Engaging Pacific Islanders in Mental Health Treatment Services

让太平洋岛民参与心理健康治疗服务

基本信息

批准号：
10197755
负责人：
Andrew Makoto Subica
金额：
$ 24.13万
依托单位：
UNIVERSITY OF CALIFORNIA RIVERSIDE
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-07-01 至 2023-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10197755
关键词：
Address Adult Affect American Indians Arkansas Caring Chronic Disease Client Clinical Communities Community Health Aides Consensus County Data Decision Making Development Diabetes Mellitus Enrollment Ensure Evidence based practice Film Foundations Funding Future Generalized Anxiety Disorder Health Health Benefit Health Personnel Heart Diseases Immigrant Indigenous Intervention Knowledge Latino Lead Legal Literature Los Angeles Major Depressive Disorder Malignant Neoplasms Manuals Manuscripts Measurement Mental Health Mental disorders Modeling National Institute of Mental Health Native Hawaiian Obesity Outcome Pacific Island Americans Pamphlets Peer Review Pilot Projects Population Preparation Process Provider Public Health Randomized Reporting Research Resistance Resources Risk Rural Samoan Series Services Shapes Stigmatization Substance Use Disorder Testing Time United States National Institutes of Health Ursidae Family Violence Waiting Lists Work alcohol use disorder base cost design efficacy testing evidence base experience feasibility testing follow-up health belief health communication health disparity health disparity populations health knowledge health literacy high risk innovation lectures medical specialties minority health mortality novel novel strategies personalized approach physical conditioning preference prevent public health intervention racial population sexual minority social stigma substance use suicidal risk therapy design therapy development treatment program treatment services

项目摘要

Abstract Pacific Islanders are a vulnerable racial population that is greatly affected by physical health disparities such as cancer, obesity, diabetes, and heart disease. In addition to these physical health disparities, evidence from our NIMH R21 research reveals Pacific Islanders experience sizable mental health disparities including high levels of untreated mental illness that we suspect may contribute to Pacific Islanders’ poor health and elevated risk of chronic disease (e.g., cancer, obesity). Unfortunately, although many Pacific Islanders experience high levels of mental health need, very few present for treatment. This appears to be due to the following major treatment barriers identified in our R21: low mental health literacy, high mental health stigma, and poor knowledge of treatment leading to misperceptions of treatment and subsequent resistance. The proposed R34 pilot study will address this problem by creating and pilot testing Talking Story: a novel intervention designed to promote Pacific Islander treatment seeking by using culturally grounded strategies to overcome their major treatment barriers. Building on our R21 conceptual model of Pacific Islander-preferred intervention strategies, Talking Story will combine lecture-based content from current mental health evidence-based practices with innovative health communication films (called narratives) that depict fictional stories of Pacific Islanders in treatment-related scenarios. To build Talking Story, we will design the initial versions of the lecture content and narrative films with an advisory council of Pacific Islander experts and a professional filmmaker. We will then conduct 2 citizens’ panels to bring together 24 Samoan adults, 24 Tongan adults, and 12 treatment providers in Los Angeles County to discuss and shape our content and films for cultural fit and impact. Using the data from these panels, our content will be finalized and combined into an intervention manual that will be pilot tested in a randomized wait-list controlled trial with 24 Samoans and 24 Tongans with mental illness to gain information about the intervention’s feasibility, acceptability, and utility; leading to full-scale randomized controlled testing in a follow- up R01 study. Study findings will be disseminated to the Pacific Islander community via brochures and public forums, and to the scientific community via presentations and peer-reviewed manuscripts.

抽象的太平洋岛民是一个弱势种族群体，深受身体健康差异的影响，例如除了这些身体健康差异之外，我们的证据还包括癌症、肥胖、糖尿病和心脏病。 NIMH R21 研究显示太平洋岛民存在相当大的心理健康差异，其中包括高水平我们怀疑，未经治疗的精神疾病可能会导致太平洋岛民的健康状况不佳并增加患病风险慢性疾病（例如癌症、肥胖）。不幸的是，尽管许多太平洋岛民有很高的心理健康需求，但很少有人存在这似乎是由于我们的 R21 中确定的以下主要治疗障碍造成的：精神低下。健康素养、心理健康耻辱感以及治疗知识匮乏导致对健康的误解拟议的 R34 试点研究将通过创建和解决这一问题。试点测试“说话的故事”：一种新颖的干预措施，旨在促进太平洋岛民通过使用以我们的 R21 概念为基础的克服主要治疗障碍的基于文化的策略。太平洋岛民首选的干预策略模型，Talking Story 将结合基于讲座的内容从当前心理健康循证实践与创新的健康传播电影（称为叙述）描绘了太平洋岛民在治疗相关场景中的虚构故事。为了构建会说话的故事，我们将设计讲座内容和叙事影片的初始版本然后，我们将举办由太平洋岛民专家和专业电影制片人组成的咨询委员会。小组将 24 名萨摩亚成年人、24 名汤加成年人和洛杉矶的 12 名治疗提供者聚集在一起县利用这些小组的数据来讨论和塑造我们的内容和电影，以实现文化契合度和影响力。我们的内容将最终确定并合并成干预手册，该手册将在随机试验中进行试点测试对 24 名患有精神疾病的萨摩亚人和 24 名汤加人进行等候名单对照试验，以获取有关该疾病的信息干预的可行性、可接受性和实用性；导致后续的全面随机对照测试 R01 研究结果将通过小册子和公众传播给太平洋岛民社区。论坛，并通过演示和同行评审的手稿向科学界展示。