Development and Cultural Adaptation of Psychological First Aid for COVID-19 Frontline Workers in American Indian/Alaska Native Communities.

Development and Cultural Adaptation of Psychological First Aid for COVID-19 Frontline Workers in American Indian/Alaska Native Communities.
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DOI:
10.1007/s10935-022-00695-y
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发表时间:
2022-10
期刊:
JOURNAL OF PREVENTION
影响因子:
--
通讯作者:
O'Keefe, Victoria M.
O'Keefe, Victoria M.
中科院分区:
其他
文献类型:
--
作者:
Grubin, Fiona;Maudrie, Tara L.;Neuner, Sophie;Conrad, Maisie;Waugh, Emma;Barlow, Allison;Coser, Ashleigh;Hill, Kyle;Pioche, Shardai;Haroz, Emily E.;O'Keefe, Victoria M.

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2019冠状病毒病(COVID-19)大流行正在广泛影响世界各地人们的心理健康和福祉,并不成比例地影响一些已经存在健康不平等的群体。受COVID-19影响身心健康风险较大且受疫情影响更深的两个群体包括一线工人和美国印第安人/阿拉斯加原住民(AI/AN)社区。为提供支援及预防长期心理健康问题,我们特别为服务于人工智能/人工智能社区的COVID-19前线工作人员改编了心理急救指南。我们聘请了一个多元化的协作工作组来指导适应内容和过程。我们还与AI/AN社区的一线工作人员举行了两次焦点小组讨论,将他们的观点纳入改编的指南。对小组讨论和协作工作组的结果进行了汇编和分析,以提取主题和建议,并将其纳入指南的改编内容。主要修改包括更新语言(即,更适合文化,更少的规定,更少的文字),从减少危害的透镜构建指南,纳入不同AI/AN社区共同的文化活动,价值观和教义(例如,作为一个好亲戚的重要性),并验证前线工作人员的感受和经验。由此产生的改编指南包括四个模块,可作为免费在线培训提供。我们的适应过程可以作为一个指导框架,为特定群体的类似资源的未来适应。改编后的指南可以作为一个持久的资源,以支持心理健康,预防心理健康问题,并减少大流行期间及以后的卫生不平等。
The coronavirus disease 19 (COVID-19) pandemic is broadly affecting the mental health and well-being of people around the world, and disproportionately affecting some groups with already pre-existing health inequities. Two groups at greater risk of physical and/or mental health detriments from COVID-19 and more profoundly impacted by the pandemic include frontline workers and American Indian/Alaska Native (AI/AN) communities. To provide support and prevent long-term mental health problems, we culturally adapted a psychological first aid guide specifically for COVID-19 frontline workers serving AI/AN communities. We engaged a diverse, collaborative work group to steer the adaptation content and process. We also held two focus group discussions with frontline workers in AI/AN communities to incorporate their perspectives into the adapted guide. Results from the group discussions and the collaborative work group were compiled, analyzed to extract themes and suggestions, and integrated into the adapted content of the guide. Main adaptations included updating language (i.e., to be more culturally appropriate, less prescriptive, and less text heavy), framing the guide from a harm-reduction lens, incorporating cultural activities, values, and teachings common across diverse AI/AN communities (e.g., importance of being a good relative), and validating feelings and experiences of frontline workers. The resulting adapted guide includes four modules and is available as a free online training. Our adaptation process may serve as a guiding framework for future adaptations of similar resources for specific groups. The adapted guide may stand as an enduring resource to support mental well-being, the prevention of mental health problems, and reduction of health inequities during the pandemic and beyond.
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