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

项目摘要 COVID-19大流行目前正在摧毁美国的许多社区1 -3。的增加 感染、失业和死亡使农村等弱势社区的资源紧张， 非裔美国人社区4.在农村非裔美国人社区，牧师首先是非正式的- 响应者，响应与COVID-19相关的社区社会和情感需求 流行病5.例如，许多人正在经历越来越多的心理困扰，如焦虑和 与COVID-19大流行相关的抑郁症状。鉴于获得正规心理健康服务的机会减少 服务46，牧师除了负责解决会众的情感问题外， 解决其他社会心理需求，如对财政支持和食物的需求。 已经有心理困扰和倦怠的风险，8，9正在经历心理压力的增加 与这些额外的需求有关5;因此，增加了农村非洲裔美国牧师将 经历情绪不适（即情绪困扰或紧张，可能导致精神疾病的发展） 病）。 父母补助金旨在测试一种文化适应性的循证干预措施的有效性， 解决农村非裔美国人信仰成年人的情绪健康问题。多层次干预的基础是 行为激活（BA），一种治疗抑郁症的循证心理疗法，重点关注 确定和安排个人有意义的活动，以减少抑郁症状， 同时解决参与确定的活动的障碍（即回避）。小团体由 非专业领导者要接受一个为期8次的基于信仰的行为激活协议， 教育：识别抑郁症状，识别愉快的活动，安排愉快的 活动，并确定和解决回避行为，作为完成愉快的障碍 活动 鉴于牧师作为非正式的第一反应者的特殊需要，本补充文件旨在完善 现有的喜乐干预措施，为牧师提供技能，以改善个人情绪健康， 在COVID-19疫情的第一线服务，并建立牧师的能力，以充分应对 农村非裔美国人的情感需求具体而言，本补充旨在：1）优化喜乐， 在2019冠状病毒病大流行期间，非裔美国人农村牧师作为非正式的第一反应者使用 和2）评估基于信仰的行为激活干预（REJOICE）的可行性和可接受性， 在COVID-19大流行期间，非裔美国牧师作为非正式的第一反应者使用。

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.