13 results on '"Ospina-Pinillos, Laura"'
Search Results
2. Can participatory processes lead to changes in the configuration of local mental health networks? A social network analysis.
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Camacho S, Hilber AM, Ospina-Pinillos L, Sánchez-Nítola M, Shambo-Rodríguez DL, Lee GY, and Occhipinti JA
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- Policy, Decision Making, Colombia, Mental Health, Social Network Analysis
- Abstract
Systems modeling offers a valuable tool to support strategic decision-making for complex problems because it considers the causal inter-relationships that drive population health outcomes. This tool can be used to simulate policies and initiatives to determine which combinations are likely to deliver the greatest impacts and returns on investment. Systems modeling benefits from participatory approaches where a multidisciplinary stakeholder group actively engages in mapping and contextualizing causal mechanisms driving complex system behaviors. Such approaches can have significant advantages, including that they may improve connection and coordination of the network of stakeholders operating across the system; however, these are often observed in practice as colloquial anecdotes and seldom formally assessed. We used a basic social network analysis to explore the impact on the configuration of the network of mental health providers, decision-makers, and other stakeholders in Bogota, Colombia active in a series of three workshops throughout 2021 and 2022. Overall, our analysis suggests that the participatory process of the systems dynamics exercise impacts the social network's structure, relationships, and dynamics., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Camacho, Hilber, Ospina-Pinillos, Sánchez-Nítola, Shambo-Rodríguez, Lee and Occhipinti.)
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- 2023
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3. Research to Clinical Practice-Youth seeking mental health information online and its impact on the first steps in the patient journey.
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Scott J, Hockey S, Ospina-Pinillos L, Doraiswamy PM, Alvarez-Jimenez M, and Hickie I
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- Adolescent, Anxiety Disorders, Health Personnel, Humans, Internet, Young Adult, Mental Health, Social Media
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Background: Online searches about anxiety and depression are recorded every 3-5 s. As such, information and communication technologies (ICT) have enormous potential to enable or impair help-seeking and patient-professional interactions. Youth studies indicate that ICT searches are undertaken before initial mental health consultations, but no publications have considered how this online activity affects the first steps of the patient journey in youth mental health settings., Methods: State-of-the-art review using an iterative, evidence mapping approach to identify key literature and expert consensus to synthesize and prioritise clinical and research issues., Results: Adolescents and young adults are more likely to seek health advice via online search engines or social media platforms than from a health professional. Young people not only search user-generated content and social media to obtain advice and support from online communities but increasingly contribute personal information online., Conclusions: A major clinical challenge is to raise professional awareness of the likely impact of this activity on mental health consultations. Potential strategies range from modifying the structure of clinical consultations to ensure young people are able to disclose ICT activities related to mental health, through to the development and implementation of 'internet prescriptions' and a youth-focused 'toolkit'., (© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
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- 2022
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4. Using Participatory Design Methodologies to Co-Design and Culturally Adapt the Spanish Version of the Mental Health eClinic: Qualitative Study.
