# A Digital Health Technology to Prevent Family Violence and Improve Child Mental Health

> **NIH NIH R42** · NORTHWEST PREVENTION SCIENCE INC · 2024 · $1,257,942

## Abstract

Project Summary/Abstract
Youth with mental health and behavior disorders have been underserved for decades, and many children
receive no services at all. Since the COVID-19 pandemic, the need for effective mental health treatments for
children and families has increased substantially, with research suggesting that 25% of children and
adolescents now report levels of depression in the clinical range (Raccine et al., 2021). For most children,
schools are the primary delivery source for mental health and behavioral treatments, yet schools have been
adversely impacted by a lack of providers and limited funding to support vulnerable students. Efficacious
treatments for mental health problems in children typically involve support for families to improve student
behavior at home, yet schools lack the tools to deliver this support. To meet this need, we developed the
Family Check-Up Online, a digital health intervention designed to improve child mental health through family-
centered intervention. The Family Check-Up is grounded in over 25 years of evidence-based research and has
been shown to improve child mental health and behavior including depression and conduct problems. We were
supported by an SBIR Phase I award (R43MH132191) to evaluate the feasibility and acceptability of the digital
health product in schools and adapt the product based on our findings. Our findings suggested the model is a
good fit for schools, with school providers stating a need for family-centered interventions that target child
behavior and mental health, but with few resources or evidence-based programs available. We received
feedback that suggests the model should be evaluated as both an uncoached version and coached version,
delivered with provider support. In our proposed SBIR Phase II, we plan to continue our work in schools to
develop the model for commercialization, including understanding the process for embedding the FCU Online
into current student support systems and implementation factors that lead to maintenance of the model in
schools. We plan to conduct a hybrid type 2 effectiveness-implementation trial to evaluate the effectiveness of
the FCU Online when delivered by real world providers. We will randomly assign 30 providers (N=600
students/families) to receive training in the FCU Online coached vs. uncoached models. We will then evaluate
outcomes including family relationships, parenting skills, and child mental health and behavior. We predict that
the FCU Online will improve child mental health and behavior, and we will test for moderators such as provider
training and child baseline risk. Findings will have implications for commercialization of the product in schools
and implementation of the model in a range of different school settings.

## Key facts

- **NIH application ID:** 11005887
- **Project number:** 2R42MH132191-02
- **Recipient organization:** NORTHWEST PREVENTION SCIENCE INC
- **Principal Investigator:** ANNE Marie MAURICIO
- **Activity code:** R42 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $1,257,942
- **Award type:** 2
- **Project period:** 2023-03-01 → 2027-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/11005887

## Citation

> US National Institutes of Health, RePORTER application 11005887, A Digital Health Technology to Prevent Family Violence and Improve Child Mental Health (2R42MH132191-02). Retrieved via AI Analytics 2026-06-12 from https://api.ai-analytics.org/grant/nih/11005887. Licensed CC0.

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