Development and evaluation of a mobile phone app intervention targeting sleep/wake cycle in a group of young males. Dr Kathryn McCabe, Brain and Mind Research Institute.
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This document describes a mobile phone app intervention designed to improve the wellbeing of young males aged 16-24 through developing healthy sleep/wake practices. It involved cross-sector collaboration and participatory design methods including iterative testing cycles. The primary aim was to address common mental health disorders affected 26% of Australian youth by targeting sleep disturbance, a risk factor for mental illness, shown to negatively impact mood, cognition and health. Results of feasibility and randomized controlled trials will evaluate engagement and effectiveness.
![THE PROBLEM
Common mental health disorders affect as many as 26% of Australia’s youth.
Young men are less likely than young women to seek professional mental
health support
Sleep disturbance is both a symptom of and potential risk factor for a range of
mental illnesses [1]
Disruption of the sleep/wake cycle is shown to negatively affect mood [2];
cognitive functioning [3;4]; as well as health and wellbeing [4;6].
The primary aim of this project was to design a mobile phone app intervention
improving wellbeing through the development of healthy sleep/wake practices
in young males (aged 16-24 years).
[1] Zee PC & Turek FW. Arch Intern Med 2006;166:1686–8; [2] Boivin DB, et al. Arch Gen. Psychiatry 1997;54(2):145-52. ;
[3] Dijk DJ, et al. J Sleep Res 1992;1(2):112-7. ; [4] Fortier-Brochu E, et al. Sleep Med Rev 2012;16:83–94. ; [5] Sivertsen
B, et al. J Psychosom Res 2009;67:109–16. ; [6] Hickie, I.B., et al., BMC Medicine, 2013. 11: p. 79.](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
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Development and evaluation of a mobile phone app intervention targeting sleep/wake cycle in a group of young males. Dr Kathryn McCabe, Brain and Mind Research Institute.
- 1. A sleep/wake cycle intervention for young males // Development and evaluation of a mobile phone app intervention Presented by Kathryn McCabe on behalf of the Young Men’s Intervention project team
- 2. THE PROBLEM Common mental health disorders affect as many as 26% of Australia’s youth. Young men are less likely than young women to seek professional mental health support Sleep disturbance is both a symptom of and potential risk factor for a range of mental illnesses [1] Disruption of the sleep/wake cycle is shown to negatively affect mood [2]; cognitive functioning [3;4]; as well as health and wellbeing [4;6]. The primary aim of this project was to design a mobile phone app intervention improving wellbeing through the development of healthy sleep/wake practices in young males (aged 16-24 years). [1] Zee PC & Turek FW. Arch Intern Med 2006;166:1686–8; [2] Boivin DB, et al. Arch Gen. Psychiatry 1997;54(2):145-52. ; [3] Dijk DJ, et al. J Sleep Res 1992;1(2):112-7. ; [4] Fortier-Brochu E, et al. Sleep Med Rev 2012;16:83–94. ; [5] Sivertsen B, et al. J Psychosom Res 2009;67:109–16. ; [6] Hickie, I.B., et al., BMC Medicine, 2013. 11: p. 79.