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Ospina-Pinillos L, Davenport T, Mendoza Diaz A, Navarro-Mancilla A, Scott EM, and Hickie IB
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- Adolescent, Adult, Female, Humans, Language, Qualitative Research, Young Adult, Mental Health standards, Mental Health Services standards, Research Design standards
- Abstract
Background: The Mental Health eClinic (MHeC) aims to deliver best-practice clinical services to young people experiencing mental health problems by making clinical care accessible, affordable, and available to young people whenever and wherever they need it most. The original MHeC consists of home page with a visible triage system for those requiring urgent help; a online physical and mental health self-report assessment; a results dashboard; a booking and videoconferencing system; and the generation of a personalized well-being plan. Populations who do not speak English and reside in English-speaking countries are less likely to receive mental health care. In Australia, international students have been identified as disadvantaged compared with their peers; have weaker social support networks; and have higher rates of psychological distress. This scenario is acquiring significant relevance as Spanish-speaking migration is rapidly growing in Australia, and the mental health services for culturally and linguistically diverse populations are limited. Having a Spanish version (MHeC-S) of the Mental Health eClinic would greatly benefit these students., Objective: We used participatory design methodologies with users (young people aged 16-30 years, supportive others, and health professionals) to (1) conduct workshops with users to co-design and culturally adapt the MHeC; (2) inform the development of the MHeC-S alpha prototype; (3) test the usability of the MHeC-S alpha prototype; (4) translate, culturally adapt, and face-validate the MHeC-S self-report assessment; and (5) collect information to inform its beta prototype., Methods: A research and development cycle included several participatory design phases: co-design workshops; knowledge translation; language translation and cultural adaptation; and rapid prototyping and user testing of the MHeC-S alpha prototype., Results: We held 2 co-design workshops with 17 users (10 young people, 7 health professionals). A total of 15 participated in the one-on-one user testing sessions (7 young people, 5 health professionals, 3 supportive others). We collected 225 source documents, and thematic analysis resulted in 5 main themes (help-seeking barriers, technology platform, functionality, content, and user interface). A random sample of 106 source documents analyzed by 2 independent raters revealed almost perfect agreement for functionality (kappa=.86; P<.001) and content (kappa=.92; P<.001) and substantial agreement for the user interface (kappa=.785; P<.001). In this random sample, no annotations were coded for help-seeking barriers or the technology platform. Language was identified as the main barrier to getting medical or psychological services, and smartphones were the most-used device to access the internet. Acceptability was adequate for the prototype's 5 main elements: home page and triage system, self-report assessment, dashboard of results, booking and video visit system, and personalized well-being plan. The data also revealed gaps in the alpha prototype, such as the need for tailored assessment tools and a greater integration with Spanish-speaking services and communities. Spanish-language apps and e-tools, as well as online mental health information, were lacking., Conclusions: Through a research and development process, we co-designed and culturally adapted, developed and user tested, and evaluated the MHeC-S. By translating and culturally adapting the MHeC to Spanish, we aimed to increase accessibility and availability of e-mental health care in the developing world, and assist vulnerable populations that have migrated to English-speaking countries., (©Laura Ospina-Pinillos, Tracey Davenport, Antonio Mendoza Diaz, Alvaro Navarro-Mancilla, Elizabeth M Scott, Ian B Hickie. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 02.08.2019.)
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- 2019
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5. Developing a Mental Health eClinic to Improve Access to and Quality of Mental Health Care for Young People: Using Participatory Design as Research Methodologies.
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Ospina-Pinillos L, Davenport TA, Ricci CS, Milton AC, Scott EM, and Hickie IB
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- Adolescent, Adult, Female, Humans, Male, Young Adult, Internet instrumentation, Mental Health standards, Research Design standards
- Abstract
Background: Each year, many young Australians aged between 16 and 25 years experience a mental health disorder, yet only a small proportion access services and even fewer receive timely and evidence-based treatments. Today, with ever-increasing access to the Internet and use of technology, the potential to provide all young people with access (24 hours a day, 7 days a week) to the support they require to improve their mental health and well-being is promising., Objective: The aim of this study was to use participatory design (PD) as research methodologies with end users (young people aged between 16 and 25 years and youth health professionals) and our research team to develop the Mental Health eClinic (a Web-based mental health clinic) to improve timely access to, and better quality, mental health care for young people across Australia., Methods: A research and development (R&D) cycle for the codesign and build of the Mental Health eClinic included several iterative PD phases: PD workshops; translation of knowledge and ideas generated during workshops to produce mockups of webpages either as hand-drawn sketches or as wireframes (simple layout of a webpage before visual design and content is added); rapid prototyping; and one-on-one consultations with end users to assess the usability of the alpha build of the Mental Health eClinic., Results: Four PD workshops were held with 28 end users (young people n=18, youth health professionals n=10) and our research team (n=8). Each PD workshop was followed by a knowledge translation session. At the conclusion of this cycle, the alpha prototype was built, and one round of one-on-one end user consultation sessions was conducted (n=6; all new participants, young people n=4, youth health professionals n=2). The R&D cycle revealed the importance of five key components for the Mental Health eClinic: a home page with a visible triage system for those requiring urgent help; a comprehensive online physical and mental health assessment; a detailed dashboard of results; a booking and videoconferencing system to enable video visits; and the generation of a personalized well-being plan that includes links to evidence-based, and health professional-recommended, apps and etools., Conclusions: The Mental Health eClinic provides health promotion, triage protocols, screening, assessment, a video visit system, the development of personalized well-being plans, and self-directed mental health support for young people. It presents a technologically advanced and clinically efficient system that can be adapted to suit a variety of settings in which there is an opportunity to connect with young people. This will enable all young people, and especially those currently not able or willing to connect with face-to-face services, to receive best practice clinical services by breaking down traditional barriers to care and making health care more personalized, accessible, affordable, and available., (©Laura Ospina-Pinillos, Tracey A Davenport, Cristina S Ricci, Alyssa C Milton, Elizabeth M Scott, Ian B Hickie. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 28.05.2018.)
