A unified protocol to address sexual minority women's minority stress, mental health and hazardous drinking

解决性少数群体女性压力、心理健康和危险饮酒问题的统一协议

基本信息

  • 批准号:
    10363453
  • 负责人:
  • 金额:
    $ 79.49万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2022
  • 资助国家:
    美国
  • 起止时间:
    2022-09-12 至 2027-08-31
  • 项目状态:
    未结题

项目摘要

PROJECT SUMMARY Background. Sexual minority women (SMW) represent one of the highest-risk groups for hazardous drinking (HD) and comorbid mental health problems (e.g., depression, anxiety) because of their exposure to minority stressors (i.e., stigma-related burdens) and associated stress reactions, like drinking to cope. Research has identified cognitive (e.g., expectations of rejection), affective (e.g., shame), and behavioral (e.g., avoidant coping) pathways through which minority stress places SMW at disproportionate risk of HD and comorbid depression/anxiety. Yet no interventions address these pathways. In fact, no HD intervention has ever been tested for efficacy with SMW. Preliminary Studies. With deep stakeholder input and NIH (R01MH109413- 02S1) and foundation (Lesbian Health Fund) support, we created EQuIP (Empowering Queer Identities in Psychotherapy). EQuIP is a 10-session cognitive-behavioral intervention focused on improving SMW’s minority stress reactions by raising awareness of the harms of minority stress, building self-affirming cognitive styles, and reducing avoidant coping. In a waitlist-controlled pilot trial (n=60), EQuIP showed strong promise for reducing HD and depression/anxiety by building adaptive responses to minority stress, making it the first intervention with preliminary efficacy for improving this population’s co-occurring behavioral and mental health challenges. Methods. We now seek to test EQuIP’s efficacy and identify facilitators of scale-up of this promising intervention. Aim 1: In a 2-arm randomized controlled trial (RCT) with SMW who experience HD and comorbid depression and/or anxiety, we will test the efficacy of EQuIP (n=225) against treatment-as-usual (i.e., supportive counseling) (n=225). Our primary outcome is proportion of heavy drinking days (≥4 drinks) on 30- day timeline followback. Secondary outcomes include reduction in WHO alcohol risk level and depression and anxiety. Because remote intervention delivery has quickly become normative, both EQuIP and treatment-as- usual will be delivered via telehealth (Zoom). In fact, our second pilot of EQuIP found strong feasibility and acceptability of telehealth delivery. Aim 2: Assessments at baseline, 4, 8, and 12 months will determine if reductions in EQuIP’s intended psychosocial mechanisms (e.g., internalized stigma, rejection sensitivity, emotion dysregulation) mediate heavy drinking reductions. To advance personalized medicine, we will also examine whether EQuIP is differentially efficacious across key demographic factors and stigma moderators. Aim 3: To prepare for implementation in frontline settings, we will conduct semi-structured interviews with directors (n=20), providers (n=20), and service users (n=20) from a network of 250 US LGBTQ community clinics. Applying the i-PARIHS framework will help identify facilitators that can support EQuIP implementation at these centers. Summary. As the first trial of an intervention for SMW’s HD and co-occurring mental health, this study responds to NIAAA’s call for trials of “interventions that address AUDs and related problems and that are appropriate to the needs of sexual and gender minority populations.”
项目总结

项目成果

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TONDA L HUGHES的其他文献

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{{ truncateString('TONDA L HUGHES', 18)}}的其他基金

A unified protocol to address sexual minority women's minority stress, mental health and hazardous drinking
解决性少数群体女性压力、心理健康和危险饮酒问题的统一协议
  • 批准号:
    10703352
  • 财政年份:
    2022
  • 资助金额:
    $ 79.49万
  • 项目类别:
Stress, hazardous drinking and intimate partner aggression in a diverse sample of women and their partners
不同女性及其伴侣样本中的压力、危险饮酒和亲密伴侣攻击行为
  • 批准号:
    10205946
  • 财政年份:
    2019
  • 资助金额:
    $ 79.49万
  • 项目类别:
Stress, hazardous drinking and intimate partner aggression in a diverse sample of women and their partners
不同女性及其伴侣样本中的压力、危险饮酒和亲密伴侣攻击行为
  • 批准号:
    10440286
  • 财政年份:
    2019
  • 资助金额:
    $ 79.49万
  • 项目类别:
Stress, hazardous drinking and intimate partner aggression in a diverse sample of women and their partners
不同女性及其伴侣样本中的压力、危险饮酒和亲密伴侣攻击行为
  • 批准号:
    9816304
  • 财政年份:
    2019
  • 资助金额:
    $ 79.49万
  • 项目类别:
Stress, hazardous drinking and intimate partner aggression in a diverse sample of women and their partners
不同女性及其伴侣样本中的压力、危险饮酒和亲密伴侣攻击行为
  • 批准号:
    10016162
  • 财政年份:
    2019
  • 资助金额:
    $ 79.49万
  • 项目类别:
Stress, hazardous drinking and intimate partner aggression in a diverse sample of women and their partners
不同女性及其伴侣样本中的压力、危险饮酒和亲密伴侣攻击行为
  • 批准号:
    10662290
  • 财政年份:
    2019
  • 资助金额:
    $ 79.49万
  • 项目类别:
Impact of supportive policies on minority stress, drinking and health among women
支持政策对女性少数民族压力、饮酒和健康的影响
  • 批准号:
    9198150
  • 财政年份:
    2016
  • 资助金额:
    $ 79.49万
  • 项目类别:
Cumulative Stress and Hazardous Drinking in a Community Sample of Adult Lesbians
成年女同性恋社区样本中的累积压力和危险饮酒
  • 批准号:
    8461890
  • 财政年份:
    2002
  • 资助金额:
    $ 79.49万
  • 项目类别:
Identity and Drinking: A Longitudinal Follow-Up
身份与饮酒:纵向追踪
  • 批准号:
    6624139
  • 财政年份:
    2002
  • 资助金额:
    $ 79.49万
  • 项目类别:
Cumulative Stress and Hazardous Drinking in a Community Sample of Adult Lesbians
成年女同性恋社区样本中的累积压力和危险饮酒
  • 批准号:
    7822933
  • 财政年份:
    2002
  • 资助金额:
    $ 79.49万
  • 项目类别:

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