TERTULIAS: Addressing Social Isolation to Reduce Depression Among Female Mexican Immigrants

项目总结 概述。我们将对Tertulias进行随机对照试验，这是一种创新的社会隔离支持 团体模式，与240名墨西哥女性移民(FMI)一起为科学做出全方位、多层次的贡献 (个人、家庭和团体)采取干预措施，以减少与社会孤立和 抑郁症。我们的跨学科团队将使用严格、混合方法、社区参与的方法 包括对头发皮质醇作为慢性压力生物标记物的尖端生物学评估。 研究目的。1)衡量文化背景下的同伴团体干预是否会减少抑郁 以及与移民经历相关的压力。2.)为了测试一项干预是否使用了“女性的 “知识基金”办法有助于提高复原力、知识和赋权能力。3.)去调查 使用妇女知识基金方法的文化背景的同龄人小组干预是否可以 参与者对社会和身体联系的感觉和体验(“就位”)是在 移民程序。 接近。我们将使用经过验证的工具收集感兴趣领域的调查数据。解读 定量结果将得到三角测量的支持，并对数据集进行定性分析，包括 观察笔记、会议记录以及访谈和小组会议的记录。 预期结果。我们将展示一项减少与社会隔离相关的健康差距的战略 在移民过程中产生的。我们的新干预措施将解决与社会隔离相关的健康问题 通过利用积极的文化动态和妇女知识基金来培育FMI的差距 参与者生活中的变革性社会联系、知识和复原力因素。 产生长期影响。这项工作的长期影响将是促进发展一种文化和 因地制宜的健康促进模式，以减少移民社区的健康差距。 更广泛的意义。根据NIMHD研究框架，拟议的研究将建立科学的 了解在多个领域和多个层面上运作的健康差距的解决方案 影响力。这项研究不仅发现了健康差距的存在，还发现了一门创造性的健康科学 解决和干预。根据我们的理论架构，整合了文化情境理论，资金 知识，和性别定位，这项研究将展示一个创新的，全面的，多层次的， 社区参与的方法可以在不花费大量财政资源、广泛的 机构基础设施，或高成本的受过医学培训的专业人员。这场对Tertulias的试验将创造 一种可复制、可扩展的模式，用于通过FMI进行文化上适当的健康促进，其意义在于 与来自新一代和第一代移民人口的其他妇女一起促进健康。

PROJECT SUMMARY Overview. We will conduct a randomized controlled trial of TERTULIAS, an innovative social isolation support group model, with 240 female Mexican immigrants (FMIs) to contribute to the science of a holistic, multi-level (individual, family, and group) intervention to reduce immigrant health disparities related to social isolation and depression. Our transdisciplinary team will use a rigorous, mixed-method, community-engaged approach that includes a cutting-edge biological assessment of hair cortisol as a biomarker for chronic stress. Research Aims. 1.) To measure whether a culturally situated peer group intervention will reduce depression and stress associated with the experience of immigration. 2.) To test whether an intervention using a “women’s funds of knowledge” approach results in improved resilience, knowledge and empowerment. 3.) To investigate whether a culturally situated peer group intervention using a women’s funds of knowledge approach can give participants’ a sense and experience of social and physical connection (“emplacement”) that is lost in the process of immigration. Approach. We will gather survey data for domains of interest using validated instruments. Interpretation of quantitative results will be supported by triangulation with the qualitative analysis of data sets that include observational notes, meeting logs, and transcripts from interviews and group sessions. Expected Outcomes. We will demonstrate a strategy for reducing health disparities related to social isolation produced in the process of immigration. Our novel intervention will address social isolation-related health disparities for FMIs by leveraging positive cultural dynamics and women’s funds of knowledge to nurture transformative social connectedness, knowledge, and resiliency factors in the lives of participants. Long-term Impact. The long-term impact of this work will be to contribute to developing a culturally and contextually situated health promotion model for reducing health disparities in the immigrant community. Broader Significance. In line with the NIMHD Research Framework, the proposed research will build scientific knowledge toward solutions to health disparities that operate in multiple domains and at multiple levels of influence. This study goes beyond identifying that health disparities exist to discover a creative health science solution and intervention. Per our theoretical architecture that integrates theories of cultural situatedness, funds of knowledge, and gendered emplacement, this study will demonstrate that an innovative, holistic, multi-level, community-engaged approach can be successful without a large expenditure of financial resources, extensive institutional infrastructure, or high-cost medically trained professional staff. This trial of TERTULIAS will create a replicable, scalable model for culturally appropriate health promotion with FMIs that has implications for health promotion work with other women from recent and first generation immigrant populations.