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- 2018
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6. Effectiveness of a Patient-Centered Assessment With a Solution-Focused Approach (DIALOG-A) in the Routine Care of Colombian Adolescents With Depression and Anxiety: Protocol for a Multicenter Cluster Randomized Controlled Trial.
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Gómez-Restrepo, Carlos, Romero, Jose Alejandro Rumbo, Rodriguez, Martha, Ospina-Pinillos, Laura, Sureshkumar, Diliniya Stanislaus, Priebe, Stefan, and Bird, Victoria
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ANXIETY in adolescence ,DEPRESSION in adolescence ,PATIENT-centered care ,TELEMEDICINE ,RANDOMIZED controlled trials - Abstract
Background: Colombia is a middle-income country in South America, which has historically had high rates of mental health problems, coupled with a scarcity of mental health care. There is growing concern for the mental health of the adolescent population within this region. There is a significant treatment gap for young people, especially those living in the most vulnerable areas. DIALOG+ is a low-cost patient-centered intervention that can potentially improve the delivery of care and quality of life for adolescents with mental health problems. Objective: This exploratory randomized controlled trial aims to evaluate the effectiveness, acceptability, and feasibility of an adapted version of the DIALOG+ intervention (DIALOG-A) in the community treatment of Colombian adolescents with depression and anxiety. Methods: In total, 18 clinicians and 108 adolescents will be recruited from primary health care services in Bogota and Duitama, Colombia. Clinicians will be randomized 2:1 to either the intervention (12 clinicians:72 adolescents) or control group (6 clinicians:36 adolescents). In the intervention arm, clinicians will use DIALOG-A with adolescents once per month over 6 months. The control arm will continue to receive routine care. Outcomes will be measured at baseline, 6 months, and 9 months following randomization. Semistructured interviews with all clinicians and a subset of adolescents in the intervention arm will be conducted at the end of the intervention period. Quantitative and qualitative analysis of the data will be conducted. Results: Trial recruitment was completed toward the end of October 2022, and follow-up is anticipated to last through to October 2023. Conclusions: This is the first study to test an adapted resource-orientated intervention (DIALOG-A) in the treatment of adolescents with depression and anxiety attending primary care services. If the results are positive, DIALOG-A can be implemented in the routine care of adolescents with these mental health problems and provide valuable insight to other middle-income countries. [ABSTRACT FROM AUTHOR]
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- 2023
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7. Mental health and psychosocial impact of the COVID-19 pandemic and social distancing measures among young adults in Bogotá, Colombia.
