Hurdle Health: Culturally Intentional Teletherapy to Address SUD and Co-Occurring Symptoms Amongst Black Men.

摘要(30行) 黑人男性由于在社会、环境和经济方面的高暴露而承受着不成比例的压力 健康的决定因素。因此，黑人男性每天都面临着巨大的压力。作为回应，一些黑人男子转而 使用物质来应对长期失业、经济不安全感、 和种族歧视。这项第一阶段研究的目的是测试远程治疗方法的可行性。 在三个月的时间里，对20名黑人和非洲裔美国人进行了调查。使用基于云的移动设备提供治疗 通过网络桌面和智能手机提供健康平台。这项研究强调文化知识 适当的内容设计，以满足患有SUD的黑人男性的特殊需求。治疗方法的指导原则是 提出行为的连续体，一个临床框架，提高治疗师参与种族，民族， 文化和性别作为治疗过程的组成部分。其目的是：(1)培训和评估治疗师在使用 黑人男性拉削行为模型的连续体；(2)适应拉削行为模型的连续体 用于患有SUD的黑人男性在线平台；(3)实施受试者内重复测量设计，以 评估连续体拉扯行为模式对抑郁相关症状的影响 在三个月的时间里，对20名黑人男性进行了调查。此第一阶段可行性研究为后续第二阶段设置障碍 受试者间临床试验。总而言之，该研究计划的第一和第二阶段将提供以数字为媒介的 采用文化信息远程治疗的治疗方法，以促进积极的应对策略，增加客户 满意度，并减少患有SUD的黑人男性的早产。

Abstract (30 lines) Black men experience a disproportionate amount of stress from high exposure to social, environmental, and economic determinants of health. As a result, Black men face tremendous stress on a daily basis. In response, some Black men turn to substance use to cope with the psychological pain and emotional distress of chronic unemployment, financial insecurity, and racial discrimination. The purpose of this Phase I study is to test the feasibility of a teletherapy approach to treating SUD in 20 Black/African American men over a three-month period. Treatment is delivered using a cloud-based mobile health platform available via web desktop and “smart” mobile phones. The study emphasizes culturally informed appropriate content designed to address the particular needs of Black men with SUD. The treatment approach is guided by the Continuum of Broaching Behavior, a clinical framework that enhances therapists’ ability to engage race, ethnicity, culture, and gender as integral parts of the treatment process. The aims are to: (1) Train and assess therapists in the use of the Continuum of Broaching Behavior Model with Black men; (2) Adapt the Continuum of Broaching Behavior Model for use in an online platform for Black men with SUD; (3) Implement a within-subjects, repeated-measures design to assess the impact of the Continuum of Broaching Behavior Model on change in SUD and related symptoms of depression and anxiety in 20 Black men over three months. This Phase I feasibility study positions Hurdle for a subsequent Phase II between-subjects clinical trial. Together, Phases I and II of this research program will deliver a digitally-mediated treatment approach that employs culturally informed teletherapy to promote positive coping strategies, increase client satisfaction, and reduce premature termination in Black men with SUD.