Engaging Rural Teenagers to Address Stress: Teen Speak-Out Project
Teen Speak-Out
:
Engaging
rural
teenagers to develop community
driven interventions to address stress
Maureen Boardman, APRN,
FAANP Deborah Johnson, MHA
Ardis Olson, MD
Sarah Lord, PhD
Dartmouth CO-OP Primary Care Research
Network Dartmouth Geisel School of Medicine
Special thanks to Melanie Lawrence, MD, MPH
Project
funded
by:
S
t
r
e
s
s
i
s
a
s
s
o
c
i
a
t
e
d
w
i
t
h
t
e
e
n
r
i
s
k
b
e
h
a
v
i
o
r
▪
substance misuse
▪
mental health difficulties
▪
academic problems
▪
poor decision-making
▪
diminished physical well-
being
OBJECTIVES
1.
Identify
individual
&
social factors associated
with
stress
among
teens, living
in
rural
communities,
by
convening
a
series
of
community
“Teen
Speak-Out”
dinners
in
targeted
catchment
areas.
2.
Design
&
evaluate
the
feasibility
&
acceptability
of
at
least
one
measurable intervention
to
address
stress
among
teens
that
can
be
reproduced
.
Design
and
Setting
Community-
engagement
&
qualitative
research
Several
rural
underserved
rural
communities
Participants
Teens, 13-19 years of age
Teen Advisory Board (TAB), including teenagers,
community member advocates/stakeholders,
primary care clinicians, members of the research
team
“Engagement” dinners
with
prompt
questions,
discussion,
brainstorming
Identify
perceptions
of
approaches
to
addressing
stress
Establishment
of
a
Teen
Advisory
Board
(TAB)
Design
&
implement
intervention
Study
Phases
“Teen
Speak-Out”
Dinners
•
F
i
v
e
e
v
e
n
t
s
•
M
o
r
e
t
h
a
n
3
5
t
e
e
n
s
w
i
t
h
s
o
m
e
a
t
t
e
n
d
i
n
g
m
u
l
t
i
p
l
e
s
e
s
s
i
o
n
s
•
T
w
o
y
o
u
t
h
l
e
a
d
e
r
s
•
C
o
m
m
u
n
i
t
y
s
t
a
k
e
h
o
l
d
e
r
s
T
e
e
n
s
w
a
n
t
:
•
Safe space for discussing stressors
•
More coordination of school schedules
•
More adult guidance
•
“Therapy” available at school
•
School mechanism for dealing with bullying
•
"
LIFE 101” course
Suggested
Interventions
•
Mindfulness apps or programs
•
Counseling/therapy available at school
•
Free Yoga, dance or Zumba classes at school
•
Discussion groups like Teen Speak-Out
•
School-wide on-line and coordinated schedule
•
Project similar to the “Humans of New York” or
Tumblr site
Intervention
Researched apps on stress,
anxiety apps rated for
“Teens” on Google Play
(Dartmouth
Center
for
Technology
and
Behavioral
Health)
•
7 Cups
– Anxiety & Stress
•
Pacifica
– Stress and Anxiety
•
SuperBetter
Outcome
Measures
•
Teen well-being pre/post intervention
•
Acceptance of intervention
•
Perceived relevance & usefulness
•
Intention to use
Pacifica
in the future
•
Ideas about strategies for broad
dissemination
Results Post-Pacifica Evaluation N 16
•
83% of students polled felt like learning to how to use
Pacifica was easy for them
•
91% felt that Pacifica helped them accomplish the three
goals they set for themselves at the beginning of the
process
•
70% of students reported they planned to continue to use
Pacifica in the next 2 months
Limitations
•
Small feasibility pilot
•
Teen assent/parental
consent for
participation in Phase 2
•
Commercial product
Pacifica
(tracking
teens data)
Actions
to date
•
F
ull-time counselor/therapist hired through
FQHC
and
placed at local K-12 school
, a
middle/high school and K-6 Elementary School
•
Significant stakeholder support = expanding
network of school-based counselor/therapist
positions through FQHC
•
Multiple other FQHC’s in Vermont and New
Hampshire interested in reproducing FQHC model
Other Actions
•
Teen Speak-Out project recently presented at The New
Hampshire Youth Summit (very well received)
•
Dartmouth CTSA (SYNERGY) interested in
disseminating the Teen Speak-Out project
T
h
a
n
k
y
o
u
!