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Miguel Uribe-Restrepo, José, Waich-Cohen, Alan, Ospina-Pinillos, Laura, Marroquín Rivera, Arturo, Castro-Díaz, Sergio, Agustín Patiño-Trejos, Juan, Alonso Rondón Sepúlveda, Martín, Ariza-Salazar, Karen, Fernanda Cardona-Porras, Luisa, Gómez-Restrepo, Carlos, and Diez-Canseco, Francisco
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SOCIAL distancing ,YOUNG adults ,MENTAL health ,COVID-19 pandemic ,MENTAL health surveys - Abstract
We sought to explore mental health and psychosocial impact among young people (18 to 24 years old) in Bogotá during the first months of the COVID-19 pandemic. Methods: We carried a cross sectional study using a web-based survey to assess mental health and personal impact among 18 to 24 years old living in Bogotá during the first 4 months of the 2020 COVID-19 pandemic lockdown. The depressive symptoms were measured with PHQ-8 and anxiety symptoms with (GAD-7). We also designed a questionnaire exploring changes in personal, family and social life. Results: Overall, 23% of the sample (n = 834) reported mild depressive symptoms (males 24% and females 23%); 29% reported moderate depressive symptoms (males 28%, females 30%); 22% moderate-severe symptoms (males 20%, females 23%) and 17% severe symptoms (males 15%, females 17%). Mild anxiety symptoms were reported by 29% of the sample (males 30%, females 29%); moderate anxiety symptoms by 29% (males 26%, females 30%); moderate-severe 18% (males 15%, females 20%) and severe anxiety by 6.0% (males 6.0% and females 6.0%). High symptoms of depression (PHQ-8 = 10) were associated with being female, considering that the quarantine was stressful, having one member of the family losing their job, worsening of family relationships, decrease of physical activity and having a less nutritious diet. Having high anxiety symptoms (GAD-7 = 10) were associated with sometimes not having enough money to buy food. Conclusions: The first months of the pandemic lockdown were associated with high depressive and anxiety symptoms among young persons living in Bogotá, Colombia. Increasing public health measures to provide support for young people is needed during lockdowns and it is necessary to further explore the long-term mental health impact due to personal, family and social changes brought by the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]
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- 2022
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8. Adapting a Mental Health Intervention for Adolescents During the COVID-19 Pandemic:Web-Based Synchronous Focus Group Study.
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Calvo-Valderrama, Maria Gabriela, Marroquín-Rivera, Arturo, Burn, Erin, Ospina-Pinillos, Laura, Bird, Victoria, and Gómez-Restrepo, Carlos
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MENTAL health ,TEENAGERS ,CORONAVIRUS diseases ,PANDEMICS ,FOCUS groups ,QUALITATIVE research ,TECHNOLOGY ,PUBLIC health - Abstract
Background: Although focus groups are a valuable qualitative research tool, face-to-face meetings may be difficult to arrange and time consuming. This challenge has been further compounded by the global COVID-19 pandemic and the subsequent lockdown and physical distancing measures implemented, which caused exceptional challenges to human activities. Online focus groups (OFGs) are an example of an alternative strategy and require further study. At present, OFGs have mostly been studied and used in high-income countries, with little information relating to their implementation in low- and middle-income countries (LMICs). Objective: The aim of this study is to share our experiences of conducting OFGs through a web conferencing service and provide recommendations for future research. Methods: As part of a broader study, OFGs were developed with adults and adolescents in Colombia during the COVID-19 pandemic. Through a convenience sampling method, we invited eligible participants via email in two different cities of Colombia to participate in OFGs conducted via Microsoft Teams. Researcher notes and discussion were used to capture participant and facilitator experiences, as well as practical considerations. Results: Technical issues were encountered, but various measures were taken to minimize them, such as using a web conferencing service that was familiar to participants, sending written instructions, and performing a trial meeting prior to the OFG. Adolescent participants, unlike their adult counterparts, were fluent in using web conferencing platforms and did not encounter technical challenges. Conclusions: OFGs have great potential in research settings, especially during the current and any future public health emergencies. It is important to keep in mind that even with the advantages that they offer, technical issues (ie, internet speed and access to technology) are major obstacles in LMICs. Further research is required and should carefully consider the appropriateness of OFGs in different settings. [ABSTRACT FROM AUTHOR]
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- 2021
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9. Project Synergy: co-designing technology-enabled solutions for Australian mental health services reform.
