Addressing Social Determinants to Reduce Refugee Mental Health Disparities
解决社会决定因素以减少难民心理健康差异
基本信息
- 批准号:8719694
- 负责人:
- 金额:$ 38.43万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2013
- 资助国家:美国
- 起止时间:2013-07-12 至 2018-02-28
- 项目状态:已结题
- 来源:
- 关键词:AddressAdultAdvocacyAdvocateAffectAfricanAgreementAreaCaringClinicalCommunitiesControl GroupsDataDisadvantagedDiscriminationDistressEconomicsEducationEffectivenessEffectiveness of InterventionsElementsEmploymentEnrollmentExposure toGoalsHealthHealth Services AccessibilityHousingImmigrantInterventionInterviewKnowledgeLearningLegalLow incomeMediatingMental DepressionMental HealthMental Health ServicesMethodsMinorityModelingParticipantPathway interactionsPersonal SatisfactionPharmaceutical PreparationsPhysical environmentPopulationPost-Traumatic Stress DisordersPovertyPsyche structurePublic HealthQuality of lifeRandomizedRandomized Controlled TrialsRefugeesResearchResourcesRoleServicesSocial EnvironmentSocial isolationSocial supportStressSymptomsTestingTimeTraumaTrustUnited StatesUniversitiesWorkbaseclinically significantcollegecostcost effectivedepressive symptomsdesigndosageempowermentevidence baseexperiencehealth disparityimprovedinnovationmigrationpsychoeducationpsychological distressresponsesocialsocial health determinantssocial stigmasocioeconomicsstressortherapy outcomeundergraduate studentuniversal prevention
项目摘要
DESCRIPTION (provided by applicant): The goal of this study is to test an ecological/empowerment approach to reducing mental health disparities among socioeconomically disadvantaged Central African and Iraqi refugee adults by examining the effectiveness of a community-based advocacy, learning, and social support intervention (Refugee Well-being Project, RWP) that addresses social determinants of mental health and incorporates an evidence-based trauma treatment (Narrative Exposure Therapy, NET) for refugees with PTSD. The waitlist randomized controlled trial with 180 African and Iraqi refugee adults is innovative and significant because it will rigorously test the effectiveness of addressin social determinants of mental health (poverty, social and physical environments, access to services, marginalization) to reduce mental health disparities, as well as examine the impact of a community-based, mutual learning intervention on improving engagement and retention in evidence-based trauma-focused treatment for those who need it. The RWP intervention emphasizes a sustainable and replicable partnership model between refugee resettlement agencies and universities/colleges that involves refugee adults and undergraduate advocates working together to: a) increase refugees' abilities to navigate their new communities; b) improve refugees' access to community resources; c) enhance meaningful social roles by valuing refugees' culture, experiences, and knowledge; d) reduce refugees' social isolation; and e) increase communities' responsiveness to refugees. The RWP intervention is administered by university undergraduate students enrolled in a service learning course, and has two elements: 1) Learning Circles, which involve cultural exchange and one-on-one learning opportunities, and; 2) Advocacy, which involves collaborative efforts to mobilize community resources related to health, housing, employment, education, and legal issues. Pilot testing of RWP demonstrated feasibility, appropriateness, acceptability, and preliminary evidence that the intervention decreased Hmong, Central African, and Iraqi participants' psychological distress and increased protective factors. A mixed methods strategy with data collected from each participant at four time points over a period of 14 months will be used to test the effectiveness of the 6- month intervention to reduce psychological distress (PTSD, depression, and culturally-specific distress), increase protective factors (access to resources, English proficiency, environmental mastery, mental health service use, and social support), and engage and retain refugee adults with PTSD in an evidence-based trauma treatment (NET). Mechanisms of intervention effectiveness will be explored by testing mediating relationships between protective factors and psychological distress. Qualitative components of interviews with refugee participants and paired qualitative interviews with refugees and undergraduates will explore participants' experiences in the intervention, inform interpretation of quantitative data, and investigate unexpected impacts.
