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Responding to the challenges of Adolescent Perinatal Depression with patient-centered mobile health

Award Number: K43TW011046
ORGANIZATION: FOGARTY INTERNATIONAL CENTER
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 08/01/2019
PERIOD OF PERFORMANCE END DATE: 04/30/2024

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Responding to the challenges of Adolescent Perinatal Depression with patient-centered mobile health - Project Summary/Abstract Perinatal depression (PD) is more prevalent among adolescents than older perinatal women. In LMIC, Maternal and Child Health (MCHC) services are provided mainly by non-specialist clinicians in primary care due to insufficient human resources. However, despite availability of effective treatment in primary care, a combination of self stigma and perceived stigma from health care workers exacerbate feelings of ostracization in adolescent mothers and limit their use of available services. ubiquitous and can be leveraged as therapeutic tools in a blended approach Mobile technologies are with face to face care to increase patients' contact with care. In Nigeria there is high usage of mobile phones even among adolescents. Given the common observation that young people are often attached to their mobile phones, mobile technologies provide a practical medium for the delivery of health care to this population. The goal of this proposed Emerging Global Health Leader K43 Award is to develop Dr Lola Kola's expertise in the development and use of mHealth tools to scale up evidence based psychosocial interventions for mental disorders within routine care in LMIC. Through research, coursework, and structured mentorship activities, the candidate will acquire new competency in (1) Mobile Technology Methods in Mental Heath research, (2) Implementation research methodologies, (3) Advanced Analytic and Statistical methods and (4) Professional development to lead Large-scale research projects independently in LMIC settings. Drs Dror Ben Zeev, Oye Gureje, David Atkins and Crick Lund will mentor her. The mentored research will build on past scale up efforts in Nigeria, specifically a recently concluded study, Expanding care for perinatal women with depression (EXPONATE) in primary care, where results showed that adolescent mothers were less likely to attend treatment sessions, and their children had poorer outcomes despite availability of effective treatment. The treatment guide for the EXPONATE study which utilises mhGAP guidelines, will be adapted for mHealth use. Candidate will utilise a User-Centered approach to design, develop, and refined the mHealth system for the treatment of Adolescent Perinatal Depression (APD) within routine care, and develop a roadmap to scaleability in an R01 application using implementation research principles. The research advances FIC's mission (GOAL 2) to stimulate innovation through technologies to address global health problems and contributes to NIMH Strategic Plan Objective 4 to strengthen Public Health Impact of supported Research. It advances Grand Challenges in Global Mental Health to improve and increase access to evidence based care (Goal C and F). Integration of mental health into primary care and improved access to care are also goals of the WHO Action Plan 2013-2020. Data from the mentored study will provide unique information on mHealth use in the treatment of APD in LMIC. At the end of the training, candidate will have acquired strong foundational skills for mHealth use in mental health research


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $108,262 )
2023	2023	COLLEGE OF MEDICINE ,UNIVERSITY OF IBADAN	UNIVERSITY COLLEGE HOSPITAL	IBADAN				NGA	International Research and Research Training	000	5	5/12/2023	NON-COMPETING CONTINUATION	$108,262
														Subtotal = $108,262

Issue Date FY: 2022 ( Subtotal = $181,996 )
2022	2022	COLLEGE OF MEDICINE ,UNIVERSITY OF IBADAN	UNIVERSITY COLLEGE HOSPITAL	IBADAN				NGA	International Research and Research Training	001	4	9/7/2022	SUPPLEMENT FOR EXPANSION	$69,950
2022	2022	COLLEGE OF MEDICINE ,UNIVERSITY OF IBADAN	UNIVERSITY COLLEGE HOSPITAL	IBADAN				NGA	International Research and Research Training	000	4	4/19/2022	NON-COMPETING CONTINUATION	$106,450
2022	2022	COLLEGE OF MEDICINE ,UNIVERSITY OF IBADAN	UNIVERSITY COLLEGE HOSPITAL	IBADAN				NGA	International Research and Research Training	002	4	9/20/2022	SUPPLEMENT FOR EXPANSION	$5,596
														Subtotal = $181,996

Issue Date FY: 2021 ( Subtotal = $103,869 )
2021	2021	COLLEGE OF MEDICINE ,UNIVERSITY OF IBADAN	UNIVERSITY COLLEGE HOSPITAL	IBADAN				NGA	International Research and Research Training	000	3	6/8/2021	NON-COMPETING CONTINUATION	$103,869
														Subtotal = $103,869

Issue Date FY: 2020 ( Subtotal = $102,349 )
2020	2020	COLLEGE OF MEDICINE ,UNIVERSITY OF IBADAN	UNIVERSITY COLLEGE HOSPITAL	IBADAN		200212		NGA	International Research and Research Training	001	2	4/29/2020	NON-COMPETING CONTINUATION	$102,349
2020	2019	COLLEGE OF MEDICINE ,UNIVERSITY OF IBADAN	UNIVERSITY COLLEGE HOSPITAL	IBADAN		200212		NGA	International Research and Research Training	000	1	4/28/2020	NEW	$0
														Subtotal = $102,349

Issue Date FY: 2019 ( Subtotal = $99,857 )
2019	2019	COLLEGE OF MEDICINE ,UNIVERSITY OF IBADAN	UNIVERSITY COLLEGE HOSPITAL	IBADAN		200212		NGA	International Research and Research Training	000	1	7/31/2019	NEW	$99,857
														Subtotal = $99,857

Grand Total All Awards = $596,333

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Responding to the challenges of Adolescent Perinatal Depression with patient-centered mobile health

Award Number: K43TW011046

ORGANIZATION: FOGARTY INTERNATIONAL CENTER

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 08/01/2019

PERIOD OF PERFORMANCE END DATE: 04/30/2024

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