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: 9102770
• 负责人: Neil Krishan Aggarwal
• 金额: $ 18.41万
• 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/9102770
• 关键词: Address; Adherence; Administrator; Affect; Caucasians; Clinic; Clinical Trials; Communication; Competence; Data; Data Analyses; Educational Intervention; Focus Groups; Formulation; Goals; Grant; Guidelines; Health; 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; Mission; National Institute of Mental Health; Outcome; Outpatients; Patient-Focused Outcomes; Patients; Public Health; Research; Research Activity; Research Personnel; Review Literature; Services; Side; Strategic Planning; System; Testing; Thinking; 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; racial minority; 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）：拟议的指导的注重患者的研究职业发展奖（K23）是一项为期四年的计划，将使候选人能够作为干预发展，由独立研究计划进行服务。该研究计划的目的是通过开发跨文化沟通参与援助，在心理健康环境中改善服务不足的种族和少数民族人群的治疗参与，这些辅助辅助辅助辅助辅助工具在开始，继续和参与治疗方面确定了相关的文化观点。我们将测试干预对医疗沟通和患者预后的影响。 培训目标是：1）培训干预开发； 2）研究如何克服参与的文化障碍，专注于治疗，延续和参与； 3）获得方法学技能，以评估跨文化误导如何导致治疗脱离接触和健康差异； 4）临床试验方法和纵向数据分析的训练。该应用程序整合了正式的课程工作，已建立的研究人员的指导以及指导的研究活动。在候选人的培训计划的支持下，三项研究提议从干预开发到试点测试。项目1由三个与患者，临床医生和管理人员分开的焦点小组组成，以定义计划目标，方法和策略，以促进治疗，参与和延续精神疾病的少数民族。候选人将向这些不同的利益相关者提供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令手册，并制定临床医生的遵守和能力措施。项目2是一项小型，幼稚的开放研究，其中训练有素的临床医生将进行干预。与患者和临床医生的汇报访谈将确定影响可行性和可接受性的因素，并随后的干预说明手册的revisin。 然后，将根据具有忠诚指标的改编干预措施对临床医生进行实施计划。项目3是一个小型试点RCT，可检查适应性干预的可行性和可接受性，并在公共门诊精神健康诊所探索其初始功效与通常的护理。从实施映射（由患者，临床医生，管理人员，导师和顾问组成的科学顾问委员会（SAB））中绘制，将使用将多个利益相关者的观点纳入所有项目中。 这些项目的结果将作为试点数据，以申请随后的赠款。