Adaptation and Pilot of a Peer-Facilitated Self-Help Plus Stress Management Intervention for Breast Cancer Patients in Viet Nam

项目总结 我是纽约大学社会和行为科学系的助理研究科学家 全球公共卫生大学学院(NYU GPH)。我的职业目标是从事研究和实践， 改善全球边缘化人群的心理健康。我的学术培训包括应聘 数学(本科，‘05)、卫生政策与管理(公共卫生硕士，’08)、社区卫生科学(博士，‘14)和 全球心理健康(博士后奖学金，‘17和’20)。我还接受过混合方法和 基于社区的参与性研究。尽管我在评估心理健康方面有很强的分析能力 干预措施，我现在要发展技能，以支持实施心理健康干预措施， 与其他健康状况--特别是癌症--的治疗相结合。这一轴心将需要一个 其他一套知识和技能。因此，我在这个K01奖项的目标是获得量身定做的培训和 在四个关键领域的指导对成为一名独立的国际研究科学家至关重要，重点是 全球癌症控制和预防。我已经组建了一支经验丰富的国际多学科团队 致力于我职业发展的导师。指导委员会将由两人共同领导 实施科学和卫生服务研究杰出学者：唐娜·雪莱博士(纽约大学公共卫生学院) 和Minh Van Hoang博士(河内公共卫生大学[HUPH])。我的联合导师包括两位 全球心理健康研究和实践--Lawrence H.Yang博士(纽约大学公共卫生学院)和Wietse A.Tol博士(大学 和两位癌症控制和预防专家-奥菲拉·金斯伯格博士(纽约大学珀尔穆特大学 Hung Tran博士(河内医科大学，越南国家癌症研究所)。职业生涯 发展活动旨在利用纽约大学广泛的导师和活动，并促进 纽约大学和HUPH之间在我美国和美国之间交替居住期间的知识交流 越南。我的研究计划是适应并试行乳腺癌的增强型压力管理干预。 越南的病人。首先，我将进行定性研究，以评估可接受性和适当性 实施Self-Help Plus(SH)计划，提供额外的同伴支持，以帮助乳房 癌症患者会控制他们的痛苦。这一步的发现将有助于确定潜在的修改 需要的。第二，我将召集一个工作组，选择和实施适应化修改，包括增加 同行支持部分(P)。最后，我将试行调整后的、同行促进的SH P干预，以评估其 可行性。在成功完成培训和研究活动后，我将准备制定一个 R01关于测试适应干预措施在减少心理压力方面的实施情况和效果的建议 越南乳腺癌患者的痛苦。这些发现最终可以为证据的发展提供信息- 为许多中低收入的癌症患者提供基于文化适应的心理社会干预 以及美国的不同种族/民族。

PROJECT SUMMARY I am an Assistant Research Scientist in the Department of Social and Behavioral Sciences at the New York University School of Global Public Health (NYU GPH). My career goal is to engage in research and practice that improves the mental health of marginalized populations globally. My academic training included applied mathematics (BS, ’05), health policy and management (MPH, ’08), community health sciences (PhD, ’14), and global mental health (postdoctoral fellowships, ’17 and ’20). I have also received training in mixed-methods and community-based participatory research. Although I have strong analytical skills in evaluating mental health interventions, I would now like to develop skills to support the implementation of mental health interventions that are integrated with the treatment of other health conditions—particularly: cancer. This pivot will require an additional set of knowledge and skills. Accordingly, my goal in this K01 award is to obtain tailored training and mentorship in four key areas critical in becoming an independent international research scientist with a focus on global cancer control and prevention. I have assembled an experienced, international, multidisciplinary team of mentors who are committed to my career development. The mentoring committee will be co-led by two distinguished scholars in implementation science and health services research: Dr. Donna Shelley (NYU GPH) and Dr. Minh Van Hoang (Hanoi University of Public Health [HUPH]). My co-mentors include two experts in global mental health research and practice—Dr. Lawrence H. Yang (NYU GPH) and Dr. Wietse A. Tol (University of Copenhagen)—and two experts in cancer control and prevention—Dr. Ophira Ginsburg (NYU Perlmutter Cancer Center) and Dr. Huong Tran (Hanoi Medical University, Viet Nam National Cancer Institute). The career development activities are designed to leverage the wide range of mentors and activities at NYU and to facilitate the knowledge exchange between NYU and HUPH throughout my alternating residences between the U.S. and Viet Nam. My research plan is to adapt and pilot an enhanced stress management intervention for breast cancer patients in Viet Nam. First, I will conduct qualitative research to assess the acceptability and appropriateness of implementing the Self-Help Plus (SH+) program, with an additional peer support component, to help breast cancer patients manage their distress. The findings from this step will help identify the potential modifications needed. Second, I will convene a working group to select and implement the adaptations, including the additional Peer support component (P). Finally, I will pilot the adapted, peer-facilitated SH+P intervention to evaluate its feasibility. Upon successful completion of the training and research activities, I will be prepared to develop an R01 proposal to test the implementation and effectiveness of the adapted intervention in reducing psychological distress among breast cancer patients in Viet Nam. Findings can ultimately inform the development of evidence- based, culturally-adapted psychosocial interventions for cancer patients in many low- and middle-income countries as well as for different racial/ethnic groups in the U.S.