Mental Health Literacy Among Korean American Elders

韩裔美国老年人的心理健康素养

• 批准号: 7471053
• 负责人: YURI JANG
• 金额: $ 16.52万
• 依托单位: UNIVERSITY OF SOUTH FLORIDA
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-03-01 至 2010-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7471053
• 关键词: Acculturation; Address; Adopted; Aging; American; Americas; Asian Americans; Attention; Attitude; Belief; Characteristics; Communities; Community Mental Health Services; Condition; Control Groups; Data; Data Collection; Depth; Development; Early Diagnosis; Education; Educational Intervention; Effectiveness; Elderly; Family member; Focus Groups; Funding; General Population; Goals; Happiness; Health; Health Professional; Health Services; Health Status; Healthcare; Immigrant; Individual; Information Networks; Institute of Medicine (U.S.); Institutes; Intervention; Investigation; Knowledge; Korean American; Koreans; Language; Linguistics; Link; Measures; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Methodology; Minority; Minority Groups; Pamphlets; Patient Self-Report; Phase; Play; Population; Prevalence; Preventive; Protocols documentation; Psyche structure; Public Health; Questionnaires; Randomized; Rate; Religion and Spirituality; Reporting; Research; Research Design; Role; Running; Series; Services; Socioeconomic Status; Standards of Weights and Measures; Stigmatization; Structure; Surveys; Target Populations; Testing; Training; Translational Research; Twin Multiple Birth; United States; United States Dept. of Health and Human Services; Writing; base; design; ethnic minority population; evaluation/testing; experience; health care service utilization; health disparity; health literacy; help-seeking behavior; improved; intervention program; model development; peer; programs; research study; response; service utilization; size; sobriety; statistics; willingness; Acculturation; Address; Adopted; Aging; American; Americas; Asian Americans; Attention; Attitude; Belief; Characteristics; Communities; Community Mental Health Services; Condition; Control Groups; Data; Data Collection; Depth; Development; Early Diagnosis; Education; Educational Intervention; Effectiveness; Elderly; Family member; Focus Groups; Funding; General Population; Goals; Happiness; Health; Health Professional; Health Services; Health Status; Healthcare; Immigrant; Individual; Information Networks; Institute of Medicine (U.S.); Institutes; Intervention; Investigation; Knowledge; Korean American; Koreans; Language; Linguistics; Link; Measures; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Methodology; Minority; Minority Groups; Pamphlets; Patient Self-Report; Phase; Play; Population; Prevalence; Preventive; Protocols documentation; Psyche structure; Public Health; Questionnaires; Randomized; Rate; Religion and Spirituality; Reporting; Research; Research Design; Role; Running; Series; Services; Socioeconomic Status; Standards of Weights and Measures; Stigmatization; Structure; Surveys; Target Populations; Testing; Training; Translational Research; Twin Multiple Birth; United States; United States Dept. of Health and Human Services; Writing; base; design; ethnic minority population; evaluation/testing; experience; health care service utilization; health disparity; health literacy; help-seeking behavior; improved; intervention program; model development; peer; programs; research study; response; service utilization; size; sobriety; statistics; willingness

