The Cultural Formulation Interview-Engagement Aid for Mental Health Treatment

心理健康治疗的文化形成访谈-参与援助

• 批准号: 8765652
• 负责人: Neil Krishan Aggarwal
• 金额: $ 18.5万
• 依托单位: NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-15 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8765652
• 关键词: Address; Adherence; Administrator; Affect; Caucasians; Caucasoid Race; Clinic; Clinical Trials; Communication; Competence; Data; Data Analyses; Drug Formulations; Educational Intervention; Focus Groups; Goals; Grant; Guidelines; Healthcare; Instruction; Intervention; Interview; Language; Manuals; Maps; Measures; Medical; Mental Health; Mental disorders; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Methodology; Methods; Minority; Minority Groups; Mission; National Institute of Mental Health; Outcome; Outpatients; Patients; Public Health; Research; Research Activity; Research Personnel; Review Literature; Services; Side; Strategic Planning; System; Testing; Training; Translating; Vocabulary; Work; Writing; base; chemotactic factor inactivator; clinical practice; communication aid; communication behavior; ethnic minority population; evidence base; follow-up; health disparity; improved; inattention; intervention effect; preference; premature; programs; public health relevance; racial and ethnic; skills; social; therapy design; therapy development; treatment as usual

DESCRIPTION (provided by applicant): The proposed Mentored Patient-Oriented Research Career Development Award (K23) is a four-year plan that will enable the candidate to develop as an intervention development, services researcher with an independent program of research. The goal of this research program is to improve the treatment engagement of underserved racial and ethnic minority populations in mental health settings by developing a cross-cultural communication engagement aid that ascertains relevant cultural views in starting, continuing, and participating in treatment. We will test the intervention's effects on medical communication and patient outcomes. The training objectives are to: 1) train in intervention development; 2) study how to overcome cultural barriers to engagement, focusing on treatment entry, continuation, and participation; 3) acquire methodological skills to assess how cross-cultural miscommunication leads to treatment disengagement and health disparities; 4) train in clinical trials methodology and longitudinal data analysis. The application integrates formal course work, mentorship from established investigators, and mentored research activities. Three studies, supported by the candidate's training plan, are proposed that move from intervention development to pilot testing. Project 1 consists of three separate focus groups with patients, clinicians, and administrators to define program objectives, methods, and strategies to promote treatment entry, participation, and continuation of minorities with mental illness. The candidate will present these diverse stakeholders with results from a literature review on these topics to translate theoretical methods into practical strategies. The goals of this 12-month program are to design the intervention, write the first instruction manual for clinicians, and to develop cliniian adherence and competence measures for the intervention. Project 2 is a small, pre-pilot, open study in which trained clinicians will deliver the intervention. Debriefing interviews with patient and clinicians will identify factors affecting feasibility and acceptability with subsequent revisin of the intervention's instruction manual. An implementation plan will then be revised for clinicians based on the adapted intervention with fidelity indicators. Project 3 is a small pilot RCT to examine the feasibility and acceptability of the adapted intervention and explore its initia efficacy versus usual care at a public outpatient mental health clinic. Drawing from implementation mapping, a Scientific Advisory Board (SAB) consisting of patients, clinicians, administrators, mentors, and consultants will be used to incorporate the perspectives of multiple stakeholders in all projects. Results from these projects will serve as pilot data to apply for subsequent grants.

描述（由申请人提供）：拟议的以患者为导向的研究职业发展奖（K23）是一个为期四年的计划，将使候选人能够发展成为具有独立研究计划的干预开发、服务研究人员。该研究计划的目标是通过开发跨文化交流参与辅助工具来确定在开始、继续和参与治疗时的相关文化观点，从而提高心理健康环境中服务不足的种族和族裔少数群体的治疗参与度。我们将测试干预措施对医疗沟通和患者治疗结果的影响。 培训目标是： 1) 干预开发培训； 2）研究如何克服参与的文化障碍，重点关注治疗的进入、持续和参与； 3) 获得方法论技能，以评估跨文化沟通不畅如何导致治疗脱离和健康差异； 4）临床试验方法和纵向数据分析方面的培训。该应用程序集成了正式的课程作业、知名研究人员的指导以及指导的研究活动。在候选人培训计划的支持下，提出了三项研究，从干预开发转向试点测试。项目 1 由三个独立的焦点小组组成，由患者、临床医生和管理人员组成，以确定项目目标、方法和策略，以促进患有精神疾病的少数群体进入、参与和继续治疗。候选人将向这些不同的利益相关者展示有关这些主题的文献综述的结果，以将理论方法转化为实践策略。这个为期 12 个月的计划的目标是设计干预措施、为临床医生编写第一本指导手册，并制定干预措施的临床依从性和能力衡量标准。项目 2 是一项小型预试点开放研究，训练有素的临床医生将提供干预措施。与患者和临床医生进行汇报访谈将确定影响可行性和可接受性的因素，并随后修订干预说明手册。 然后，将根据具有保真度指标的适应性干预措施，为临床医生修订实施计划。项目 3 是一项小型试点随机对照试验，旨在检验调整后的干预措施的可行性和可接受性，并探讨其初始疗效与公共门诊精神卫生诊所常规护理的比较。根据实施规划，由患者、临床医生、管理人员、导师和顾问组成的科学咨询委员会 (SAB) 将用于在所有项目中纳入多个利益相关者的观点。 这些项目的结果将作为试点数据申请后续拨款。