Improving mental health among the LGBTQ+ community impacted by the COVID-19 pandemic

改善受 COVID-19 大流行影响的 LGBTQ 群体的心理健康

基本信息

批准号：
10613077
负责人：
Philip Andrew Chan
金额：
$ 236.85万
依托单位：
BROWN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-01 至 2025-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10613077
关键词：
Address Administrator Adoption Adult Affect Anxiety Disorders Award Behavior Therapy Behavioral Blinded COVID-19 COVID-19 pandemic COVID-19 pandemic effects Clinical Cognitive Therapy Collaborations Communities Data Diagnosis Disputes Effectiveness Effectiveness of Interventions Electronic Health Record Family Friends Goals Health Healthcare Hybrids Individual Intervention Interview Investigational Therapies Lesbian Gay Bisexual Transgender Queer Life Loneliness Mediating Mediator of activation protein Mental Health Mental disorders Mood Disorders Morbidity - disease rate Motivation National Institute of Mental Health Neighborhood Health Center Outcome Participant Pathway interactions Patient Self-Report Patients Perception Personal Satisfaction Persons Physicians Population Promoting Action on Research Implementation in Health Services framework Psychiatric Diagnosis Psychologist Public Health Quarantine Reach Effectiveness Adoption Implementation and Maintenance Recording of previous events Recovery Research Resources Rhode Island Social isolation Social support Societies Speed Strategic Planning Suicide Symptoms Testing Translations United States Work anxiety symptoms base clinical care clinical practice coping cost depressive symptoms distraction effectiveness implementation trial effectiveness testing experience follow-up future implementation health disparity health equity high risk hybrid type 1 design implementation barriers implementation fidelity implementation framework implementation intervention improved innovation mindfulness pandemic disease primary outcome recruit response secondary outcome social telehealth tool treatment as usual treatment effect treatment services uptake

项目摘要

PROJECT SUMMARY/ABSTRACT During the COVID-19 pandemic, up to 81% of adults in the United States experienced worsening mental health. A major cause was the social isolation triggered by the pandemic due to quarantining, loss of family or friends, and loss of work. For individuals who lost social connections or were unable to adapt to maintain their connections, social support decreased and loneliness worsened, putting them at much higher risk for anxiety and depressive symptoms. Importantly, people who identify as LGBTQ+ have been particularly affected by the social isolation caused by the pandemic and were already at much higher risk of social isolation, loneliness, and mental illness, including suicidality, before the pandemic. The long-term goal is to improve mental health outcomes in the LGBTQ+ population. The objective of this R01 fully-powered Hybrid Type 1 Effectiveness- Implementation trial is to examine the effectiveness of a brief acceptance-based behavioral telehealth intervention (ABBT) to improve mental health during the COVID-19 pandemic by strengthening social support among LGBTQ+ individuals. The central hypothesis is that ABBT will be an impactful intervention for LGBTQ+ individuals because it will teach patients how to navigate the real, unavoidable challenges of the COVID-19 pandemic, while attending to their life goals and values, such as social connectedness. The aims of this proposal are: (1) to examine the effectiveness of ABBT in reducing mental health morbidity by conducting a fully-powered, RCT (n=200) of ABBT vs. Treatment-as-Usual; (2) to examine potential mediators and moderators of ABBT treatment effects; and, (3) to identify patient, staff, and organizational-level factors that may facilitate/hinder ABBT implementation. Primary outcomes will be anxiety and depressive symptoms. ABBT represents an innovative approach to coping with the COVID-19 pandemic that can be more personally-relevant and sensitive to patients' needs than traditional CBT. Thus, the clinical and public health significance of this research will be the demonstration of a simple, lower-cost, and potentially widely- disseminable intervention that can be integrated into treatment services at LGBTQ+ health centers.

项目概要/摘要在 COVID-19 大流行期间，高达 81% 的美国成年人的精神状况恶化健康。一个主要原因是大流行病引发的社会隔离，原因是隔离、失去家人或朋友，还有工作的损失。对于失去社会联系或无法适应维持社交联系的个人人际关系、社会支持减少，孤独感加剧，使他们面临更高的焦虑风险和抑郁症状。重要的是，LGBTQ+ 群体尤其受到大流行造成的社会孤立，并且已经面临更高的社会孤立、孤独、以及大流行之前的精神疾病，包括自杀倾向。长期目标是改善心理健康 LGBTQ+ 人群的结果。这款 R01 全动力混合动力 1 型效能的目标 - 实施试验旨在检验基于简短接受的行为远程医疗的有效性通过加强社会支持来改善 COVID-19 大流行期间的心理健康的干预措施 (ABBT) LGBTQ+ 个体中。核心假设是 ABBT 将成为 LGBTQ+ 的有效干预措施个人，因为它将教会患者如何应对 COVID-19 真正的、不可避免的挑战流行病，同时关注他们的生活目标和价值观，例如社会联系。该提案的目的是：（1）检验 ABBT 在降低心理健康发病率方面的有效性通过对 ABBT 与常规治疗进行全面的随机对照试验 (n=200)； (2)考察潜力 ABBT 治疗效果的中介因素和调节因素； (3) 识别患者、工作人员和组织级别可能促进/阻碍 ABBT 实施的因素。主要结果是焦虑和抑郁症状。 ABBT 代表了一种应对 COVID-19 大流行的创新方法，该方法可以更加有效与传统 CBT 相比，与个人相关且对患者需求敏感。因此，临床和公共卫生这项研究的意义在于展示了一种简单、成本较低且可能广泛应用的方法。可以纳入 LGBTQ+ 健康中心治疗服务的传播干预措施。