Quédate Tranquila: A Mobile, Web-based Stress Management Intervention for Hispanic Women

Quédate Tranquila：针对西班牙裔女性的基于网络的移动压力管理干预措施

• 批准号: 10384360
• 负责人: DEBRA RIOS
• 金额: $ 25.57万
• 依托单位: ISA ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-18 至 2022-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10384360
• 关键词: Address; Adult; Affective; Area; Behavioral; Cardiovascular Diseases; Cellular Phone; Clinic; Clinical Services; Cognitive; Communities; Community Actions; Comprehension; Data; Development; Diabetes Mellitus; Dimensions; Discrimination; Ethnic Origin; Exposure to; Face; Familiarity; Female; Focus Groups; Fostering; Gender; Glycosylated hemoglobin A; Goals; Health; Healthcare; Hispanics; Internet; Intervention; Latina; Latino; Latinx; Learning; Life Experience; Link; Major Depressive Disorder; Mental Depression; Mental Health; Mental Health Services; Minority Groups; Modeling; Motivation; Online Systems; Outcome; Participant; Phase; Physiological; Population; Price; Privacy; Race; Reporting; Risk; Risk Factors; Role; Security; Series; Services; Shapes; Social Identification; Social support; Socioeconomic Status; Source; South Texas; Stress; Testing; Text Messaging; Training; Woman; alcohol use disorder; base; behavioral health; biological adaptation to stress; coping; coping mechanism; cost effective; cultural values; design; diabetes risk; digital; experience; fasting glucose; handheld mobile device; health care quality; health care service; mHealth; male; mindfulness meditation; mobile computing; perceived stress; physical conditioning; preference; prevent; programs; prototype; psychological outcomes; recruit; response; satisfaction; service providers; skills; stress management; stressor; success; theories; therapy design; tool; uptake; usability

PROJECT SUMMARY/ABSTRACT One in three Latinx report having extreme levels of stress and are more likely to say their stress has increased in the past year. Stress in Hispanics has been linked to high rates of depression, higher cardiovascular disease, and increased diabetes risk. High rates of stress and negative health outcomes among Latinx may be the result of the unique stressors (i.e., acculturative and discrimination) they encounter, which are not experienced by the general U.S. population. Indeed, acculturative stress and discrimination have been linked to poor health outcomes. Moreover, Latinas experience greater perceived stress and negative psychological outcomes compared to their male counters. Because Hispanic women have multiple social identities (e.g., race/ethnicity, gender, socioeconomic status) that interact with different forms of systemic oppression, this leads to higher levels of overall and cultural stress. Clearly defined gender-based roles are integral to Latinx cultural and contribute to both acculturative and discrimination-related stress. Both Cognitive-behavioral stress management interventions (CBSMi) and mindfulness meditation training have demonstrated success in reducing stress among Hispanics. However, Hispanics lack access to quality health care (including mental health services) and cultural values prevent them from seeking out services to address their mental health needs. One emerging accessible and cost-effective solution is mHealth, yet, there is a dearth of mHealth solutions that are developed specifically to address the stressors that Hispanics females face. Therefore, we aim to develop Quédate Tranquila, a mobile CBSMi (m-CBSMi) for Hispanic women. Quédate Tranquila will utilize theory (Transactional Model of Stress) to reduce affective, behavioral, and physiological responses to stress and its downstream health consequences among Latinas. The m-CBSMi will aim to foster and support healthy coping responses to stress by incorporating video testimonials, mobile tools that provide additional social support, and interactive pages that incorporate quizzes and activities. Community Action Corporation of South Texas will assist ISA in the recruitment of both healthcare service providers and end-users (Latinas). Eight healthcare service providers will be recruited for a focus group discussion to help shape the proposed intervention. Similarly, 32 Hispanic women will be recruited for predevelopment focus group discussions. When the Quédate Tranquila prototype is completed, the same 32 target end-users will return for a pilot test that includes usability testing. The usability test will include a series of tasks intended to highlight the different features of the proposed intervention. Three usability metrics will be assessed: efficiency, accuracy, and subjective satisfaction. Lastly, participants will review and rate (using a five- point scale) content satisfaction and intervention functionality of the prototype across 12 dimensions.

项目摘要/摘要 三分之一的拉丁语报告具有极大的压力，并且更有可能说他们的压力已经 过去一年有所增加。西班牙裔压力与高抑郁率高，更高 心血管疾病，糖尿病风险增加。压力率高和负面健康结果 拉丁裔可能是他们遇到的独特压力源（即适应性和歧视）的结果， 美国普通人群没有经历。确实，适应性压力和歧视已经存在 与健康状况不佳有关。此外，拉丁裔经历更大的感知压力和负面的压力 与男性柜台相比，心理结果。因为西班牙裔女人有多个社交 与不同形式的系统性互动的身份（例如种族/种族，性别，社会经济地位） 压迫，这导致了更高水平的整体压力和文化压力。明确定义的基于性别的角色是 与拉丁文文化不可或缺的一部分，并助长了与培养和歧视相关的压力。 认知行为压力管理干预措施（CBSMI）和正念冥想训练 在减轻西班牙裔压力方面取得了成功。但是，西班牙裔缺乏获得质量的机会 卫生保健（包括心理健康服务）和文化价值观阻止他们寻求服务 满足他们的心理健康需求。 MHealth是一个新兴且可访问且具有成本效益的解决方案，但是，有 MHealth Solutions的死亡是专门针对西班牙裔女性的压力源 脸。因此，我们旨在开发QuédateTranquila，这是一种用于西班牙裔妇女的移动CBSMI（M-CBSMI）。 QuédateTranquila将利用理论（压力的交易模型）来减少情感，行为和 对压力及其下游健康后果的生理反应。 M-CBSMI会 旨在通过合并视频推荐，移动工具来促进和支持对压力的健康应对反应 这提供了额外的社会支持以及结合测验和活动的互动页面。 南德克萨斯州社区行动公司将协助ISA招募两项医疗服务 提供者和最终用户（拉丁裔）。将为焦点小组招募八个医疗保健服务提供商 讨论以帮助塑造拟议的干预措施。同样，将招募32名西班牙裔妇女 前焦点小组讨论。 QuédateTranquila原型完成后，相同的32 目标最终用户将返回进行包括可用性测试的试点测试。可用性测试将包括一个系列 旨在强调拟议干预的不同特征的任务。三个可用性指标将是 评估：效率，准确性和主题满意度。最后，参与者将审查和评分（使用五个 点尺度）跨12个维度的原型内容满意度和干预功能。

项目成果

Involvement of A5/A7 noradrenergic neurons and B2 serotonergic neurons in nociceptive processing: a fiber photometry study.

• DOI: 10.4103/1673-5374.322465
• 发表时间: 2022-04
• 期刊: Neural regeneration research
• 影响因子: 6.1
• 作者: Moriya S;Yamashita A;Masukawa D;Sakaguchi J;Ikoma Y;Sameshima Y;Kambe Y;Yamanaka A;Kuwaki T
• 通讯作者: Kuwaki T