We will conduct an effectiveness-implementation hybrid trial (Type 2) design comparing engagement and clinical outcomes in two modalities of dCBT delivery (peer-supported vs. unsupported). We will also compare provider-level outreach (using a clinic patient registry) versus inreach (traditional provider referral) to compare rates of initiation, completion, and cost. Participants will be 426 LEP Latinx adults ≥18 years of age, PHQ-9 ≥ 10 or GAD-7 ≥ 8, with access to the internet via smartphone, and not currently receiving individual psychotherapy. We will collect baseline, post-intervention (8 weeks), and follow up (3 months) data.
The long-term goal of this research is to aid in the implementation of digital mental health interventions that can be sustainably implemented in low-resourced settings, while reducing the reliance on professionals, overcoming workforce deficits, and increasing relevance for diverse populations.
方法:我们将进行有效性实施混合试验(2型)设计,比较两种dCBT交付方式的参与和临床结果(同行支持与不支持)。我们还将比较提供者级别的外展(使用临床患者注册表)与内展(传统提供者转诊),以比较启动率,完成,和成本。参与者将是426名LEP拉丁裔成年人≥18岁,PHQ-9≥10或GAD-7≥8,可通过智能手机访问互联网,目前没有接受单独的心理治疗。我们将收集基线,干预后(8周),和随访(3个月)数据。
结论:这项研究的长期目标是帮助实施可以在低资源环境中可持续实施的数字心理健康干预措施。在减少对专业人士依赖的同时,克服劳动力短缺,与不同人群的相关性日益增强。