A Behavioral Intervention to Reduce Psychological Distress Symptoms among Black Gender Minority Women Experiencing Chronic Stigma

减少遭受慢性耻辱的黑人少数族裔女性心理困扰症状的行为干预

• 批准号: 10351630
• 负责人: Athena D. F. Sherman
• 金额: $ 16.23万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-01-10 至 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10351630
• 关键词: Address; Adherence; Applications Grants; Applied Research; Behavior Therapy; Behavioral; Birth; Black race; Cardiovascular Diseases; Caring; Chronic; Clinical Research; Collaborations; Communities; Complex; Coping Skills; Discrimination; Emotional; Ensure; Evaluation; Evidence based intervention; Face; Feedback; Feeling; Feminine; Focus Groups; Fright; Gender; General Population; Goals; HIV; Health; Health Insurance; Health Personnel; Health behavior; Healthcare; Individual; Inflammation; Infrastructure; Institutional Racism; Instruction; Intervention; Interview; Investigation; Major Depressive Disorder; Manuscripts; Medical; Mental Health; Mentorship; Metabolic Diseases; Methods; Modeling; Murder; Outcome; Participant; Pathway interactions; Personal Satisfaction; Persons; Physiological; Play; Policies; Population; Post-Traumatic Stress Disorders; Preparation; Prevalence; Public Health; Publishing; Quality of life; Race; Reporting; Research; Research Ethics; Research Training; Risk; Role; Safety; Self Determination; Series; Severities; Sexual and Gender Minorities; Social Functioning; Strategic Planning; Surveys; Symptoms; Testing; Therapeutic; Training; Training Programs; Trauma; Treatment Efficacy; United States; United States National Institutes of Health; Universities; Victimization; Vulnerable Populations; adaptive intervention; barrier to care; base; career; career development; cisgender; community engaged research; community-level factor; coping; depressive symptoms; disenfranchised population; experience; future implementation; gender minority; gender minority community; gender minority group; gender minority women; health care availability; health care settings; improved; informant; innovation; iterative design; male; member; minority stressor; novel; patient oriented research; peer; persistent symptom; post-traumatic symptoms; prevent; psychological distress; psychological symptom; psychosocial; racism; recruit; reduce symptoms; resilience; response; satisfaction; sex; social stigma; symposium; symptom management; symptom science; symptomatic improvement; therapy design; therapy development; transgender; uptake; virtual delivery; vulnerable community

A Behavioral Intervention to Reduce Psychological Distress Symptoms among Black Gender Minority Women Experiencing Chronic Stigma PROJECT SUMMARY: Black gender minority (GM) women in the United States face a nearly universal experience of chronic stigma (i.e., enacted, anticipated, and structural stigma), associated with a disproportionate prevalence of psychological distress symptoms compared to cisgender peers. Psychological distress symptoms, specifically post-traumatic stress (PTS) and depressive symptoms, can be highly debilitating and traditional pathways to care are impeded by widespread barriers to healthcare access and engagement for Black GM women. Such barriers include underprepared healthcare providers, lack of health insurance, medical mistrust, and high rates of discrimination and victimization within healthcare settings, which have been associated with increased PTS and depressive symptom severity among Black GM women. Conversely, coping and GM community connection have been shown to decrease psychological distress symptom severity among Black GM women. Thus, culturally informed community-based interventions are needed to offset the high burden of barriers to healthcare and address psychological distress symptoms among this population. The research objectives of this application are to first, develop a culturally informed community-based intervention with guidance from community members (via focus groups and theater testing; N=20) to reduce the effect of chronic stigma exposure on psychological distress symptoms (PTS and depressive symptoms) among Black GM women. Second, we will conduct a proof-of-concept trial (N=40) to determine the feasibility and preliminary efficacy of the resulting intervention. Findings will inform intervention optimization to improve symptom management for this group. The proposed study plays an essential role in developing and evaluating evidence- based interventions to improve psychological distress symptom management among Black GM women. To accomplish the proposed research, I propose a research and training program facilitating my transition to an independent, patient-oriented research career, specializing in symptom science and culturally appropriate interventions for symptom management that are easily implemented in real-world settings. Research and training aims will be accomplished through close interdisciplinary mentorship and carefully selected didactic activities, conference attendance, applied research experiences, and manuscript and grant proposal preparation (i.e., R- series). Additionally, I will achieve these goals by obtaining clinical and research training in intervention design, implementation, and evaluation; psychological distress treatment among GM people; and research ethics and management specific to engaging vulnerable populations. The training plan leverages the well-supported infrastructure at Emory University, as well as national and institutional opportunities to ensure didactic, experiential, and specialized individual instruction. 1

行为干预减轻黑人少数性别心理困扰症状