描述(申请人提供):本研究的目标是通过检查基于社区的宣传、学习和社会支持干预的有效性,测试一种生态/赋权方法,以减少社会经济弱势的中非和伊拉克难民成年人的心理健康差异(难民福利项目),解决心理健康的社会决定因素,并纳入循证创伤治疗(叙事暴露疗法,NET)为难民与创伤后应激障碍。这项有180名非洲和伊拉克难民成年人参加的等待名单随机对照试验具有创新性和重要意义,因为它将严格测试解决心理健康社会决定因素的有效性(贫困、社会和物质环境、获得服务的机会、边缘化),以减少心理健康方面的差距,并审查以社区为基础,相互学习干预措施,以改善对有需要者的循证创伤治疗的参与和保留。由难民成年人和大学生倡导者共同努力的学院,以:a)提高难民在新社区中的能力; B)改善难民获得社区资源的机会; c)通过重视难民的文化、经验和知识,加强有意义的社会作用; d)减少难民的社会孤立;(e)加强社区对难民的反应。RWP干预措施由参加服务学习课程的大学本科生管理,有两个要素:1)学习圈,涉及文化交流和一对一的学习机会; 2)宣传,涉及协同努力,调动与卫生、住房、就业、教育和法律的问题有关的社区资源。RWP的试点测试证明了可行性,适当性,可接受性和初步证据表明,干预减少苗族,中非和伊拉克参与者的心理困扰,并增加了保护因素。将采用混合方法策略,在14个月期间的4个时间点收集每位参与者的数据,以测试6个月干预措施减少心理困扰的有效性(创伤后应激障碍,抑郁症和文化特有的痛苦),增加保护因素(获得资源、英语水平、环境掌握、心理健康服务使用和社会支持),参与并留住患有创伤后应激障碍的难民成年人进行循证创伤治疗(NET)。干预有效性的机制将通过测试保护因素和心理困扰之间的中介关系进行探索。与难民参与者的访谈以及与难民和大学生的配对定性访谈的定性组成部分将探讨参与者在干预中的经历,为定量数据的解释提供信息,并调查意外的影响。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
JESSICA R GOODKIND其他文献
JESSICA R GOODKIND的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('JESSICA R GOODKIND', 18)}}的其他基金
Multilevel Community-Based Mental Health Intervention to Address Structural Inequities and Adverse Disparate Consequences of COVID-19 Pandemic on Latinx Immigrants and African Refugees
基于社区的多层次心理健康干预措施,以解决结构性不平等以及 COVID-19 疫情对拉丁裔移民和非洲难民造成的不同不利后果
- 批准号:
10674390 - 财政年份:2021
- 资助金额:
$ 38.43万 - 项目类别:
Enhancing Inclusive Mentorship: Valuing Diversity and Ensuring Accessibility and Belonging for Newcomers and Children of Newcomers to Become Health Equity Researchers
加强包容性指导:重视多样性,确保新移民和新移民子女成为健康公平研究人员的可及性和归属感
- 批准号:
10791514 - 财政年份:2021
- 资助金额:
$ 38.43万 - 项目类别:
Gendered Pandemic-Related Disparities in Latinx Immigrant Mental Health: Understanding the Social Context of Caregiving Roles, Social Support, and Access to Resources
拉丁裔移民心理健康中与流行病相关的性别差异:了解护理角色、社会支持和资源获取的社会背景
- 批准号:
10599005 - 财政年份:2021
- 资助金额:
$ 38.43万 - 项目类别:
Multilevel Community-Based Mental Health Intervention to Address Structural Inequities and Adverse Disparate Consequences of COVID-19 Pandemic on Latinx Immigrants and African Refugees
基于社区的多层次心理健康干预措施,以解决结构性不平等以及 COVID-19 疫情对拉丁裔移民和非洲难民造成的不同不利后果
- 批准号:
10308209 - 财政年份:2021
- 资助金额:
$ 38.43万 - 项目类别:
Multilevel Community-Based Mental Health Intervention to Address Structural Inequities and Adverse Disparate Consequences of COVID-19 Pandemic on Latinx Immigrants and African Refugees
基于社区的多层次心理健康干预措施,以解决结构性不平等以及 COVID-19 疫情对拉丁裔移民和非洲难民造成的不同不利后果
- 批准号:
10904472 - 财政年份:2021
- 资助金额:
$ 38.43万 - 项目类别:
Multilevel Community-Based Mental Health Intervention to Address Structural Inequities and Adverse Disparate Consequences of COVID-19 Pandemic on Latinx Immigrants and African Refugees
基于社区的多层次心理健康干预措施,以解决结构性不平等以及 COVID-19 疫情对拉丁裔移民和非洲难民造成的不同不利后果
- 批准号:
10676776 - 财政年份:2021
- 资助金额:
$ 38.43万 - 项目类别:
Multilevel Community-Based Mental Health Intervention to Address Structural Inequities and Adverse Disparate Consequences of COVID-19 Pandemic on Latinx Immigrants and African Refugees - Supplement
