Still Climbin': A Randomized Controlled Trial of an Intervention to Improve Coping with Discrimination, Address Medical Mistrust, and Reduce Health Disparities among Black Sexual Minority Men
仍在攀登:一项旨在改善应对歧视、解决医疗不信任并减少黑人性少数群体健康差异的干预措施的随机对照试验
基本信息
- 批准号:10307134
- 负责人:
- 金额:$ 62.97万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-02-10 至 2024-11-30
- 项目状态:已结题
- 来源:
- 关键词:AddressAgeAmbulatory CareBlack raceCardiovascular DiseasesCaringChronicChronic DiseaseCognitive TherapyCommunitiesCommunity prevention programsControl GroupsCoping SkillsDiscriminationDiseaseEffectivenessFaceGoalsHIVHealthHealth Services AccessibilityHealth behaviorHealthcareHealthcare SystemsHealthy People 2020HypertensionIndividualInterventionIntervention TrialKnowledgeLeadMediator of activation proteinMedicalMedical RecordsMinority GroupsModelingNamesOutcomeParticipantPremature MortalityPreventionPreventive careProblem SolvingProviderRaceRandomizedRandomized Controlled TrialsRecommendationReduce health disparitiesResearchSexually Transmitted DiseasesSocial IdentificationSocietiesStigmatizationStress and CopingSubgroupSupport GroupsSurveysTestingTreatment/Psychosocial EffectsVisitWaiting ListsWeatherWomanWorkarmbarrier to carebasebiological adaptation to stressbiopsychosocialblack mencare outcomescommunity settingcopingdesignethnic minorityevidence baseflexibilitygroup interventionhealth care disparityhealth disparityhigh risk menimprovedinnovationintervention effectmenmortalitynegative affectperceived discriminationphysical conditioningprimary outcomeprogramsracial and ethnicrecruitresilienceresponsesexual minoritysexual minority groupsexual minority health disparitysexual minority mensocial stigmatheoriesunethicalwillingness
项目摘要
PROJECT SUMMARY
Black men, especially Black sexual minority men (SMM), are negatively affected by health and healthcare
disparities: They show worse outcomes for preventable conditions and preventable complications from chronic
conditions, and are less likely to engage with healthcare than are White men and women. Moreover, Black
SMM display strikingly high rates of HIV and other sexually transmitted infections. Based on evidence-based
theory that discrimination contributes meaningfully to disparities, we propose to conduct a randomized
controlled trial (RCT) of an 8-session culturally congruent cognitive behavior therapy group intervention, Still
Climbin’, which aims to increase effective coping responses to discrimination (from intersectional race and
sexual minority identities) and reduce medical mistrust among Black SMM, with the goal of improving
healthcare engagement and receipt of evidence-based preventive care. Still Climbin’ has a strong scientific
basis in our prior pilot work, which found that the proposed intervention is acceptable to key stakeholders,
feasible to conduct, and associated with improved effective coping. The specific aims are: (1) To conduct a
randomized controlled trial to test the effects of Still Climbin', a culturally congruent cognitive behavior therapy
group intervention, on healthcare engagement (e.g., at least one ambulatory visit in the past 6 months) and
receipt of evidence-based preventive care (e.g., chronic disease screenings) among Black sexually minority
men; (2) To examine mechanisms of the intervention’s effects on improved healthcare engagement and receipt
of evidence-based preventive care, including more effective coping skills and reduced medical mistrust; and (3)
To examine potential moderators of the intervention’s effects (e.g., age, HIV-serostatus and other health
conditions). In the context of established community-academic partnerships, we will conduct the RCT with 300
Black SMM, randomizing 150 to the intervention group and 150 to a wait-list control group. Participants will
complete surveys at baseline and 3-, 6-, and 12-months post-baseline to assess the primary outcomes, and
potential mediators, covariates, and moderators. Healthcare engagement, receipt of evidence-based care, and
health conditions will be verified with medical records. With the exception of our own work, we are not aware of
any interventions that address coping with discrimination from intersectional identities in order to improve
health outcomes among Black SMM. Our research is consistent with Healthy People 2020, which recommends
developing interventions to address effects of discrimination among sexual minority individuals. Although
structural-level interventions are critical for reducing societal discrimination as a long-term strategy, individual-
level interventions—such as Still Climbin’—are needed in tandem to reduce discrimination’s immediate health
effects.