Q
u
e
s
t
i
o
n
s
?
C
o
m
m
e
n
t
s
?
This project, led by a team from Dartmouth Geisel School of Medicine, aims to empower rural teenagers to develop community-driven interventions for addressing stress. By convening Teen Speak-Out dinners and involving a Teen Advisory Board, the project seeks to identify factors contributing to teen stress, design feasible interventions, and create a safe space for discussions. Through engagement events and research phases, the project aims to gather insights and implement tangible solutions to support teens in rural communities facing various stressors.
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Presentation Transcript
Project funded by: Teen Speak-Out: Engaging rural teenagers to develop community driven interventions to address stress Maureen Boardman, APRN, FAANP Deborah Johnson, MHA Ardis Olson, MD Sarah Lord, PhD Dartmouth CO-OP Primary Care Research Network Dartmouth Geisel School of Medicine Special thanks to Melanie Lawrence, MD, MPH
Stress is associated with teen risk behavior substance misuse mental health difficulties academic problems poor decision-making diminished physical well- being
OBJECTIVES 1. Identify individual & social factors associatedwith stress among teens, living in rural communities, by convening a series of community Teen Speak-Out dinners in targeted catchmentareas. 2. Design & evaluate the feasibility &acceptability of at least one measurable intervention to address stress among teens that can bereproduced.
Community- engagement & qualitativeresearch Design and Setting Several rural underservedrural communities
Participants Teens, 13-19 years of age Teen Advisory Board (TAB), including teenagers, community member advocates/stakeholders, primary care clinicians, members of the research team
Engagement dinners with prompt questions, discussion,brainstorming StudyPhases Identifyperceptions of approachesto addressingstress Establishment of a Teen Advisory Board (TAB) Design & implementintervention
Fiveevents More than35 teens with some attending multiplesessions Teen Speak-Out Dinners Twoyouth leaders Community stakeholders
Teens want: Safe space for discussing stressors More coordination of school schedules More adult guidance Therapy available at school School mechanism for dealing with bullying "LIFE 101 course
SuggestedInterventions Mindfulness apps or programs Counseling/therapy available at school Free Yoga, dance or Zumba classes at school Discussion groups like Teen Speak-Out School-wide on-line and coordinated schedule Project similar to the Humans of New York or Tumblr site
Intervention Researched apps on stress, anxiety apps rated for Teens on Google Play (Dartmouth Center for Technologyand BehavioralHealth) 7 Cups Anxiety & Stress Pacifica Stress and Anxiety SuperBetter
OutcomeMeasures Teen well-being pre/post intervention Acceptance of intervention Perceived relevance & usefulness Intention to use Pacifica in the future Ideas about strategies for broad dissemination
Results Post-Pacifica Evaluation N 16 83% of students polled felt like learning to how to use Pacifica was easy for them 91% felt that Pacifica helped them accomplish the three goals they set for themselves at the beginning of the process 70% of students reported they planned to continue to use Pacifica in the next 2 months
Limitations Small feasibility pilot Teen assent/parental consent for participation in Phase 2 Commercial product Pacifica (tracking teens data)
Actions to date Full-time counselor/therapist hired through FQHC and placed at local K-12 school, a middle/high school and K-6 Elementary School Significant stakeholder support = expanding network of school-based counselor/therapist positions through FQHC Multiple other FQHC s in Vermont and New Hampshire interested in reproducing FQHC model
Other Actions Teen Speak-Out project recently presented at The New Hampshire Youth Summit (very well received) Dartmouth CTSA (SYNERGY) interested in disseminating the Teen Speak-Out project
Thank you! Questions? Comments?