基于社区的多层次心理健康干预措施,以解决结构性不平等和 COVID-19 大流行对拉丁裔移民和非洲难民造成的不同不利后果 - 补充材料
- 批准号:
10815445 - 财政年份:2021
- 资助金额:
$ 38.43万 - 项目类别:
Multilevel Community-Based Mental Health Intervention to Address Structural Inequities and Adverse Disparate Consequences of COVID-19 Pandemic on Latinx Immigrants and African Refugees
基于社区的多层次心理健康干预措施,以解决结构性不平等以及 COVID-19 疫情对拉丁裔移民和非洲难民造成的不同不利后果
- 批准号:
10470344 - 财政年份:2021
- 资助金额:
$ 38.43万 - 项目类别:
Addressing Social Determinants to Reduce Refugee Mental Health Disparities
解决社会决定因素以减少难民心理健康差异
- 批准号:
8822737 - 财政年份:2013
- 资助金额:
$ 38.43万 - 项目类别:
Addressing Social Determinants to Reduce Refugee Mental Health Disparities
解决社会决定因素以减少难民心理健康差异
- 批准号:
8700506 - 财政年份:2013
- 资助金额:
$ 38.43万 - 项目类别:
相似海外基金
Co-designing a lifestyle, stop-vaping intervention for ex-smoking, adult vapers (CLOVER study)
为戒烟的成年电子烟使用者共同设计生活方式、戒烟干预措施(CLOVER 研究)
- 批准号:
MR/Z503605/1 - 财政年份:2024
- 资助金额:
$ 38.43万 - 项目类别:
Research Grant
Early Life Antecedents Predicting Adult Daily Affective Reactivity to Stress
早期生活经历预测成人对压力的日常情感反应
- 批准号:
2336167 - 财政年份:2024
- 资助金额:
$ 38.43万 - 项目类别:
Standard Grant
RAPID: Affective Mechanisms of Adjustment in Diverse Emerging Adult Student Communities Before, During, and Beyond the COVID-19 Pandemic
RAPID:COVID-19 大流行之前、期间和之后不同新兴成人学生社区的情感调整机制
- 批准号:
2402691 - 财政年份:2024
- 资助金额:
$ 38.43万 - 项目类别:
Standard Grant
Elucidation of Adult Newt Cells Regulating the ZRS enhancer during Limb Regeneration
阐明成体蝾螈细胞在肢体再生过程中调节 ZRS 增强子
- 批准号:
24K12150 - 财政年份:2024
- 资助金额:
$ 38.43万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
Migrant Youth and the Sociolegal Construction of Child and Adult Categories
流动青年与儿童和成人类别的社会法律建构
- 批准号:
2341428 - 财政年份:2024
- 资助金额:
$ 38.43万 - 项目类别:
Standard Grant
Understanding how platelets mediate new neuron formation in the adult brain
了解血小板如何介导成人大脑中新神经元的形成
- 批准号:
DE240100561 - 财政年份:2024
- 资助金额:
$ 38.43万 - 项目类别:
Discovery Early Career Researcher Award
Laboratory testing and development of a new adult ankle splint
新型成人踝关节夹板的实验室测试和开发
- 批准号:
10065645 - 财政年份:2023
- 资助金额:
$ 38.43万 - 项目类别:
Collaborative R&D
Usefulness of a question prompt sheet for onco-fertility in adolescent and young adult patients under 25 years old.
问题提示表对于 25 岁以下青少年和年轻成年患者的肿瘤生育力的有用性。
- 批准号:
23K09542 - 财政年份:2023
- 资助金额:
$ 38.43万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
Identification of new specific molecules associated with right ventricular dysfunction in adult patients with congenital heart disease
鉴定与成年先天性心脏病患者右心室功能障碍相关的新特异性分子
- 批准号:
23K07552 - 财政年份:2023
- 资助金额:
$ 38.43万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
Issue identifications and model developments in transitional care for patients with adult congenital heart disease.
成人先天性心脏病患者过渡护理的问题识别和模型开发。
- 批准号:
23K07559 - 财政年份:2023
- 资助金额:
$ 38.43万 - 项目类别:
Grant-in-Aid for Scientific Research (C)