Hopkins Center to Promote resilience in persons and families living with multiple chronic conditions (the PROMOTE Center)

霍普金斯促进患有多种慢性病的个人和家庭的复原力中心（PROMOTE 中心）

• 批准号: 10334705
• 负责人: HAE-RA HAN
• 金额: $ 22.93万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-22 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10334705
• 关键词: Adherence; Adult; Advocacy; Behavior; Behavioral; COVID-19; COVID-19 pandemic; Characteristics; Chronic; Cognitive; Communication; Communities; Complex; Conflict (Psychology); Country; Distal; Effectiveness; Elements; Employment; Face; Family; Family Caregiver; Financial Hardship; Fright; Future; Health; Health Services; Health Services Accessibility; Health behavior; Heart Diseases; Human; Individual; Infection; Instruction; Intervention; Interview; Job loss; Link; Mental Depression; Mental Health; Online Systems; Outcome; Persons; Process; Reporting; Resources; Risk; Role; SARS-CoV-2 infection; Safety; Sampling; School Nursing; Secure; Self-Direction; Services; Social Change; Social Work; Social isolation; Social support; Source; Stress; Surveys; Telephone; Time; Trauma; Uncertainty; Wages; Woman; acceptability and feasibility; chronic pain; design; digital; digital intervention; effectiveness trial; ethnic minority population; evidence base; experience; health care availability; health economics; housing instability; implementation process; improved; innovation; multiple chronic conditions; physical conditioning; programs; racial minority; ranpirnase; recruit; resilience; skills; social; socioeconomic disadvantage; stressor

Project Summary Racial and ethnic minority and socioeconomically disadvantaged women (hereafter vulnerable women) are at great risk of Covid-19 infection in their roles as family caregivers and low-wage, essential workers. Further, they face an increased risk of poor health outcomes associated with infection given the disproportionate burden of multiple chronic conditions (e.g., heart disease, depression, chronic pain) and limited access to health care and supportive services. This supplement’s (NOT-AT-20-010) purpose is to strengthen the resilience of vulnerable women living with multiple chronic conditions in the context of Covid-19. Resilience is the process of adapting well in the face of adversity, trauma, tragedy or significant sources of stress such as living with multiple chronic conditions, limited financial resources, isolation from supportive people and health services and relationship conflict. To strengthen resilience, our team will modify and integrate two well- established, evidence based digital interventions. The myPlan web-based app platform is a free, confidential and secure platform that is available nationally and has reached 50,000 users. Women use the app to assess their health and safety priorities and design tailored health and safety plans that links via chat/phone directly to community programs. We will leverage the myPlan platform to integrate content (videos with expert instructions) from the evidence-based Common Elements Treatment Approach (CETA). CETA is an effective transdiagnostic behavioral change approach that builds individual skills (e.g., cognitive reframing, communication, behavioral activation, adherence to health program) to improve self-directed management of multiple chronic conditions. We will modify and integrate CETA skills building videos with expert instructions into the myPlan web-based platform (myPlan +CETA) using human centered design with end users and then examine the feasibility and acceptability of the integrated digital intervention to reach and engage vulnerable women living with multiple chronic conditions in this time of crisis. The feasibility and acceptability of the intervention will be examined with adult vulnerable women using secure on-line surveys to examine changes in proximal outcomes (e.g. adherence to health program, resilience, behavioral activation, safety behaviors) and distal outcomes (e.g., physical and mental health functioning) over 6 months.

项目摘要 种族和族裔少数以及社会经济弱势妇女（以下简称弱势妇女）在 作为家庭照顾者和低工资的基本工作者，她们面临感染新冠肺炎的巨大风险。此外，本发明还 他们面临与感染相关的不良健康结果的风险增加， 多种慢性病的负担（例如，心脏病，抑郁症，慢性疼痛）和有限的机会， 保健和支助服务。本补充材料（NOT-AT-20-010）的目的是加强 在2019冠状病毒病背景下，患有多种慢性病的弱势妇女的复原力。复原力是 在面对逆境、创伤、悲剧或重大压力来源时， 患有多种慢性病，财务资源有限，与支持的人隔离，健康状况不佳 服务和关系的冲突。为了加强韧性，我们的团队将修改和整合两个很好- 建立基于证据的数字干预措施。myPlan基于网络的应用程序平台是一个免费的，保密的 这是一个安全的平台，在全国范围内提供，并已达到50 000名用户。女性使用该应用程序评估 他们的健康和安全优先事项，并设计定制的健康和安全计划，通过聊天/电话直接链接到 社区方案。我们将利用myPlan平台整合内容（视频和专家 循证医学的共同要素治疗方法（CETA）。CETA是一种有效的 建立个人技能的transdiagnosis行为改变方法（例如，认知重构， 沟通，行为激活，坚持健康计划），以改善自我导向的管理 多种慢性疾病我们将修改和整合CETA技能建设视频与专家的指示 使用以人为本的设计，将最终用户纳入myPlan基于网络的平台（myPlan +CETA），然后 研究综合数字干预的可行性和可接受性，以接触和吸引弱势群体 在这个危机时刻，患有多种慢性病的妇女。的可行性和可接受性 将利用安全的在线调查，对成年弱势妇女进行干预， 近端结果（例如，遵守健康计划、恢复力、行为激活、安全行为），以及 远端结果（例如，身体和心理健康功能）超过6个月。