DESCRIPTION (provided by applicant): The proposed study is written in response to the heightened need for research designed to help reduce mental health disparities. The investigation focuses on one of the fastest growing but understudied and underserved ethnic minority groups: Korean American elders. Building upon our previous findings that Korean American older adults have high levels of mental health problems yet underutilize mental health services, the proposed study conceptualizes low mental health literacy as a major reason for service underutilization and a central focus of intervention efforts. The overall goals are to better understand the levels of mental health literacy manifest in the target population and to develop/test an educational intervention. The proposed study includes three phases: (1) data collection with a mixed methodology including a survey and focus groups; (2) development of an educational intervention program, and (3) pilot testing and evaluation. Survey data drawing on structured questionnaires will be used to assess the level of mental health literacy and to determine facilitators and barriers of mental health literacy. In order to provide a more in-depth assessment of mental health literacy, data from focus groups will also be used. The latter discussions will be conducted with Korean American older adults, their family members, health care professionals, and religious leaders. Various mental health issues and ways to promote community mental health and service utilization will serve as focal points for diverse perspectives. Findings from the survey data and focus groups will guide the development of a culturally appropriate and acceptable educational intervention program. An educational brochure in Korean will be written with the twin goals of increasing mental health literacy and making positive changes in attitudes toward mental disorders and service utilization. We will also adopt a peer-led education strategy where lay peer leaders are trained to deliver an educational session. The session includes not only the brochure but also peer-education and group discussion. The peer-based approach allows greater sensitivity to the unique characteristics of ethnic minority communities, where informal leaders play a significant role. During the third and final phase, an experiment with three randomized conditions (control, general brochure, and peer-led education) will be conducted to explore the effectiveness of the educational brochure and peer-led education strategy. We hypothesize that 1) those in the treatment groups (general brochure and peer-led education) would show increased knowledge of depression and positive changes in attitudes toward mental illness and service use compared to those in the control group, and 2) peer-led education would be more effective than the brochure-only approach. Pilot testing and evaluation will serve as an important means to assess effect size of intervention and feasibility of the program for implementation in a subsequent project. We also hope to use our findings to develop a protocol for application to other ethnic minority groups. Public Health Relevance: Building upon previous findings that Korean American older adults have high levels of mental health problems yet underutilize mental health services, the proposed study conceptualizes low mental health literacy as a major reason for service underutilization and a central focus of intervention efforts. The overall goals of the study are (1) to better understand the levels of mental health literacy manifest in the target population and (2) to develop/test an educational intervention.

描述（由申请人提供）：拟议的研究是为了响应旨在减少心理健康差异的研究需求的增强。该调查的重点是增长最快，研究且服务不足的少数民族群体之一：韩裔美国长老。在我们以前的发现的基础上，韩裔美国人的心理健康问题很高，但精神卫生服务不足，这项拟议的研究概念化了心理健康素养低的概念，这是服务不足的主要原因和干预工作的主要重点。总体目标是更好地了解目标人群中心理健康素养的水平，并开发/测试教育干预措施。拟议的研究包括三个阶段：（1）收集的数据收集，包括调查和焦点小组，包括调查和焦点小组； （2）开发教育干预计划，以及（3）试点测试和评估。研究结构化问卷的调查数据将用于评估心理健康素养水平，并确定心理健康素养的促进者和障碍。为了对心理健康素养进行更深入的评估，还将使用焦点小组的数据。后者的讨论将与韩裔美国人，其家庭成员，卫生保健专业人员和宗教领袖进行。各种心理健康问题以及促进社区心理健康和服务利用的方法将成为各种观点的焦点。调查数据和焦点小组的调查结果将指导发展适当且可接受的教育干预计划。韩国人的一本教育手册将以双重目标写作，即增加心理健康素养，并在对精神障碍和服务利用率的态度上做出积极的改变。我们还将采用同行领导的教育策略，在该策略中，训练外行同伴领导者进行教育会议。该会议不仅包括小册子，还包括同伴教育和小组讨论。基于同行的方法可以对非正式领导人发挥重要作用的少数民族社区的独特特征提高敏感性。在第三阶段也是最后一个阶段中，将进行三个随机条件（对照，一般手册和同伴领导的教育）的实验，以探讨教育手册和同伴领导的教育策略的有效性。我们假设1）与对照组相比，治疗组中的患者（一般手册和同伴主导的教育）将显示对抑郁症和对精神疾病和服务使用的态度的积极变化的知识，而2）同伴领导的教育将比仅小册子的方法更有效。试点测试和评估将成为评估干预措施的影响大小以及该计划在随后的项目中实施的可行性的重要手段。我们还希望使用我们的发现来制定针对其他少数民族群体的应用程序。 公共卫生相关性：基于先前的发现，即韩裔美国人老年人的心理健康问题很高，但精神健康服务不足，这项研究概念化了低精神健康素养，这是服务不足的主要原因和干预工作的主要重点。该研究的总体目标是（1）更好地了解目标人群中心理健康素养的水平，以及（2）开发/测试教育干预措施。