Asian American Center on Disparities Research

亚裔美国人差异研究中心

• 批准号: 7881647
• 负责人: NOLAN ZANE
• 金额: $ 74.74万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-16 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7881647
• 关键词: Asian; American; Center; Disparities; Research

This application establishes the Asian American Center on Disparities Research (AACDR). AACDR builds upon a program of research on the mental health issues of Asian American populations that had been carried on since 1988 by the National Research Center on Asian American Mental Health (NRCAAMH). AACDR pursues a research agenda that investigates how cultural factors work to either enhance or mitigate the implementation and effectiveness of evidence-based treatments for Asian American clients. The center's objectives are to (1) conduct programmatic, problem-oriented research toward the empirical testing of effective clinical treatments for Asian American populations; (2) conduct research that has theoretical and policy significance for Asian Americans in particular and the mental health field in general; (3) promote and conduct research that addresses key methodological issues involved in the study of diversity and disparities; (4) be the focal point and stimulus for researchers conducting Asian American disparities research on a national level by maintaining and enhancing a network of researchers, service providers, and policy makers to facilitate theory and methodology development; and (5) bridge science into mental health practice, in particular, concerning cultural influences that affect critical problems of treatment and service delivery such as medical non-adherence and premature dropout. The center's Clinical Effectiveness Research Program tests the effectiveness of evidence-based treatments for depression for Asian American clients and identifies the cultural variables that moderate the effects of these interventions. The Therapist Factors Research Program determines if therapist characteristics associated with cultural competence and the use of evidence-based practices interact or independently affect treatment outcomes for mental health outpatient clients. The Medication Adherence Research Program develops and tests the effectiveness of a culturally targeted intervention designed to improve medication adherence among depressed Asian American clients. Disparities in health care refer to the differential treatment of patients on the basis of race or ethnicity that is not explained by underlying health conditions or treatment preferences of patients (Institute of Medicine, 2002). Since 1978, various presidential commissions have concluded that the disparities were not so much due to racial and ethnic differences in rates of psychopathology but were due to inaccessible and ineffective treatment. Thus, one critical task is to improve therapeutic effectiveness and quality of care for these clients. Essentially, the center's research mission is devoted to and focused on this latter aspect of disparity-cultural factors that affect the effectiveness of treatment.

该应用建立了亚裔美国人差异研究中心（AACDR）。 AACDR基于关于亚裔美国人心理健康研究中心（NRCAAMH）自1988年进行的有关亚裔美国人人口的心理健康问题的研究计划。 AACDR提出了研究议程，该研究议程研究了文化因素如何提高或减轻对亚裔美国客户的基于证据治疗的实施和有效性。 该中心的目标是（1）对有效的亚裔美国人人群进行有效临床治疗的经验测试进行程序化的，面向问题的研究； （2）进行研究的研究，特别是对亚裔美国人尤其是心理健康领域具有理论和政策意义的研究； （3）促进和进行研究，以解决多样性和差异研究中涉及的关键方法论问题； （4）成为通过维护和加强研究人员，服务提供者和政策制定者网络来促进理论和方法论发展的研究人员网络，是对国家一级进行亚裔差异研究的焦点和刺激； （5）尤其是关于影响治疗和服务提供关键问题的文化影响，例如医疗不遵守和过早辍学的文化影响。该中心的临床有效性研究计划测试了基于证据的抑郁症治疗亚裔美国人客户的有效性，并确定了缓和这些干预措施影响的文化变量。治疗师因素研究计划确定了与文化能力相关的治疗师特征以及循证实践的使用相互作用或独立影响心理健康门诊患者的治疗结果。药物依从性研究计划开发和测试了旨在改善亚裔美国人客户抑郁症的药物依从性的文化针对干预措施的有效性。 卫生保健的差异是指患者对种族或种族的差异治疗，而患者的健康状况或治疗偏好并未解释（医学研究所，2002年）。自1978年以来，各种总统委员会得出的结论是，由于种族和种族的心理病理率差异，差异并不是太多，而是由于无法访问和无效的治疗。因此，一项关键的任务是提高这些客户的治疗效率和护理质量。从本质上讲，该中心的研究任务专注于影响治疗有效性的差异文化因素的后一个方面。