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Hickie, Ian B, Davenport, Tracey A, Burns, Jane M, Milton, Alyssa C, Ospina‐Pinillos, Laura, Whittle, Lisa, Ricci, Cristina S, McLoughlin, Larisa T, Mendoza, John, Cross, Shane P, Piper, Sarah E, Iorfino, Frank, LaMonica, Haley M, and Ospina-Pinillos, Laura
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MENTAL health services ,HEALTH care reform ,MEDICAL quality control ,QUALITY of service ,MENTAL health - Abstract
Project Synergy aims to test the potential of new and emerging technologies to enhance the quality of mental health care provided by traditional face-to-face services. Specifically, it seeks to ensure that consumers get the right care, first time (delivery of effective mental health care early in the course of illness). Using co-design with affected individuals, Project Synergy has built, implemented and evaluated an online platform to assist the assessment, feedback, management and monitoring of people with mental disorders. It also promotes the maintenance of wellbeing by collating health and social information from consumers, their supportive others and health professionals. This information is reported back openly to consumers and their service providers to promote genuine collaborative care. The online platform does not provide stand-alone medical or health advice, risk assessment, clinical diagnosis or treatment; instead, it supports users to decide what may be suitable care options. Using an iterative cycle of research and development, the first four studies of Project Synergy (2014-2016) involved the development of different types of online prototypes for young people (i) attending university; (ii) in three disadvantaged communities in New South Wales; (iii) at risk of suicide; and (iv) attending five headspace centres. These contributed valuable information concerning the co-design, build, user testing and evaluation of prototypes, as well as staff experiences during development and service quality improvements following implementation. Through ongoing research and development (2017-2020), these prototypes underpin one online platform that aims to support better multidimensional mental health outcomes for consumers; more efficient, effective and appropriate use of health professional knowledge and clinical skills; and quality improvements in mental health service delivery. [ABSTRACT FROM AUTHOR]
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- 2019
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10. Language Translation, Cultural and Contextual Adaptation of Health Information Technologies to Transform Mental Health Care in Low- and Middle- Income Countries: An Example of a Prototypic Mental Health eClinic for Colombia
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Ospina Pinillos, Laura
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cultural characteristics ,quality care ,eHealth ,service reform ,mental health ,young people - Abstract
There is increasing recognition that new strategies are required to reduce disability due to common mental health problems. Young people living in low- and middle-income countries (LMIC) face a scarcity of health professionals, services and infrastructure, as well as specific policies directed to reduce these problems. Health information technologies (HIT) show promise in augmenting traditional face-to-face services; however, they have slow uptake and implementation by LMICs. This thesis presents a case example of how a HIT co-designed in an industrialized country (i.e. Australia) can be translated, culturally-sensitised and context-adapted for a LMIC (i.e. Colombia). The first paper of the thesis demonstrates the use of participatory design (PD) techniques as research methodologies to co-design the Mental Health eClinic (MHeC; a Web-based mental health clinic). The second paper, compared the MHeC’s online self-report assessments with traditional face-to-face clinical assessment in young people. The third paper, detailed the co-design of a Spanish version of the MHeC (MHeC-S) with Spanish-speaking young people living in Australia. The fourth paper demonstrates the adaptation of the MHeC-S to a Colombian young person population. Overall, findings elucidate an urgent need to provide scalable interventions to young people in LMICs who are currently at risk of experiencing health and technological inequities. A possible solution is to make use of already available HITs that are being developed in industrialized countries. However, they need to be tailored beyond language and considered within a culturally and contextually appropriate framework – which should incorporate the use of PD research methodologies that involve stakeholders and end users early in the process. Ultimately, such adaptation of HITs represents low-cost and scalable alternatives for LMICs to provide young people with accessible, available, affordable mental health care at the right time, first time.
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- 2018
11. Using New and Emerging Technologies to Identify and Respond to Suicidality Among Help-Seeking Young People: A Cross-Sectional Study
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Iorfino, Frank, Davenport, Tracey A, Ospina-Pinillos, Laura, Hermens, Daniel F, Cross, Shane, Burns, Jane, and Hickie, Ian B
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Original Paper ,medicine.medical_specialty ,Poison control ,Health Informatics ,Mental health ,Suicide prevention ,Help-seeking ,Occupational safety and health ,030227 psychiatry ,suicidal ideation ,primary health care ,03 medical and health sciences ,0302 clinical medicine ,Intervention (counseling) ,Injury prevention ,medicine ,telemedicine ,030212 general & internal medicine ,medicine.symptom ,health services ,Psychiatry ,Psychology ,Suicidal ideation ,mental health ,Clinical psychology - Abstract
Background: Suicidal thoughts are common among young people presenting to face-to-face and online mental health services. The early detection and rapid response to these suicidal thoughts and other suicidal behaviors is a priority for suicide prevention and early intervention efforts internationally. Establishing how best to use new and emerging technologies to facilitate person-centered systematic assessment and early intervention for suicidality is crucial to these efforts. Objective: The aim of this study was to examine the use of a suicidality escalation protocol to respond to suicidality among help-seeking young people. Methods: A total of 232 young people in the age range of 16-25 years were recruited from either a primary mental health care service or online in the community. Each young person used the Synergy Online System and completed an initial clinical assessment online before their face-to-face or online clinical appointment. A suicidality escalation protocol was used to identify and respond to current and previous suicidal thoughts and behaviors. Results: A total of 153 young people (66%, 153/232) reported some degree of suicidality and were provided with a real-time alert online. Further levels of escalation (email or phone contact and clinical review) were initiated for the 35 young people (15%, 35/232) reporting high suicidality. Higher levels of psychological distress (P
