Targeted Psychoeducation for At-Risk Trauma Survivors

对高危创伤幸存者进行有针对性的心理教育

• 批准号: 7123790
• 负责人: GRANT MARSHALL
• 金额: $ 26.26万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-19 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7123790
• 关键词: behavior modification; behavioral /social science research tag; clinical research; culture; disease /disorder proneness /risk; educational resource design /development; health behavior; health care service evaluation; health care service utilization; health services research tag; human subject; human therapy evaluation; interview; mental disorder prevention; mental health education; outcomes research; posttraumatic stress disorder; psychotherapy; trauma; videotape /videodisc; violence

DESCRIPTION (provided by applicant): The proposed 36-month development grant would lay the foundation for a full-scale prevention research program aimed at increasing mental health care utilization in survivors of physical trauma at high risk for posttraumatic stress disorder (PTSD). Scant attention has been devoted to strategies to bridge the chasm between the medical center trauma facility focus on physical injury and the reality that many physically injured trauma survivors have unmet mental health needs. In particular, the mental health needs of many physically injured trauma survivors go unrecognized. Accumulating evidence points to lack of problem recognition and other subjective barriers to care as presenting major obstacles to receiving services. The specific aims of the proposed planning grant are: (a) to conduct qualitative, semi-structured face-to-face interviews with approximately 40 persons who developed PTSD following hospitalization for physical injuries to obtain information regarding problem recognition and barriers to care; (b) to use this information to develop a brief, culturally appropriate videotape-based psychoeducation intervention to promote awareness of posttraumatic distress, to provide information about possible treatment options, and to reduce subjective barriers to seeking care; and (c) to pilot test the impact of the psychoeducation materials on a cohort of approximately 70 hospitalized survivors of traumatic injury. Participants in the pilot would be randomly assigned to the intervention or to a 'care as usual' group. The intervention would examine whether the materials increase knowledge about PTSD, raise levels of problem recognition, and reduce subjective barriers to care for at risk individuals. Pre-post assessment of the psychoeducation group would quantify increases in knowledge and problem recognition, and decreases in perceived barriers to care. The 'care as usual' group would provide cross-group comparisons in outcomes as measured at baseline and 3-month follow-up.

描述（由申请人提供）：拟议的36个月发展赠款将为全面的预防研究计划奠定基础，旨在增加身体创伤幸存者的心理保健利用，具有高创伤后应激障碍（PTSD）的高风险。很少关注的是策略，以弥合医疗中心创伤设施之间的鸿沟，重点是身体伤害，以及许多身体受伤的创伤幸存者具有未满足的心理健康需求的现实。特别是，许多身体受伤的创伤幸存者的心理健康需求未被认可。积累证据表明缺乏问题识别和其他主观障碍，以表明接受服务的主要障碍。拟议规划赠款的具体目的是：（a）对大约40人进行定性，半结构化的面对面访谈，约有40人住院后患有PTSD的人身伤害，以获取有关问题认识和护理障碍的信息； （b）使用这些信息来开发简短的，文化上适当的基于录像带的心理教育干预措施，以促进对创伤后困扰的认识，提供有关可能治疗方案的信息，并减少寻求护理的主观障碍； （c）试点测试心理教育材料对大约70名住院损伤幸存者队列的影响。飞行员的参与者将被随机分配给干预措施或“照顾照常”小组。干预措施将检查材料是否增加了有关PTSD的知识，提高问题的水平，并减少对处于风险个人的护理的主观障碍。对心理教育组的验证前评估将量化知识和问题识别的增加，并减少所感知的护理障碍。 “照常”组将在基线和3个月的随访中对结果进行跨组比较。