- 3. THE APPROACH • Cross-sector collaboration: Brain & Mind Research Institute; Inspire Foundation; Digital Agency and Young People • Participatory Design Methodologies – iterative cycles of concept development and testing • Evaluate engagement and effectiveness through feasibility and RCT studies
- 5. RESULTS: PART 2 • Workout Intervention findings Concept: Narrative Design vs Slick Design Opportunities for passive data collection • Workshop and participatory design findings Keep it specific Young People: Different ages use technology differently
- 6. Opportunities for Collaboration Technical development of the app and RCT software Innovative data collection Creative and design expertise Lessons learned: Understand each others perspective Spend time clearly articulating objectives Ensure balanced input into decision making process Do as much work “in house” as possible
- 7. Project Team and Contacts Kathryn McCabe, Tracey Davenport, Kitty Rahilly, Derek Chambers, Helen Christensen , Jane Burns, Ian Hickie kathryn.mccabe@sydney.edu.au Brain & Mind Research Institute, The University of Sydney; Inspire Foundation Australia, Ireland Foundation; Black Dog Institute, University of New South Wales; Young and Well Cooperatve Research Centre
Editor's Notes
- Thank youA pleasure to present with such an interesting line up of talks – Presenting a project involving the development of a web-based intervention for young menTopic of todays presentation may be relevant to some of the groups describing the development and evaluation of their technology based interventionsI’ll be discussing a recent partnership to develop technology based mental health interventions for young men
- Just thinking about all of these different ways of communicating, Technology is an accepted and integral part of life Provides enormous opportunity to reach people`BUT young people have grown up with technology and have become particular and quite discerning about what they will and wont useSo as researchers, service providers - we need to work closely with the group we want to reach - we need to work together We need to design these carefully, for several reasons – They’re expensive to buildThey’re time sensitive – some technology and the way people use it can change rapidlyThere is no point having something built that doesn’t workAnd there is no point having something built that works, but no-one wants to use
- The work I’ll be describing here is made possible by the Young and Well CRC. This is an Australian Government initiative Aims to advance the mental health and well being in young people, by exploring new technologies to promote cybersafety, mental health and wellbeing.A core principle of the YAW CRC is the need to partner with young people75+ partner organisations.Researchers, practitioners, policy-makers and innovators across the academic, non-for-profit, government and corporate sectors.The types of skills required to roll out these interventions wasn’t necessarily contained within the one research group, or even just within a research environment.
- The aim of workout was to use the internet to engage young men with a program to improve their mental health. - The program focuses on improving mental health literacy, resilience and confidence. - Using a CBT model of missionsOver 30 individual missions : sleep, physical exercise as well as organisation and asking for help. To evaluate the program:Measures including psychological distress were collected pre and post intervention Google analytics evaluated engagementPilot testing has been completed
- The Workout project was made up of a team of researchers from the Brain and Mind Research Institute at the University of SydneyInspire Foundation – you’ll see and hear plenty about their work at this conferenceA digital media agency (Profero)Anf groups of young guys. The AIM of the intervention was to provide a web-based tool for young guys to use to help them build confidence, and resilience and good mental health and wellbeing. The Brain and Mind Research Institute - Its research spans basic sciences, through to neuroimaging and neuropsychology as well as clinical interventions. It has a strong youth mental health program. The organisational structure is similar to most universities - Researchers generally work in small teams, or individually on different projects and the work is often quite autonomous. Innovation and new ideas are key, and projects can sometimes change course over time as new research findings come to light. While timelines are important, they are not the most important aspect. More and more you will find mulitdisciplinary teams – with neuroscientists working with geneticists, epidemiologists, sociologists, and clinicians. Fundamentally experimental approachWhen discussion the differences with our team members one of the things mentioned was that researchers tend to involve themselves in virtually every aspect of a project. If they don’t know something, they’ll just go and learn about it. Non-linear approach to projects – may jump around, ask new questions:Has risks and benefits – may slow progress but provide key insights or innovationsInspire Foundation has an entirely different organisational structure and culture. - It is a not-for-profit, youth based organisationuses technology to engage young people to help them lead happier lives. The organisation is values based –: responsibility, fun, inclusiveness, compassion, and generosity. The organisation culture is quite social, with a priority on communicating ideas and with groups often working in specialist teams,Projects timelines and budgets are tightly managed and depending on the project - progressed through these different teams across the various phases of the project. The organisational values sit firmly at the centre of the organisation – with the potnetial for projects to be suspended if progress is at the expense of these values. - Youth engagement also sits at the centre of the organisation – as members of the board, volunteers, and within their online communities. - Linear progression through defined project milestonesOur digital agency works to a consulting structure. Projects are worked in sprints, that perhaps last 2 weeks and this is completed at several phases during the life of the project. Work is billed on an hourly rate, engagement with the agency is $$$$ compared to both research and non-for-profit. The team have a marketing and sales point of view, as the research and NFP represented as clientsOur 4th group are the young guys, often paid volunteers who have agreed to provide their thoughts on the concept through the the pilot product. Workshops are held at various stages of the project to gather and test ideas. These guide the next stage of development.
- keep “grunt work” in house as much as possible
- keep “grunt work” in house as much as possible