Addressing Emotional Wellness among COVID-19 informal first-responders: REJOICE-P

项目总结 新冠肺炎大流行目前正在摧毁美国的许多社区1-3。 感染、失业和死亡使农村等弱势社区的资源紧张 非洲裔美国人社区4.在非洲裔美国人的农村社区，牧师首先是非正式的- 响应者，回应与新冠肺炎相关的社区社会和情感需求 混乱5.例如，许多人正经历着越来越多的心理痛苦，如焦虑和 与新冠肺炎大流行相关的抑郁症状。鉴于获得正式心理健康的机会减少 牧师除了负责解决会众的情绪问题外，还负责 满足其他心理社会需求，如对财政支持和食物的需求。5牧师，人口 已经面临心理困扰和精疲力竭的风险的8，9人正在经历心理压力的增加 与这些增加的需求相关；因此，增加了农村非裔美国牧师 经历情绪不适(即可能导致精神发育的情绪困扰或紧张) 疾病)。 家长赠款旨在测试一种文化适应的循证干预的有效性，以 解决农村有信仰的非裔美国成年人的情绪健康问题。多层次干预的基础是 行为激活(BA)，一种以证据为基础的心理疗法，治疗抑郁症，重点是 确定并安排对个人有意义的活动以减少抑郁症状 同时解决参与已确定活动的障碍(即回避)。由以下人员领导的小组 业外领导者经历8次基于信仰的行为激活协议，为个人提供 教育关于：识别抑郁症状，识别愉快的活动，安排愉快的日程 活动，以及识别和解决阻碍快乐完成的回避行为 活动。 鉴于担任非正式急救人员的牧师的特殊需要，本补充资料旨在完善 现有的欢乐干预措施为牧师提供了改善个人情绪健康的相关技能 在新冠肺炎大流行的第一线服务，建设牧师充分应对 农村非裔美国人的情感需求。具体地说，本增刊旨在：1)提炼喜庆 在新冠肺炎大流行期间与农村非裔美国牧师一起担任非正式急救人员 以及2)评估基于信仰的行为激活干预(REJOIE)的可行性和可接受性 在新冠肺炎大流行期间，与非裔美国牧师一起担任非正式的第一反应者。

PROJECT SUMMARY The COVID-19 pandemic is currently devastating many communities across America1–3. The increases in infection, unemployment, and death are straining resources in disadvantaged communities, such as rural African American communities4. In rural African American communities, pastors are serving as informal first- responders, responding to the communities social and emotional needs associated with the COVID-19 pandemic5. For example, many are experiencing increased psychological distress such as anxiety and depressive symptoms related to the COVID-19 pandemic. Given the decreased access to formal mental health services46, pastors are responsible for addressing the emotional concerns7 of congregants in addition to addressing other psychosocial needs such as the need for financial support and food.5 Pastors, a population already at risk for psychological distress and burn-out,8,9 are experiencing an increase in psychological stress related to these added demands5; thereby, increasing the likelihood that rural African American pastors will experience emotional unwellness (i.e. emotional distress or strain that can lead to the development of mental illness). The parent grant seeks to test the effectiveness of a culturally adapted an evidence-based intervention to address emotional wellness in rural African American adults of faith. The multi-level intervention is based on behavioral activation (BA), an evidence-based psychotherapy for the treatment of depression that focuses on identifying and scheduling personally meaningful activities to reduce depressive symptoms while simultaneously addressing obstacles (i.e. avoidance) to participating in identified activities. Small groups led by lay leaders undergo an 8-session faith-based behavioral activation protocol that provides individuals with education about: identifying depressive symptoms, identifying pleasurable activities, scheduling pleasurable activities, and identifying and addressing avoidant behaviors that act as barriers to completing pleasurable activities. Given the specific need of pastors serving as informal first responders, this supplement seeks to refine the existing REJOICE intervention to provide pastors with skills to improve personal emotional wellness related to serving on the first-lines of the COVID-19 pandemic and build the capacity of pastors to adequately respond to the emotional needs of rural African Americans. Specifically, this supplement aims to:1) Refine REJOICE for use with rural African American pastors serving as informal first-responders during the COVID-19 pandemic and 2) Assess the feasibility and acceptability of a faith-based behavioral activation intervention (REJOICE) for use with African American pastors serving as informal first-responders during the COVID-19 pandemic.