Mobile Health to Monitor Risk for COVID-19 and Improve Mental Health during the Pandemic

移动医疗可监测 COVID-19 风险并改善大流行期间的心理健康

• 批准号: 10809400
• 负责人: Michael S. Businelle
• 金额: $ 6.57万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-05 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10809400
• 关键词: Address; Adoption; Affect; American Indians; Anxiety; Black race; Businesses; COVID-19; COVID-19 impact; COVID-19 pandemic; COVID-19 risk; COVID-19 stress; Cellular Phone; Cessation of life; Child Care; Chronic; Clinical; Communities; Contracts; Control Groups; Coupled; Data; Diagnostic; Disease Progression; Ecological momentary assessment; Effectiveness; Elements; Essential worker; Ethnic Population; Etiology; Evaluation; Fright; Health; Health behavior; Healthcare; Hospitalization; Household; Individual; Individual Differences; Infection; Intervention; Interview; Job loss; Latino; Latinx; Long-Term Care for Elderly; Maintenance; Measures; Mediating; Mediator; Meditation; Mental Depression; Mental Health; Monitor; Occupations; Outcome; Outcome Study; Pain; Participant; Performance at work; Physical activity; Population; Predisposition; Psyche structure; Public Health; Randomized; Recommendation; Research; Risk; SARS-CoV-2 exposure; Safety; Schedule; Sleep; Social Distance; Social Interaction; Social support; Socioeconomic Status; Stress; Symptoms; Telephone; Testing; Therapeutic; Time; Unemployment; Virus; Vulnerable Populations; Work; access disparities; anxiety sensitivity; anxiety symptoms; behavioral health; cost; depressive symptoms; design; digital; digital intervention; effectiveness evaluation; efficacy evaluation; ethnic minority population; evidence base; experience; follow-up; functional disability; group intervention; health care availability; health disparity; health economics; improved; intervention effect; low socioeconomic status; mHealth; mindfulness; mindfulness intervention; mobile application; novel coronavirus; pandemic disease; perceived discrimination; precision medicine; psychoeducation; psychoeducational; racial discrimination; racial minority population; racial population; school closure; skills; social health determinants; standard of care; stress reduction

ABSTRACT Clear health disparities have emerged in rates of COVID-19 exposure, hospitalization, and death among Black, Latinx, and American Indian (BLAI) individuals, relative to Non-Latino White (NLW) individuals, and BLAI populations are disproportionately affected by lower behavioral health access and heightened negative mental health outcomes as a result of the pandemic. The current project directly aligns with the objectives of PAR-20- 243 as it addresses health disparities in access to behavioral health care during COVID-19 among BLAI via an adaptation of the established, initially validated, low-cost, mobile application (‘app’) that will target ongoing mental health concerns among BLAI with elevated anxiety and/or depressive symptoms. Utilizing a precision medicine approach, the Easing Anxiety Sensitivity for Everyone (EASE) app targets anxiety sensitivity, a transdiagnostic individual difference factor implicated in the etiology, maintenance, and progression of anxiety and depressive symptoms. EASE includes COVID-19 symptom monitoring, exposure management skills, and psychoeducation on COVID-19-related stress and the impact of stress on susceptibility to infection and disease progression. Participants (N = 800; 200 Black, 200 Latinx, 200 American Indian, and 200 NLW) will be randomized to either EASE or to an active standard-of-care control digital intervention (Headspace app) for anxiety and depression. The present study will include a baseline assessment, a 3-month intervention period, a 3-month continued assessment period (with access to intervention materials), and 3- and 6-month post- baseline assessments that includes a qualitative interview via phone or online platform (e.g., Zoom) at the 6- month follow-up. Participants will complete two scheduled daily ecological momentary assessments (EMAs) during the intervention and continued assessment periods that will guide a just-in-time approach to immediate, personalized behavioral health care. Assessments will be completed remotely. Aim 1. To compare the effect of EASE with COVID-19 specific elements (n = 400) to an established empirically validated standard-of-care digital intervention with COVID-19 specific elements (n = 400). To evaluate the efficacy of the experimental intervention across each race/ethnic group. Aim 2. To identify the therapeutic mechanisms of EASE, including theoretically driven mediators (i.e., anxiety sensitivity, subsequent changes in COVID-19 related stress and fear) and moderators (i.e., perceived racial discrimination, social support, and socioeconomic status). Overall, the current proposal has the potential to significantly impact public health and safety by decreasing anxiety and depression symptoms among vulnerable populations determined to be most at risk of exacerbated, long-lasting negative health sequelae.

抽象的 黑人的 COVID-19 暴露率、住院率和死亡率出现了明显的健康差异， 拉丁裔和美洲印第安人 (BLAI) 个体，相对于非拉丁裔白人 (NLW) 个体和 BLAI 人群受到较低的行为健康获取和哮喘消极心理的影响 当前的项目与 PAR-20- 的目标直接一致。 243，因为它通过一个解决方案解决了 BLAI 在 COVID-19 期间获得行为医疗保健方面的健康差异 对已建立的、初步验证的、低成本的移动应用程序（“app”）进行改编，以持续进行 利用精确度来了解 BLAI 中焦虑和/或抑郁症状加剧的心理健康问题。 医学方法，缓解每个人的焦虑敏感性（EASE）应用程序针对焦虑敏感性， 与焦虑的病因、维持和进展有关的跨诊断个体差异因素 EASE 包括 COVID-19 症状监测、暴露管理技能和 关于 COVID-19 相关压力的心理教育以及压力对感染和感染易感性的影响 参与者（N = 800；200 名黑人、200 名拉丁裔、200 名美洲印第安人和 200 名 NLW）将 随机分配至 EASE 组或主动护理标准控制数字干预组（顶空应用程序） 本研究将包括基线评估、为期 3 个月的干预期、 3 个月的持续评估期（可获取干预材料）以及 3 个月和 6 个月的评估期 基线评估，包括在 6 点通过电话或在线平台（例如 Zoom）进行定性访谈 参与者将完成两次预定的每日生态瞬时评估（EMA）。 在干预和持续评估期间，这将指导及时采取立即采取的方法， 个性化行为保健评估将远程完成。 目标 1. 比较效果。 使用 COVID-19 特定要素 (n = 400) 轻松实现已建立的经经验验证的护理标准 使用 COVID-19 特定元素进行数字干预（n = 400）以评估实验的效果。 目标 2. 确定 EASE 的治疗机制，包括 理论上驱动的中介因素（即焦虑敏感性、COVID-19 相关压力的后续变化和 全面的， 目前的提案有可能通过减少焦虑和影响公共健康和安全 弱势群体中的抑郁症状被确定为最有可能加剧、长期持续的抑郁症状 负面的健康后遗症。

项目成果

The Role of Functional Health Literacy in terms of Harmful Alcohol Use in Adults with Probable Posttraumatic Stress Disorder and Alcohol Use Disorder.

功能健康素养对于可能患有创伤后应激障碍和酒精使用障碍的成年人有害酒精使用的作用。

• DOI: 10.21203/rs.3.rs-4144996/v1
• 发表时间: 2024
• 期刊: Research square
• 作者: Gould,DylanA;Lubin,RebeccaE;McGrew,ShelbyJ;Smit,Tanya;Vujanovic,AnkaA;Otto,MichaelW;Zvolensky,MichaelJ
• 通讯作者: Zvolensky,MichaelJ