Feasibility of a culturally adapted positive psychological intervention for Hispanics/Latinos with elevated risk for cardiovascular disease.
Feasibility of a culturally adapted positive psychological intervention for Hispanics/Latinos with elevated risk for cardiovascular disease.
复制标题
对心血管疾病风险较高的西班牙裔/拉丁裔进行适应文化的积极心理干预的可行性。
DOI：
10.1093/tbm/iby045
复制
发表时间：
2018
影响因子：
3.6
通讯作者：
Schueller,StephenM
中科院分区：
文献类型：
--
作者：
Hernandez,Rosalba;Cheung,Elaine;Carnethon,Mercedes;Penedo,FrankJ;Moskowitz,JudithT;Martinez,Lizet;Schueller,StephenM
虽然增加情绪健康已被提出作为推动心脏健康的潜在途径，但对心脏病风险人群的情绪健康干预尚不发达，特别是在西班牙裔/拉丁裔成年人中。我们的目标是利用积极心理学概念试行一项健康干预措施，以确定对有心血管疾病（CVD）风险的西班牙裔/拉丁裔的可行性和可接受性。我们开发了一种西班牙语的积极心理干预，与文化剪裁告知形成定性工作，以促进情绪福祉和它的前身在西班牙裔/拉丁美洲人。西班牙裔/拉丁美洲成年人（n= 19）自我报告两个或两个以上的CVD危险因素被纳入我们的单臂8周的试点试验。小组干预包括8个每周90分钟的会议提供的双语持牌临床社会工作者。平均年龄为54.1岁，68.8%为女性，50%的受教育程度≤八年级。19名西班牙裔/拉丁裔成年人中有11人完成了为期8周的课程，留存率为57.89%，导致辍学的大多数因素与课程内容或交付方式无关。大多数参与者对每次会议总体感到满意（97.1%）。在接受干预后，与基线相比，参与幸福诱导行为（例如，冥想）、情感活力和主观幸福感，使用可靠变化和效应大小的指标。这项单组试验证明了充分的可行性和可接受性，尽管需要采取增加保留的策略。未来的研究应该使用随机试验设计来测试我们的干预措施，该设计具有更大的样本量和包括生物标志物（例如，C反应蛋白），以记录我们的干预对心脏相关健康的影响。
Although increasing emotional well-being has been proposed as a potential pathway to drive cardiac health, emotional well-being interventions for people with cardiac risk are underdeveloped, particularly among Hispanic/Latino adults. Our objective was to pilot a well-being intervention drawing on positive psychology concepts to determine feasibility and acceptability in Hispanics/Latinos at risk for cardiovascular disease (CVD). We developed a Spanish-language positive psychological intervention, with cultural tailoring informed by formative qualitative work, to promote emotional well-being and its antecedents in Hispanics/Latinos. Hispanic/Latino adults (n= 19) self-reporting two or more CVD risk factors were enrolled in our single-arm 8-week pilot trial. The group intervention consisted of 8 weekly 90-min sessions delivered by a bilingual licensed clinical social worker. Mean age was 54.1 years, 68.8% were female, and 50% had ≤eighth-grade education. Eleven of 19 Hispanic/Latino adults completed the 8-week program for a 57.89% retention rate, with a majority of factors leading to dropout unrelated to program content or mode of delivery. Most participants felt satisfied overall with each session (97.1%). Largest increases relative to baseline after receiving the intervention were found in engagement in happiness-inducing behaviors (e.g., meditation), emotional vitality, and subjective happiness using metrics of reliable change and effect sizes. This single-arm trial documented adequate feasibility and acceptability, although strategies to increase retention are warranted. Future studies should test our intervention using a randomized trial design with a larger sample size and inclusion of biomarkers (e.g., C-reactive protein) to document impact of our intervention on cardiac-related health.
登录
查看更多内容
影响因子：
37.8
作者：
Go AS;Mozaffarian D;Roger VL;Benjamin EJ;Berry JD;Blaha MJ;Dai S;Ford ES;Fox CS;Franco S;Fullerton HJ;Gillespie C;Hailpern SM;Heit JA;Howard VJ;Huffman MD;Judd SE;Kissela BM;Kittner SJ;Lackland DT;Lichtman JH;Lisabeth LD;Mackey RH;Magid DJ;Marcus GM;Marelli A;Matchar DB;McGuire DK;Mohler ER 3rd;Moy CS;Mussolino ME;Neumar RW;Nichol G;Pandey DK;Paynter NP;Reeves MJ;Sorlie PD;Stein J;Towfighi A;Turan TN;Virani SS;Wong ND;Woo D;Turner MB;American Heart Association Statistics Committee and Stroke Statistics Subcommittee
通讯作者：
American Heart Association Statistics Committee and Stroke Statistics Subcommittee
DOI：
10.1037//0003-066x.42.6.565
发表时间：
1987
期刊：
The American psychologist
影响因子：
--
作者：
Rogler,LH;Malgady,RG;Costantino,G;Blumenthal,R
通讯作者：
Blumenthal,R
影响因子：
5.9
作者：
JACOBSON, NS;TRUAX, P
通讯作者：
TRUAX, P
紫色：用于开发和部署行为干预技术的模块化系统
影响因子：
7.4
作者：
S. Schueller;Mark Begale;F. Penedo;D. Mohr
通讯作者：
D. Mohr
影响因子：
5.6
作者：
Sorlie, Paul D.;Aviles-Santa, Larissa M.;Wassertheil-Smoller, Sylvia;Kaplan, Robert C.;Daviglus, Martha L.;Giachello, Aida L.;Schneiderman, Neil;Raij, Leopoldo;Talavera, Gregory;Allison, Matthew;Lavange, Lisa;Chambless, Lloyd E.;Heiss, Gerardo
通讯作者：
Heiss, Gerardo