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

摘要（30行） 黑人男性由于高度暴露于社会、环境和经济环境中而承受着不成比例的压力。 健康的决定因素。因此，黑人每天都面临着巨大的压力。作为回应，一些黑人 为科普长期失业、经济不安全、 和种族歧视。这项I期研究的目的是测试远距离治疗方法的可行性， SUD在20个黑人/非洲裔美国人在三个月的时间。使用基于云的移动的 通过网络桌面和“智能”移动的电话提供健康平台。该研究强调文化上的知情 适当的内容，旨在解决黑人男子与SUD的特殊需求。治疗方法的指导原则是 一个临床框架，增强治疗师参与种族，民族， 文化和性别作为治疗过程的组成部分。目的是：（1）培训和评估治疗师使用 与黑人男性的行为模式的连续体;（2）适应行为模式的连续体 用于SUD黑人男性的在线平台;（3）实施受试者内重复测量设计， 评估拉削行为连续体模型对SUD和抑郁相关症状变化的影响 和焦虑的症状第一阶段可行性研究为后续的第二阶段定位了Hurdle 受试者间临床试验。总之，该研究计划的第一阶段和第二阶段将提供一个数字媒介， 治疗方法，采用文化知情的远程治疗，以促进积极的应对策略，增加客户 满意度，并减少SUD黑人男性的过早终止。

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.