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

Quédate Tranquila：针对西班牙裔女性的基于网络的移动压力管理干预措施

• 批准号: 10384360
• 负责人: DEBRA RIOS
• 金额: $ 25.57万
• 依托单位: ISA ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-18 至 2022-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10384360
• 关键词: Address; Adult; Affective; Area; Behavioral; Cardiovascular Diseases; Cellular Phone; Clinic; Clinical Services; Cognitive; Communities; Community Actions; Comprehension; Data; Development; Diabetes Mellitus; Dimensions; Discrimination; Ethnic Origin; Exposure to; Face; Familiarity; Female; Focus Groups; Fostering; Gender; Glycosylated hemoglobin A; Goals; Health; Healthcare; Hispanics; Internet; Intervention; Latina; Latino; Latinx; Learning; Life Experience; Link; Major Depressive Disorder; Mental Depression; Mental Health; Mental Health Services; Minority Groups; Modeling; Motivation; Online Systems; Outcome; Participant; Phase; Physiological; Population; Price; Privacy; Race; Reporting; Risk; Risk Factors; Role; Security; Series; Services; Shapes; Social Identification; Social support; Socioeconomic Status; Source; South Texas; Stress; Testing; Text Messaging; Training; Woman; alcohol use disorder; base; behavioral health; biological adaptation to stress; coping; coping mechanism; cost effective; cultural values; design; diabetes risk; digital; experience; fasting glucose; handheld mobile device; health care quality; health care service; mHealth; male; mindfulness meditation; mobile computing; perceived stress; physical conditioning; preference; prevent; programs; prototype; psychological outcomes; recruit; response; satisfaction; service providers; skills; stress management; stressor; success; theories; therapy design; tool; uptake; usability

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.

项目摘要/摘要 三分之一的拉丁裔人报告说他们有极大的压力，更有可能说他们的压力 在过去一年里有所增加。拉美裔美国人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。压力和负面健康后果的比率很高 拉丁裔可能是他们遇到的独特的压力因素(即适应文化和歧视)的结果， 并不是普通美国人所经历的。事实上，适应文化的压力和歧视一直 与不良的健康结果有关。此外，拉美裔人感受到更大的压力和负面情绪 心理结果与他们的男性对手进行比较。因为西班牙裔女性有多个社会团体 与不同形式的系统相互作用的身份(如种族/族裔、性别、社会经济地位) 压迫，这会导致更高水平的整体和文化压力。明确定义的基于性别的角色有 这是拉丁裔文化不可或缺的一部分，并对适应文化和与歧视有关的压力都有贡献。 认知行为压力管理干预(CBSMi)和正念冥想训练 在减轻拉美裔美国人的压力方面取得了成功。然而，拉美裔美国人缺乏获得高质量的机会 医疗保健(包括精神健康服务)和文化价值观使他们无法寻求 满足他们的心理健康需求。一种新兴的可获得且经济高效的解决方案是mHealth，然而，还有 缺乏专门为解决拉美裔女性压力源而开发的mHealth解决方案 脸。因此，我们的目标是开发QuéDate Tranquila，一种为西班牙裔女性提供的移动CBSMi(m-CBSMi)。 Quédate Tranquila将利用理论(压力的交易模型)来减少情感、行为和 拉丁裔人对压力的生理反应及其下游健康后果。M-CBSMi将 旨在通过整合视频证明、移动工具来促进和支持对压力的健康应对 提供额外的社交支持，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ISA招募这两家医疗服务机构 提供者和最终用户(拉丁语)。将为焦点小组招募八名医疗服务提供者 讨论以帮助形成拟议的干预措施。同样，32名西班牙裔妇女将被招募到 发展前焦点小组讨论。当QuéDate Tranquila原型完成时，同样的32 目标终端用户将返回进行包括可用性测试在内的试点测试。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，参与者将回顾并评分(使用5- 点数)对原型的12个维度的内容满意度和干预功能。

项目成果

Involvement of A5/A7 noradrenergic neurons and B2 serotonergic neurons in nociceptive processing: a fiber photometry study.

• DOI: 10.4103/1673-5374.322465
• 发表时间: 2022-04
• 期刊: Neural regeneration research
• 影响因子: 6.1
• 作者: Moriya S;Yamashita A;Masukawa D;Sakaguchi J;Ikoma Y;Sameshima Y;Kambe Y;Yamanaka A;Kuwaki T
• 通讯作者: Kuwaki T