The Role of Protective Factors on Outcomes for Latinos with Schizophrenia

保护因素对拉丁裔精神分裂症患者预后的作用

• 批准号: 8600587
• 负责人: Mercedes Hernandez
• 金额: $ 4万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-12 至 2014-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8600587
• 关键词: Address; Belief; Clinical; Conceptions; Data; Development; Effectiveness; Effectiveness of Interventions; Ethnic group; Evidence based practice; Evidence based treatment; Family; Family member; Foundations; Funding; Goals; Individual; Influentials; Intervention; Knowledge; Latino; Mediation; Mental Health; Mental disorders; Mentally Ill Persons; Methods; Minority Groups; Modality; Modeling; National Institute of Mental Health; Outcome; Outcome Measure; Parents; Participant; Perception; Personal Satisfaction; Phase; Play; Population; Process; Quality of life; Randomized; Recovery; Relapse; Research; Resources; Role; Schizophrenia; Strategic Planning; Symptoms; Time; Treatment outcome; Use Effectiveness; Work; base; cohesion; design; experience; functional outcomes; illness perceptions; improved; intervention effect; preference; protective effect; psychoeducation; psychoeducational intervention; public health relevance; service utilization; socioeconomics; success; therapy development; treatment as usual; treatment effect

DESCRIPTION (provided by applicant): Family psychoeducation interventions have demonstrated significant clinical and functional outcomes among consumers with schizophrenia and their family members. In particular, interventions that incorporate protective factors with low acculturated Latinos have been found to benefit this cultural group, suggesting that protective factors are influential in supporting treatment effects. Protective factors such as family level of hope are used by consumers and families to improve difficult experiences resulting from the illness. However, few studies have examined the role of protective factors in family psychoeducation interventions. Moreover, family psychoeducation studies tend to focus on relapse as a criterion for treatment success, thus obscuring other potential intervention benefits. Because culture plays an instrumental role in perceptions of wellness, it is important to examine consumer and family member perceptions of treatment outcomes. The proposed study seeks to address these gaps in knowledge by examining the positive influence of salient protective factors (family cohesion and adaptability, family warmth, family level of hope) on treatment outcomes for consumers (symptoms, quality of life) and key family members (burden, knowledge of the illness). The study will focus on the following aims: (1) examine the effects of protective factors on outcomes for consumers and families who participated in a culturally based family intervention compared to those who received treatment as usual; and (2) identify culturally specific perceptions of salient clinical and functional outcomes experienced by consumers and family members following completion of the intervention. To achieve these aims, this study will be informed by a cultural exchange framework and will utilize a sequential explanatory mixed-method design with secondary quantitative data (N = 64) from an NIMH-funded intervention development study of a culturally based family psychoeducation model for Latinos. Phase 1 will involve examining the effects of protective factors on consumer and family outcomes over time, followed by mediation analyses of the influence of protective factors on intervention outcomes (Aim 1). Findings will inform the second phase of the study, during which qualitative data from a subset of participants (20 consumers and 20 key family members) from the parent study will be collected and analyzed to explore culturally specific perceptions of wellness and how the intervention influenced perceptions of the illness, treatment, and service utilization (Aim 2). This study seeks to elucidate how culturally based psychoeducation interventions may enhance culturally salient protective factors and further support the use and effectiveness of this intervention for Latino consumers with schizophrenia and their families.

描述（由申请人提供）：家庭心理教育干预已经证明了显着的临床和功能的结果与精神分裂症及其家庭成员的消费者。特别是，干预措施，包括保护因素， 文化适应的拉丁美洲人已被发现有利于这个文化群体，这表明保护因素是有影响力的支持治疗效果。保护因素，如家庭水平 希望被消费者和家庭用来改善疾病造成的困难经历。然而，很少有研究探讨保护因素在家庭心理教育干预中的作用。此外，家庭心理教育研究往往侧重于复发作为治疗成功的标准，从而掩盖了其他潜在的干预措施的好处。 由于文化在健康观念中起着重要作用，因此检查消费者和家庭成员对治疗结果的看法非常重要。拟议的研究旨在通过检查显着的保护因素（家庭凝聚力和适应性，家庭温暖，家庭希望水平）对消费者（症状，生活质量）和关键家庭成员（负担，疾病知识）的治疗结果的积极影响来解决这些知识差距。该研究将侧重于以下目标：（1）检查保护因素对参与基于文化的家庭干预的消费者和家庭的结果的影响，与那些接受常规治疗的消费者和家庭进行比较;（2）确定消费者和家庭成员在完成干预后对显著临床和功能结果的特定文化感知。为了实现这些目标，本研究将通过文化交流框架，并将利用一个连续的解释性混合方法设计与二次定量数据（N = 64）从NIMH资助的干预发展研究的文化为基础的家庭心理教育模式为拉丁美洲人。第一阶段将涉及检查保护因素对消费者和家庭结果的影响，然后对保护因素对干预结果的影响进行调解分析（目标1）。调查结果将告知研究的第二阶段，在此期间，将收集和分析来自父母研究的参与者子集（20名消费者和20名关键家庭成员）的定性数据，以探索特定文化对健康的看法，以及干预措施如何影响对疾病，治疗和服务利用的看法（目标2）。本研究旨在阐明如何以文化为基础的心理教育干预措施，可以提高文化上突出的保护因素，并进一步支持使用和有效性，这种干预拉丁美洲消费者精神分裂症及其家庭。