Personal relevance of psychotherapy for Asian Americans: A mHealth problem-solving intervention to reduce stress (PRoP-AA)

亚裔美国人心理治疗的个人相关性：减轻压力的移动医疗问题解决干预措施 (PRoP-AA)

• 批准号: 10324289
• 负责人: GORDON C HALL
• 金额: $ 38.19万
• 依托单位: IRIS MEDIA, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10324289
• 关键词: Address; American; Asian Americans; Asians; Attention; Attitude; Belief; Businesses; COVID-19; Chinese American; Client; Cognitive Therapy; Communities; Development; Discrimination; Ensure; European; Evaluation; Evidence based intervention; Future; Health; Health Personnel; Human; Individual; Intervention; Knowledge; Korean American; Medial; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Meta-Analysis; Methods; Minority Groups; Mobile Health Application; Modeling; Modification; Motivation; Participant; Phase; Population; Prefrontal Cortex; Problem Solving; Psyche structure; Psychopathology; Psychotherapy; Randomized; Randomized Controlled Trials; Reporting; Research; Research Design; Self Efficacy; Social Problems; Stress; Stressful Event; Testing; Text; Treatment Efficacy; Writing; active control; base; community involvement; control trial; conventional therapy; design; effective intervention; efficacy evaluation; ethnic minority population; evidence base; health disparity; health literacy; heuristics; improved; mHealth; member; mobile application; physical conditioning; problem solving therapy; prototype; psychologic; psychosocial; skills; social stigma; stem; stress reduction; usability

Abstract The proposed intervention, Personal relevance of psychotherapy for Asian Americans: A mHealth problem- solving intervention to reduce stress, is designed 1) to increase the use of mental health services by a population that uses them at one third the rate of Whites,1 and 2) to develop a personally-relevant approach to stress-reduction. Practical and cultural barriers inhibit the use of mental health services by Asian Americans2 including a lack of fluency in English amongst specific subpopulations,3 insufficient health literacy,2 and stigma surrounding mental illness which stems from Asian American cultural beliefs shared across subpopulations.4-6 With the rise in discrimination against Asian Americans during the current health crisis related to Covid-19,7,8 their physical and mental health may be adversely impacted,9 reinforcing the need for an improved option that addresses these barriers. This proposal aims to develop a mHealth (mobile health) application that is systematically adapted to be culturally relevant to select Asian American subpopulations. If successful, future development would extend the app to additional groups. Identifying personally-relevant interventions has the potential to reduce persistent mental health disparities among ethnic minority groups10 by increasing engagement with mental health services. Problem-Solving Therapy (PST), the intervention that will be used for this project, is likely to be personally relevant to Asian Americans. PST is a skills-based, psychosocial intervention to assist individuals in managing the negative effects of stressful events which is an effective intervention for reducing psychopathology, such as depression11 and a variety of other psychological difficulties.12 An external problem-solving orientation is culturally-syntonic to Asian values.13 The proposed mHealth app first will be developed for Chinese Americans and Korean Americans. The project will assess and adapt the PST using a systematic approach that integrates two frameworks, the top- down Psychotherapy Adaptation and Modification Framework (PAMF)14 and the bottom-up Formative Method for Adapting Psychotherapy (FMAP).15 In addition, the app layout, text, video, and audio content will be localized. Users will have access to at least five modules in the app, an introduction and one module for each of the four skills that comprise PST. The app will include video modeling of skills by Asian Americans and interactive features that will allow users to apply skills learned like writing down ideas and developing a plan. In Phase I, the project team will: a) design and develop a minimum viable product using an iterative, user- centered approach. In Phase II, the project team will: a) complete content and app development, and b) conduct a randomized controlled trial to evaluate the efficacy of the intervention. When the study concludes, PRoP-AA will be the first evidence-based PST mobile app designed for Asian Americans.

抽象的 拟议的干预措施，对亚裔美国人的心理治疗的个人相关性：一个MHealth问题 - 设计解决压力的干预措施是设计1）以增加心理健康服务的使用 使用白人率的三分之一的人口，1和2）开发与个人​​相关的方法 减少压力。实用和文化障碍抑制了亚裔美国人对心理健康服务的使用2 包括特定亚群中的英语缺乏流利性，3个不足的健康素养，2和污名 周围的精神疾病源于亚裔美国人在亚裔群体中共有的文化信仰。4-6 随着目前与19,7,8相关的当前健康危机中对亚裔美国人的歧视的增加 他们的身心健康可能会受到不利影响，9加强了对改进的选择的需求 解决这些障碍。该建议旨在开发MHealth（移动健康）应用程序 系统地适应与精选的亚裔美国亚洲人群相关的文化相关。如果成功，未来 开发将将应用程序扩展到其他组。 确定与个人相关的干预措施有可能减少持续性心理健康差异 在少数民族群体中，通过增加对心理健康服务的参与度。解决问题 治疗（PST）是将用于该项目的干预措施，可能与亚洲人有关 美国人。 PST是一种基于技能的社会心理干预措施，可帮助个人管理负面 压力事件的影响，这是减少心理病理学的有效干预措施，例如 抑郁症和各种心理困难。12外部解决问题的方向是 亚洲价值观的文化合成。13 拟议的MHealth应用程序将首先为华裔美国人和韩裔美国人开发。这 项目将使用一种集成两个框架的系统方法来评估和适应PST 降低心理治疗适应和修改框架（PAMF）14和自下而上的形成方法 为了适应心理治疗（FMAP）.15此外，应用程序布局，文本，视频和音频内容将是 本地化。用户将至少可以访问该应用中的至少五个模块，一个简介和一个模块 包括PST的四个技能。该应用程序将包括亚裔美国人和 交互式功能将使用户能够运用学到的技能，例如写下想法和制定计划。 在第一阶段，项目团队将：a）使用迭代，用户 - 中心的方法。在第二阶段，项目团队将：a）完整的内容和应用程序开发，b） 进行随机对照试验以评估干预的功效。研究结束时， ProP-AA将是为亚裔美国人设计的首个基于证据的PST移动应用。