项目摘要
黑人男性,特别是黑人性少数群体男性(SMM),受到健康和医疗保健的负面影响
差异:他们显示出可预防的疾病和可预防的慢性并发症的结果更差。
条件,并且不太可能比白色男性和女性参与医疗保健。而且黑
SMM显示出艾滋病毒和其他性传播感染的高比率。基于循证
理论认为,歧视有助于有意义的差距,我们建议进行随机
一项为期8个疗程的文化一致性认知行为治疗组干预的对照试验(RCT),
攀登“,旨在提高对歧视的有效应对措施(来自交叉种族和
性少数群体身份),并减少黑人SMM之间的医疗不信任,目的是改善
保健参与和接受循证预防保健。仍然攀登有很强的科学性
在我们先前试点工作的基础上,发现拟议的干预措施是关键利益攸关方可以接受的,
可行的,并与改善有效的应对。具体目标是:(1)开展
一项随机对照试验,以测试“仍然攀登”的效果,一种文化一致的认知行为疗法
小组干预,对医疗保健的参与(例如,在过去6个月内至少有一次门诊访视),以及
接受循证预防护理(例如,慢性疾病筛查)
男性;(2)检查干预措施对改善医疗保健参与和接受的影响机制
基于证据的预防性护理,包括更有效的应对技能和减少医疗不信任;以及(3)
检查干预效果的潜在调节因素(例如,年龄、艾滋病毒血清状况和其他健康状况
条件)。在已建立的社区-学术伙伴关系的背景下,我们将与300名
黑色SMM,随机分配150人到干预组,150人到等待名单对照组。参与者将
在基线和基线后3个月、6个月和12个月完成调查,以评估主要结局,以及
潜在的中介变量、协变量和调节变量。医疗保健参与,接受循证护理,以及
将通过医疗记录核实健康状况。除了我们自己的工作,我们不知道
采取任何干预措施,解决来自交叉身份的歧视,以改善
黑人SMM的健康状况。我们的研究与《健康人群2020》一致,该研究建议
制定干预措施,以解决性少数群体中歧视的影响。虽然
作为一项长期战略,结构层面的干预措施对于减少社会歧视至关重要,
为了减少歧视的直接健康,需要同时进行水平干预,如“仍在攀登”
方面的影响.
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Laura M Bogart其他文献
Correlates of Homonegativity Towards Men Who Have Sex With Men Among Black Individuals in the United States
美国黑人中与男男性发生性关系的男性同性消极性的相关性
- DOI:
10.1080/00918369.2022.2059968 - 发表时间:
2022 - 期刊:
- 影响因子:2.6
- 作者:
Anonymous;Laura M Bogart;T. Mahoney;Keron Sadler;B. Ojikutu - 通讯作者:
B. Ojikutu
Laura M Bogart的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Laura M Bogart', 18)}}的其他基金
A Hybrid Implementation-Effectiveness Trial of Game Changers for Cervical Cancer Prevention in Uganda
乌干达宫颈癌预防游戏规则改变者的混合实施-有效性试验
- 批准号:
10718609 - 财政年份:2023
- 资助金额:
$ 62.97万 - 项目类别:
Controlled Trial of Game Changers: A Group Intervention to Train HIV Clients to be Change Agents for HIV Prevention in Uganda
游戏规则改变者的对照试验:培训艾滋病患者成为乌干达艾滋病毒预防变革推动者的集体干预
- 批准号:
10445301 - 财政年份:2021
- 资助金额:
$ 62.97万 - 项目类别:
Controlled Trial of Game Changers: A Group Intervention to Train HIV Clients to be Change Agents for HIV Prevention in Uganda
游戏规则改变者的对照试验:培训艾滋病患者成为乌干达艾滋病毒预防变革推动者的集体干预
- 批准号:
10543214 - 财政年份:2021
- 资助金额:
$ 62.97万 - 项目类别:
Controlled Trial of Game Changers: A Group Intervention to Train HIV Clients to be Change Agents for HIV Prevention in Uganda
游戏规则改变者的对照试验:培训艾滋病患者成为乌干达艾滋病毒预防变革推动者的集体干预
- 批准号:
10848836 - 财政年份:2021
- 资助金额:
$ 62.97万 - 项目类别:
Controlled Trial of Game Changers: A Group Intervention to Train HIV Clients to be Change Agents for HIV Prevention in Uganda
游戏规则改变者的对照试验:培训艾滋病患者成为乌干达艾滋病毒预防变革推动者的集体干预
- 批准号:
10617784 - 财政年份:2021
- 资助金额:
$ 62.97万 - 项目类别:
Controlled Trial of Game Changers: A Group Intervention to Train HIV Clients to be Change Agents for HIV Prevention in Uganda
游戏规则改变者的对照试验:培训艾滋病患者成为乌干达艾滋病毒预防变革推动者的集体干预
- 批准号:
10319366 - 财政年份:2021
- 资助金额:
$ 62.97万 - 项目类别:
Evaluation of the Implementation of PrEP Provision for Ugandan Fisherfolk
对乌干达渔民 PrEP 规定实施情况的评估
- 批准号:
10382315 - 财政年份:2020
- 资助金额:
$ 62.97万 - 项目类别:
Still Climbin': A Randomized Controlled Trial of an Intervention to Improve Coping with Discrimination, Address Medical Mistrust, and Reduce Health Disparities among Black Sexual Minority Men
仍在攀登:一项旨在改善应对歧视、解决医疗不信任并减少黑人性少数群体健康差异的干预措施的随机对照试验
- 批准号:
10672693 - 财政年份:2020
- 资助金额:
$ 62.97万 - 项目类别:
Still Climbin': A Randomized Controlled Trial of an Intervention to Improve Coping with Discrimination, Address Medical Mistrust, and Reduce Health Disparities among Black Sexual Minority Men
仍在攀登:一项旨在改善应对歧视、解决医疗不信任并减少黑人性少数群体健康差异的干预措施的随机对照试验
- 批准号:
10524016 - 财政年份:2020
- 资助金额:
$ 62.97万 - 项目类别:
Evaluation of the Implementation of PrEP Provision for Ugandan Fisherfolk
对乌干达渔民 PrEP 规定实施情况的评估
- 批准号:
9927177 - 财政年份:2020
- 资助金额:
$ 62.97万 - 项目类别:
相似国自然基金
靶向递送一氧化碳调控AGE-RAGE级联反应促进糖尿病创面愈合研究
- 批准号:JCZRQN202500010
- 批准年份:2025
- 资助金额:0.0 万元
- 项目类别:省市级项目
对香豆酸抑制AGE-RAGE-Ang-1通路改善海马血管生成障碍发挥抗阿尔兹海默病作用
- 批准号:2025JJ70209
- 批准年份:2025
- 资助金额:0.0 万元
- 项目类别:省市级项目
AGE-RAGE通路调控慢性胰腺炎纤维化进程的作用及分子机制
- 批准号:
- 批准年份:2024
- 资助金额:0 万元
- 项目类别:面上项目
甜茶抑制AGE-RAGE通路增强突触可塑性改善小鼠抑郁样行为
- 批准号:2023JJ50274
- 批准年份:2023
- 资助金额:0.0 万元
- 项目类别:省市级项目
蒙药额尔敦-乌日勒基础方调控AGE-RAGE信号通路改善术后认知功能障碍研究
- 批准号:
- 批准年份:2022
- 资助金额:33 万元
- 项目类别:地区科学基金项目
补肾健脾祛瘀方调控AGE/RAGE信号通路在再生障碍性贫血骨髓间充质干细胞功能受损的作用与机制研究
- 批准号:
- 批准年份:2022
- 资助金额:52 万元
- 项目类别:面上项目
LncRNA GAS5在2型糖尿病动脉粥样硬化中对AGE-RAGE 信号通路上相关基因的调控作用及机制研究
- 批准号:n/a
- 批准年份:2022
- 资助金额:10.0 万元
- 项目类别:省市级项目
围绕GLP1-Arginine-AGE/RAGE轴构建探针组学方法探索大柴胡汤异病同治的效应机制
- 批准号:81973577
- 批准年份:2019
- 资助金额:55.0 万元
- 项目类别:面上项目
AGE/RAGE通路microRNA编码基因多态性与2型糖尿病并发冠心病的关联研究
- 批准号:81602908
- 批准年份:2016
- 资助金额:18.0 万元
- 项目类别:青年科学基金项目
高血糖激活滑膜AGE-RAGE-PKC轴致骨关节炎易感的机制研究
