"iAlegrate!"-A culturally adapted positive psychological intervention for Hispanics/Latinos with hypertension: Rationale, design, and methods.
"iAlegrate!"-A culturally adapted positive psychological intervention for Hispanics/Latinos with hypertension: Rationale, design, and methods.
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“iAlegrate！”-针对患有高血压的西班牙裔/拉丁裔的文化适应积极心理干预：基本原理、设计和方法。
DOI：
10.1016/j.conctc.2019.100348
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发表时间：
2019
影响因子：
1.5
通讯作者：
Moskowitz,JudithT
中科院分区：
文献类型：
--
作者：
Hernandez,Rosalba;Daviglus,MarthaL;Martinez,Lizet;Durazo-Arvizu,RamonA;Huffman,JeffC;Ramirez,Ferney;Tito,Lisett;Moskowitz,JudithT
越来越多的证据表明，心理健康（如乐观）与良好的心脏健康有关，但由于我们不知道培养情绪健康的干预措施是否（或如何）可以降低心脏风险，因此仍然存在一个关键的科学差距。与欧洲血统的同龄人相比，美国的西班牙裔/拉丁裔人患心血管疾病的风险较高，血压控制较差，因此需要新的和创新的治疗方法。本文详细介绍了“alsamgrate !”研究，这是一项集群随机II期试验，测试了一种文化定制的积极心理干预在改善血压方面的功效，该干预旨在提高西班牙裔/拉丁裔高血压患者的情绪健康。共有126名年龄≥18岁，英语或西班牙语流利，坐位血压升高（≥140/90 mmHg）的西班牙裔/拉丁裔人将参加两个试验组中的一个：(1)积极心理干预，或(2)等候名单对照条件。以小组为基础的干预包括每周8次90 - 120分钟的会议，由心理学家/社会工作者亲自授课。有针对性的技能包括注意每天的积极事件，积极地重新评估压力事件，有效地表达感激之情，做善事，定期练习正念和冥想，等等。主要结果是血压的改善，包括基线和基线后8周和12周的坐值和24小时动态读数。次要结果包括情绪健康、健康行为参与和炎症标志物循环水平。我们假设，在随访中，与等候名单对照组相比，“抑郁抑郁”组的血压控制、心理健康、健康行为和慢性炎症明显更好。
Growing evidence links psychological well-being (e.g., optimism) with superior cardiac health, but there remains a critical scientific gap as we do not know whether (or how) interventions to cultivate emotional well-being may reduce cardiac risk. Hispanics/Latinos in the U.S. have high cardiovascular disease risk and poorly controlled blood pressure (BP) compared to peers of European ancestry, and represent a population in need of new and innovative therapeutic approaches. This paper details the “¡Alégrate!” study, a cluster-randomized Phase II trial testing efficacy in improving BP of a culturally tailored positive psychological intervention designed to boost emotional well-being in Hispanics/Latinos with hypertension. A total of 126 Hispanics/Latinos aged ≥18 years, fluent in English or Spanish, and with elevated sitting BP (≥140/90 mmHg) will participate in one of two trial arms: (1) a positive psychological intervention, or (2) a wait-list control condition. The “¡Alégrate!” group-based intervention consists of 8 weekly 90–120-min sessions delivered in-person by a psychologist/social worker. Targeted skills include noting daily positive events, positive reappraisal of stressful events, effective expression of gratitude, performing acts of kindness, and regular practice of mindfulness and meditation, among others. The primary outcome is improvement in BP, both sitting values and 24-h ambulatory readings, as measured at baseline and 8- and 12-weeks post-baseline. Secondary outcomes include emotional well-being, engagement in healthful behaviors, and circulating levels of inflammatory markers. We hypothesize that BP control, psychological well-being, healthful behaviors, and chronic inflammation will be significantly better in the “¡Alégrate!” arm at follow up compared to the wait-list control group.