Mental Health Literacy Among Korean American Elders

韩裔美国老年人的心理健康素养

• 批准号: 7471053
• 负责人: YURI JANG
• 金额: $ 16.52万
• 依托单位: UNIVERSITY OF SOUTH FLORIDA
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-03-01 至 2010-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7471053
• 关键词: Acculturation; Address; Adopted; Aging; American; Americas; Asian Americans; Attention; Attitude; Belief; Characteristics; Communities; Community Mental Health Services; Condition; Control Groups; Data; Data Collection; Depth; Development; Early Diagnosis; Education; Educational Intervention; Effectiveness; Elderly; Family member; Focus Groups; Funding; General Population; Goals; Happiness; Health; Health Professional; Health Services; Health Status; Healthcare; Immigrant; Individual; Information Networks; Institute of Medicine (U.S.); Institutes; Intervention; Investigation; Knowledge; Korean American; Koreans; Language; Linguistics; Link; Measures; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Methodology; Minority; Minority Groups; Pamphlets; Patient Self-Report; Phase; Play; Population; Prevalence; Preventive; Protocols documentation; Psyche structure; Public Health; Questionnaires; Randomized; Rate; Religion and Spirituality; Reporting; Research; Research Design; Role; Running; Series; Services; Socioeconomic Status; Standards of Weights and Measures; Stigmatization; Structure; Surveys; Target Populations; Testing; Training; Translational Research; Twin Multiple Birth; United States; United States Dept. of Health and Human Services; Writing; base; design; ethnic minority population; evaluation/testing; experience; health care service utilization; health disparity; health literacy; help-seeking behavior; improved; intervention program; model development; peer; programs; research study; response; service utilization; size; sobriety; statistics; willingness

DESCRIPTION (provided by applicant): The proposed study is written in response to the heightened need for research designed to help reduce mental health disparities. The investigation focuses on one of the fastest growing but understudied and underserved ethnic minority groups: Korean American elders. Building upon our previous findings that Korean American older adults have high levels of mental health problems yet underutilize mental health services, the proposed study conceptualizes low mental health literacy as a major reason for service underutilization and a central focus of intervention efforts. The overall goals are to better understand the levels of mental health literacy manifest in the target population and to develop/test an educational intervention. The proposed study includes three phases: (1) data collection with a mixed methodology including a survey and focus groups; (2) development of an educational intervention program, and (3) pilot testing and evaluation. Survey data drawing on structured questionnaires will be used to assess the level of mental health literacy and to determine facilitators and barriers of mental health literacy. In order to provide a more in-depth assessment of mental health literacy, data from focus groups will also be used. The latter discussions will be conducted with Korean American older adults, their family members, health care professionals, and religious leaders. Various mental health issues and ways to promote community mental health and service utilization will serve as focal points for diverse perspectives. Findings from the survey data and focus groups will guide the development of a culturally appropriate and acceptable educational intervention program. An educational brochure in Korean will be written with the twin goals of increasing mental health literacy and making positive changes in attitudes toward mental disorders and service utilization. We will also adopt a peer-led education strategy where lay peer leaders are trained to deliver an educational session. The session includes not only the brochure but also peer-education and group discussion. The peer-based approach allows greater sensitivity to the unique characteristics of ethnic minority communities, where informal leaders play a significant role. During the third and final phase, an experiment with three randomized conditions (control, general brochure, and peer-led education) will be conducted to explore the effectiveness of the educational brochure and peer-led education strategy. We hypothesize that 1) those in the treatment groups (general brochure and peer-led education) would show increased knowledge of depression and positive changes in attitudes toward mental illness and service use compared to those in the control group, and 2) peer-led education would be more effective than the brochure-only approach. Pilot testing and evaluation will serve as an important means to assess effect size of intervention and feasibility of the program for implementation in a subsequent project. We also hope to use our findings to develop a protocol for application to other ethnic minority groups. Public Health Relevance: Building upon previous findings that Korean American older adults have high levels of mental health problems yet underutilize mental health services, the proposed study conceptualizes low mental health literacy as a major reason for service underutilization and a central focus of intervention efforts. The overall goals of the study are (1) to better understand the levels of mental health literacy manifest in the target population and (2) to develop/test an educational intervention.

描述（由申请人提供）：拟议的研究是为了响应旨在帮助减少心理健康差异的研究的高度需求而编写的。调查的重点是增长最快但研究不足和服务不足的少数民族群体之一：韩裔美国老人。基于我们以前的研究结果，韩裔美国老年人有很高的心理健康问题，但未充分利用心理健康服务，拟议的研究概念化低心理健康素养的服务利用不足的主要原因和干预工作的中心焦点。总体目标是更好地了解目标人群的心理健康素养水平，并制定/测试教育干预措施。本研究分为三个阶段：（1）采用调查和焦点小组等混合方法收集数据;（2）制定教育干预计划;（3）试点测试和评估。结构化问卷的调查数据将用于评估心理健康素养的水平，并确定心理健康素养的促进因素和障碍。为了更深入地评估心理健康知识普及情况，还将使用来自重点群体的数据。后者将与韩裔美国老年人、他们的家人、医疗保健专业人员和宗教领袖进行讨论。各种精神健康问题和促进社区精神健康和服务利用的方法将成为不同观点的焦点。调查数据和焦点小组的结果将指导制定文化上适当和可接受的教育干预计划。将编写一本韩语教育小册子，其双重目标是提高心理健康知识，积极改变对精神障碍和服务利用的态度。我们还将采取一项同伴领导的教育战略，培训非专业的同伴领导人，以提供教育课程。该会议不仅包括小册子，还包括同伴教育和小组讨论。基于同侪的办法使人们能够更敏感地认识到少数族裔社区的独特性，非正式领导人在其中发挥着重要作用。在第三阶段和最后一个阶段，将进行三个随机条件（对照，一般小册子，同伴主导的教育）的实验，以探讨教育小册子和同伴主导的教育策略的有效性。我们假设：1）与对照组相比，治疗组（普通小册子和同伴教育）的患者对抑郁症的知识有所增加，对精神疾病和服务使用的态度发生了积极的变化，2）同伴教育比单纯的小册子更有效。试点测试和评估将作为评估干预效果大小和后续项目实施方案可行性的重要手段。我们还希望利用我们的研究结果来制定适用于其他少数民族群体的协议。 公共卫生相关性：基于先前的研究结果，韩裔美国老年人有很高的心理健康问题，但未充分利用心理健康服务，拟议的研究概念化低心理健康素养的服务利用不足的主要原因和干预工作的中心焦点。研究的总体目标是：（1）更好地了解目标人群的心理健康素养水平;（2）开发/测试教育干预措施。