriam K., Teesson, Maree, Newton, Nicola C., Chapman, Cath

المصدر: Lynch , S J , Sunderland , M , Forbes , M K , Teesson , M , Newton , N C & Chapman , C 2024 , ' Structure of psychopathology in adolescents and its association with high-risk personality traits ' , Development and Psychopathology , vol. 36 , no. 1 , pp. 379–394 . https://doi.org/10.1017/S0954579422001262Test

مصطلحات موضوعية: adolescents, higher-order model, personality, psychopathology

الوصف: The present study examined high-risk personality traits and associations with psychopathology across multiple levels of a hierarchical-dimensional model of psychopathology in a large adolescent, general population sample. Confirmatory factor analyses were run using data from two randomized controlled trials of Australian adolescents (N = 8,654, mean age = 13.01 years, 52% female). A higher-order model - comprised of general psychopathology, fear, distress, alcohol use/harms, and conduct/inattention dimensions - was selected based on model fit, reliability, and replicability. Indirect-effects models were estimated to examine the unique associations between high-risk personality traits (anxiety sensitivity, negative thinking, impulsivity, and sensation seeking) and general and specific dimensions and symptoms of psychopathology. All personality traits were positively associated with general psychopathology. After accounting for general psychopathology, anxiety sensitivity was positively associated with fear; negative thinking was positively associated with distress; impulsivity was positively associated with conduct/inattention; and sensation seeking was positively associated with alcohol use/harms and conduct/inattention, and negatively associated with fear. Several significant associations between personality traits and individual symptoms remained after accounting for general and specific psychopathology. These findings contribute to our understanding of the underlying structure of psychopathology among adolescents and have implications for the development of personality-based prevention and early intervention programs.

وصف الملف: application/pdf

الإتاحة: https://doi.org/10.1017/S0954579422001262Test
https://researchers.mq.edu.au/en/publications/a0fa79ea-bf15-4aa1-b52d-f332a012ea58Test
https://research-management.mq.edu.au/ws/files/322445059/225193995.pdfTest
http://purl.org/au-research/grants/nhmrc/1047291Test
http://www.scopus.com/inward/record.url?scp=85163666281&partnerID=8YFLogxKTest