Quédate Tranquila: A Mobile, Web-based Stress Management Intervention for Hispanic Women

项目总结/摘要 三分之一的拉丁裔报告说他们有极端的压力，更有可能说他们的压力 在过去的一年里增加。西班牙裔的压力与抑郁症的高发病率有关， 心血管疾病和糖尿病风险增加。高比例的压力和负面的健康结果， Latinx可能是独特的压力源的结果（即，文化适应和歧视）， 是美国普通民众没有经历过的。事实上，文化适应压力和歧视已经成为 与健康状况不佳有关。此外，拉丁美洲人感受到的压力和负面影响更大， 心理结果相比，他们的男性计数器。因为西班牙裔女性有多种社会 身份（例如，种族/民族、性别、社会经济地位），与不同形式的系统性 压迫，这导致更高水平的整体和文化压力。明确界定的基于性别的角色是 这是拉丁文化一个组成部分，并造成了与文化适应和歧视有关的压力。 认知行为压力管理干预（CBSMi）和正念冥想训练 在缓解拉美裔人的压力方面取得了成功。然而，西班牙裔缺乏获得质量 卫生保健（包括精神卫生服务）和文化价值观阻碍他们寻求服务， 满足他们的心理健康需求。一个新兴的可访问和具有成本效益的解决方案是mHealth，然而， 缺乏专门针对西班牙裔女性的压力源而开发的移动健康解决方案 脸上因此，我们的目标是开发Quédate Tranquila，这是一款面向西班牙裔女性的移动的CBSMi（m-CBSMi）。 Quédate Tranquila将利用理论（压力的transmittance模型）来减少情感，行为， 拉丁美洲人对压力的生理反应及其下游健康后果。m-CBSMi将 旨在通过整合视频推荐、移动的工具， 提供额外的社会支持，以及包含测验和活动的互动页面。 南得克萨斯州社区行动公司将协助伊萨招募两个医疗服务机构， 供应商和最终用户（拉丁美洲）。八个医疗服务提供者将被招募为焦点小组 讨论，以帮助形成拟议的干预。同样，32名西班牙裔妇女将被招募， 开发前焦点小组讨论。当Quédate Tranquila原型车完成后，同样的32辆 目标最终用户将返回进行试点测试，其中包括可用性测试。可用性测试将包括一系列 这些任务旨在突出拟议干预措施的不同特点。三个可用性指标将是 评估：效率、准确性和主观满意度。最后，参与者将审查和评级（使用五- 点规模）内容满意度和干预功能的原型在12个方面。

PROJECT SUMMARY/ABSTRACT One in three Latinx report having extreme levels of stress and are more likely to say their stress has increased in the past year. Stress in Hispanics has been linked to high rates of depression, higher cardiovascular disease, and increased diabetes risk. High rates of stress and negative health outcomes among Latinx may be the result of the unique stressors (i.e., acculturative and discrimination) they encounter, which are not experienced by the general U.S. population. Indeed, acculturative stress and discrimination have been linked to poor health outcomes. Moreover, Latinas experience greater perceived stress and negative psychological outcomes compared to their male counters. Because Hispanic women have multiple social identities (e.g., race/ethnicity, gender, socioeconomic status) that interact with different forms of systemic oppression, this leads to higher levels of overall and cultural stress. Clearly defined gender-based roles are integral to Latinx cultural and contribute to both acculturative and discrimination-related stress. Both Cognitive-behavioral stress management interventions (CBSMi) and mindfulness meditation training have demonstrated success in reducing stress among Hispanics. However, Hispanics lack access to quality health care (including mental health services) and cultural values prevent them from seeking out services to address their mental health needs. One emerging accessible and cost-effective solution is mHealth, yet, there is a dearth of mHealth solutions that are developed specifically to address the stressors that Hispanics females face. Therefore, we aim to develop Quédate Tranquila, a mobile CBSMi (m-CBSMi) for Hispanic women. Quédate Tranquila will utilize theory (Transactional Model of Stress) to reduce affective, behavioral, and physiological responses to stress and its downstream health consequences among Latinas. The m-CBSMi will aim to foster and support healthy coping responses to stress by incorporating video testimonials, mobile tools that provide additional social support, and interactive pages that incorporate quizzes and activities. Community Action Corporation of South Texas will assist ISA in the recruitment of both healthcare service providers and end-users (Latinas). Eight healthcare service providers will be recruited for a focus group discussion to help shape the proposed intervention. Similarly, 32 Hispanic women will be recruited for predevelopment focus group discussions. When the Quédate Tranquila prototype is completed, the same 32 target end-users will return for a pilot test that includes usability testing. The usability test will include a series of tasks intended to highlight the different features of the proposed intervention. Three usability metrics will be assessed: efficiency, accuracy, and subjective satisfaction. Lastly, participants will review and rate (using a five- point scale) content satisfaction and intervention functionality of the prototype across 12 dimensions.