- Published
- 2017
12. Moderator Assistant: A Natural Language Generation-Based Intervention to Support Mental Health via Social Media.
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Hussain, M. Sazzad, Li, Juchen, Ellis, Louise A., Ospina-Pinillos, Laura, Davenport, Tracey A., Calvo, Rafael A., and Hickie, Ian B.
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ANXIETY ,AUTOMATION ,MENTAL depression ,MENTAL illness ,NATURAL language processing ,ONLINE information services ,SCALE analysis (Psychology) ,T-test (Statistics) ,WORLD Wide Web ,PILOT projects ,SOCIAL media - Abstract
As online mental health support groups become increasingly popular, they require more support from volunteers and trained moderators who help their users through "interventions" (i.e., responding to questions and providing support). We present a system that supports such human interventions using Natural Language Generation (NLG) techniques. The system generates draft responses aimed at reducing moderators' workload, and improving their efficacy. NLG and human interventions were compared through the ratings of 35 psychology interns. The NLG-based system was capable of generating messages that are grammatically correct with clear language. The system needs improvement, however, moderators can already use it as draft responses. [ABSTRACT FROM AUTHOR]
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- 2015
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13. Using New and Innovative Technologies to Assess Clinical Stage in Early Intervention Youth Mental Health Services: Evaluation Study.
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Ospina-Pinillos, Laura, Davenport, Tracey, Iorfino, Frank, Tickell, Ashleigh, Cross, Shane, Scott, Elizabeth M., and Hickie, Ian B.
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MENTAL health services ,MEDICAL technology - Abstract
Background: Globally there is increasing recognition that new strategies are required to reduce disability due to common mental health problems. As 75% of mental health and substance use disorders emerge during the teenage or early adulthood years, these strategies need to be readily accessible to young people. When considering how to provide such services at scale, new and innovative technologies show promise in augmenting traditional clinic-based services.Objective: The aim of this study was to test new and innovative technologies to assess clinical stage in early intervention youth mental health services using a prototypic online system known as the Mental Health eClinic (MHeC).Methods: The online assessment within the MHeC was compared directly against traditional clinician assessment within 2 Sydney-based youth-specific mental health services (headspace Camperdown and headspace Campbelltown). A total of 204 young people were recruited to the study. Eligible participants completed both face-to-face and online assessments, which were randomly allocated and counterbalanced at a 1-to-3 ratio. These assessments were (1) a traditional 45- to 60-minute headspace face-to-face assessment performed by a Youth Access Clinician and (2) an approximate 60-minute online assessment (including a self-report Web-based survey, immediate dashboard of results, and a video visit with a clinician). All assessments were completed within a 2-week timeframe from initial presentation.Results: Of the 72 participants who completed the study, 71% (51/72) were female and the mean age was 20.4 years (aged 16 to 25 years); 68% (49/72) of participants were recruited from headspace Camperdown and the remaining 32% (23/72) from headspace Campbelltown. Interrater agreement of participants' stage, as determined after face-to-face assessment or online assessment, demonstrated fair agreement (kappa=.39, P<.001) with concordance in 68% of cases (49/72). Among the discordant cases, those who were allocated to a higher stage by online raters were more likely to report a past history of mental health disorders (P=.001), previous suicide planning (P=.002), and current cannabis misuse (P=.03) compared to those allocated to a lower stage.Conclusions: The MHeC presents a new and innovative method for determining key clinical service parameters. It has the potential to be adapted to varied settings in which young people are connected with traditional clinical services and assist in providing the right care at the right time. [ABSTRACT FROM AUTHOR]- Published
- 2018
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