Development, feasibility, acceptability and preliminary evaluation of the internet and mobile phone-based BSHAPE intervention for Immigrant survivors of cumulative trauma.
Development, feasibility, acceptability and preliminary evaluation of the internet and mobile phone-based BSHAPE intervention for Immigrant survivors of cumulative trauma.
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DOI：
10.1016/j.cct.2021.106591
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发表时间：
2021-11
影响因子：
2.2
通讯作者：
Hagos M
中科院分区：
文献类型：
--
作者：
Sabri B;Vroegindewey A;Hagos M
长期接触创伤会对妇女的健康和福祉产生深远影响。黑人移民妇女受到累积创伤经历的影响尤为严重，这些经历使她们面临多种健康问题的风险，如生殖性健康问题和艾滋病毒，或创伤后应激障碍等精神健康问题。以互联网和移动电话为基础的“安全、健康和积极赋权”（BSHAPE）干预旨在全面评估累积的创伤经历和当前的安全，并通过教育、心理教育和基于正念的减压内容解决妇女共同出现的医疗保健需求。本文描述了计算机和电话传递的BSHAPE干预在成年黑人移民女性累积创伤幸存者中的发展、可行性、可接受性和初步评估。70名妇女参与了BSHAPE的可行性、可接受性和初步评估，并在干预后评估了结果。评估的可行性和可接受性结果包括入组、依从性和对干预的看法。初步评估结果包括感知压力、压力管理、创伤应对自我效能、正念、心理健康（MH）、艾滋病毒/性传播感染风险、一般赋权和与安全相关的赋权。研究结果表明，BSHAPE干预是可行和可接受的。总体而言，女性对BSHAPE表示满意，并提出了改进建议。妇女表现出对压力的感知显著减少，压力管理得到改善，自我效能得到增强，艾滋病毒/性传播感染风险降低，MH、整体赋权以及与安全相关的赋权得到改善。本研究的结果将有助于进一步完善BSHAPE，并在全面随机对照试验中对其进行测试。
Cumulative trauma exposures can have a profound effect on women’s health and well-being. Black immigrant women are disproportionately affected by cumulative trauma experiences that place them at risk for multiple health issues such as reproductive sexual health problems and HIV, or mental health problems such as PTSD. The trauma-informed internet and mobile phone-based Being Safe, Healthy, and Positively Empowered (BSHAPE) intervention was designed to comprehensively assess for cumulative traumatic experiences, for current safety, and to address women’s co-occurring healthcare needs through educational, psychoeducational, and mindfulness-based stress-reduction components. This paper describes the development, feasibility, acceptability, and preliminary evaluation of the computer and phone delivered BSHAPE intervention among adult Black immigrant women survivors of cumulative trauma. Seventy women participated in the feasibility, acceptability, and preliminary evaluation of BSHAPE, with outcomes assessed at post-intervention. The feasibility and acceptability outcomes assessed were enrollment, adherence, and perceptions of the intervention. Preliminary evaluation outcomes included perceived stress, stress management, trauma coping self-efficacy, mindfulness, mental health (MH), HIV/STI risk, general empowerment, and empowerment related to safety. Findings suggest that a BSHAPE intervention is feasible and acceptable. Overall, women reported satisfaction with BSHAPE and provided suggestions for improvement. Women showed significant reduction in perceptions of stress, improved stress-management, enhanced self-efficacy, reduced HIV/STI risk, and improved MH, overall empowerment, as well as empowerment related to safety. The findings of this study will be useful in further refining BSHAPE and testing it in a full-scale randomized controlled trial.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
2.9
作者：
Dutton, Mary Ann;Bermudez, Diana;Myers, Neely L.
通讯作者：
Myers, Neely L.
影响因子：
2.1
作者：
Constantino, Rose E.;Braxter, Betty;Greene, W. Brian
通讯作者：
Greene, W. Brian
影响因子：
2.3
作者：
KASS, JD;FRIEDMAN, R;BENSON, H
通讯作者：
BENSON, H