A Web-App Based Lifestyle Physical Activity Promotion Program to Improve Depressive Symptom Experience: Midlife Korean American Women

基于网络应用程序的生活方式体育活动促进计划，以改善抑郁症状体验：中年韩裔美国女性

• 批准号: 10900238
• 负责人: Wonshik Chee
• 金额: $ 55.14万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-06 至 2027-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10900238
• 关键词: Acceleration; Adopted; Adoption; Age; American; Asian Americans; Attitude; Behavioral; Body mass index; COVID-19 outbreak; COVID-19 pandemic; Cellular Phone; Centers for Disease Control and Prevention (U.S.); Characteristics; Computer software; Computers; Control Groups; Cost Analysis; Cultural Characteristics; Devices; Dimensions; Disease; Ethnic Population; European; Family history of; Gender; Generations; Genetic; Goals; Guidelines; Health; Health Personnel; Health Status; Heart Rate; Household; Immigration; Internet; Intervention; Intervention Studies; Korean American; Koreans; Leisures; Life; Life Style; Maintenance; Measures; Mediating; Menopausal Status; Mental Depression; Mental Health Services; Mental disorders; Minority Women; Modality; Moods; Operating System; Outcome; Patient Self-Report; Pharmacotherapy; Physical activity; Population; Prevalence; Program Effectiveness; Psychotherapy; Randomized; Recommendation; Research; Rest; Risk; Running; Social support; Stress; Stress and Coping; Surface; Symptoms; Technology; Testing; Time; Translations; Transportation; Woman; Work; active control group; aging population; cultural competence; depressive symptoms; design; efficacy evaluation; epidemiology study; ethnic health disparity; ethnic minority; experience; fitbit; follow-up; group intervention; handheld mobile device; health care service; improved; innovation; intervention effect; men; middle age; perceived discrimination; pilot test; preference; primary care setting; programs; prototype; racial disparity; racial minority; racial population; recruit; social media; social stigma; stress reduction; theories; waist circumference; web app; web server; web site

With an increasing multicultural aging population in the U.S., depressive symptoms in midlife racial/ethnic minorities are becoming increasingly significant. The prevalence of depression among Asian Americans is about 4.5 times higher than that of Americans in general. Within the Asian- American demographic, Korean Americans have the highest rate of depression. Within the Korean-American group, midlife Korean-American women are at increased risk of depressive symptoms because of their gender and age. Furthermore, the recent COVID19 pandemic has placed additional stress to this specific population. Korean Americans have a cultural preference for natural lifestyle management strategies (e.g., promotion of lifestyle physical activity) for depression as opposed to pharmacotherapy, and there is a cultural emphasis on one’s ability to handle stresses without outside assistance. A technology-based program using a web app could provide a highly innovative and effective way to promote lifestyle physical activity and improve depressive symptoms experienced by this specific population in a manner that appeals to their cultural preference. Yet, few programs are available for this specific population and little is known about the efficacy of technology-based interventions in improving depressive symptoms of racial/ethnic minority women including this population. Based on Preliminary Studies, the research team has developed and pilot-tested the Web-App based Lifestyle Physical Activity Promotion Program in improving depressive symptom experience of midlife Korean American women (WPAPP-K). WPAPP-K has several unique features that overcome the shortcomings of existing programs such as surface and deep cultural tailoring and social media functions. The purpose of this randomized intervention study is to determine the efficacy of WPAPP-K in improving depressive symptom experience of midlife Korean American women. The specific aims are to: (a) determine whether the intervention group will show significantly greater improvements than the control group in self-reported depressive symptom experience from a pre-test (T0) to post 6-months (T1) and post 12-months (T2); (b) determine whether the intervention group will show significantly greater improvements than the control group in self-reported lifestyle physical activity experience from T0 to T1 and T2; (c) identify whether physical activity experience mediates the intervention effects of the WPAPP-K on depressive symptom experience from T0 to T2; and (d) determine whether the effects of WPAPP-K on depressive symptom experience are moderated by selected factors. The study is theoretically guided by the Bandura’s Theory of Behavioral Change and the Stress and Coping framework by Lazarus and Folkman. The study adopts a randomized repeated measures pretest/posttest control group design among 300 midlife Korean American women who are nationally recruited. The long-term goals are to: (a) implement the program in various primary care settings; (b) examine the cost-effectiveness of the program; and (c) determine if the WPAPP-K will lead to long-term improved health outcomes.

随着美国多元文化老龄化人口的增加，中年种族/族裔的抑郁症状 亚裔美国人中少数族裔的抑郁症患病率越来越高。 在亚裔美国人中，韩国人的比例大约是美国人的 4.5 倍。 在韩裔美国人群体中，美国人的抑郁症发病率最高。 由于性别和年龄，女性出现抑郁症状的风险更高。 最近的新冠病毒大流行给这一特定的韩裔美国人带来了额外的压力。 对自然生活方式管理策略（例如，促进生活方式体育活动）的文化偏好 抑郁症与药物治疗相反，并且文化强调一个人处理抑郁症的能力 使用网络应用程序的基于技术的程序可以提供高度的压力。 促进生活方式身体活动并改善抑郁症状的创新有效方法 然而，很少有节目能够以吸引特定人群的文化偏好的方式进行体验。 适用于这一特定人群，但人们对基于技术的干预措施的有效性知之甚少 改善包括该人群在内的少数族裔/族裔妇女的抑郁症状。 初步研究，研究团队开发并试点了基于网络应用程序的生活方式物理 改善中年韩裔美国女性抑郁症状体验的活动促进计划 (WPAPP-K) WPAPP-K 有几个独特的功能，克服了现有程序的缺点。 比如表层和深层的文化剪裁以及社交媒体功能这种随机化的目的。 干预研究旨在确定 WPAPP-K 在改善抑郁症状体验方面的功效 中年韩裔美国妇女的具体目标是： (a) 确定干预组是否会这样做。 自我报告的抑郁症状比对照组有显着改善 从测试前 (T0) 到测试后 6 个月 (T1) 和测试后 12 个月 (T2) 的经验，确定是否 干预组在自我报告的生活方式方面将比对照组表现出显着更大的改善 从 T0 到 T1 和 T2 的体力活动经历； (c) 确定体力活动经历是否起到中介作用； WPAPP-K 对 T0 至 T2 抑郁症状体验的干预效果；以及 (d) 确定 WPAPP-K 对抑郁症状体验的影响是否受到选定因素的调节。 该研究在理论上以班杜拉的行为改变理论和压力与应对理论为指导 该研究采用了随机重复测量前测/后测的框架。 对照组设计是在全国范围内招募的 300 名中年韩裔美国女性中进行的。 目标是： (a) 在各种初级保健机构中实施该方案； (b) 审查以下方案的成本效益： 该计划；(c) 确定 WPAPP-K 是否会带来长期改善的健康结果。