- 批准号:81501928
- 批准年份:2015
- 资助金额:18.0 万元
- 项目类别:青年科学基金项目
相似海外基金
PROTEMO: Emotional Dynamics Of Protective Policies In An Age Of Insecurity
PROTEMO:不安全时代保护政策的情绪动态
- 批准号:
10108433 - 财政年份:2024
- 资助金额:
$ 62.97万 - 项目类别:
EU-Funded
The role of dietary and blood proteins in the prevention and development of major age-related diseases
膳食和血液蛋白在预防和发展主要与年龄相关的疾病中的作用
- 批准号:
MR/X032809/1 - 财政年份:2024
- 资助金额:
$ 62.97万 - 项目类别:
Fellowship
Atomic Anxiety in the New Nuclear Age: How Can Arms Control and Disarmament Reduce the Risk of Nuclear War?
新核时代的原子焦虑:军控与裁军如何降低核战争风险?
- 批准号:
MR/X034690/1 - 财政年份:2024
- 资助金额:
$ 62.97万 - 项目类别:
Fellowship
Collaborative Research: Resolving the LGM ventilation age conundrum: New radiocarbon records from high sedimentation rate sites in the deep western Pacific
合作研究:解决LGM通风年龄难题:西太平洋深部高沉降率地点的新放射性碳记录
- 批准号:
2341426 - 财政年份:2024
- 资助金额:
$ 62.97万 - 项目类别:
Continuing Grant
Collaborative Research: Resolving the LGM ventilation age conundrum: New radiocarbon records from high sedimentation rate sites in the deep western Pacific
合作研究:解决LGM通风年龄难题:西太平洋深部高沉降率地点的新放射性碳记录
- 批准号:
2341424 - 财政年份:2024
- 资助金额:
$ 62.97万 - 项目类别:
Continuing Grant
Doctoral Dissertation Research: Effects of age of acquisition in emerging sign languages
博士论文研究:新兴手语习得年龄的影响
- 批准号:
2335955 - 财政年份:2024
- 资助金额:
$ 62.97万 - 项目类别:
Standard Grant
The economics of (mis)information in the age of social media
社交媒体时代(错误)信息的经济学
- 批准号:
DP240103257 - 财政年份:2024
- 资助金额:
$ 62.97万 - 项目类别:
Discovery Projects
How age & sex impact the transcriptional control of mammalian muscle growth
你多大
- 批准号:
DP240100408 - 财政年份:2024
- 资助金额:
$ 62.97万 - 项目类别:
Discovery Projects
Supporting teachers and teaching in the age of Artificial Intelligence
支持人工智能时代的教师和教学
- 批准号:
DP240100111 - 财政年份:2024
- 资助金额:
$ 62.97万 - 项目类别:
Discovery Projects
Enhancing Wahkohtowin (Kinship beyond the immediate family) Community-based models of care to reach and support Indigenous and racialized women of reproductive age and pregnant women in Canada for the prevention of congenital syphilis
加强 Wahkohtowin(直系亲属以外的亲属关系)以社区为基础的护理模式,以接触和支持加拿大的土著和种族育龄妇女以及孕妇,预防先天梅毒
- 批准号:
502786 - 财政年份:2024
- 资助金额:
$ 62.97万 - 项目类别:
Directed Grant