Personal relevance of psychotherapy for Asian Americans: A mHealth problem-solving intervention to reduce stress (PRoP-AA)

亚裔美国人心理治疗的个人相关性：减轻压力的移动医疗问题解决干预措施 (PRoP-AA)

• 批准号: 10324289
• 负责人: GORDON C HALL
• 金额: $ 38.19万
• 依托单位: IRIS MEDIA, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10324289
• 关键词: Address; American; Asian Americans; Asians; Attention; Attitude; Belief; Businesses; COVID-19; Chinese American; Client; Cognitive Therapy; Communities; Development; Discrimination; Ensure; European; Evaluation; Evidence based intervention; Future; Health; Health Personnel; Human; Individual; Intervention; Knowledge; Korean American; Medial; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Meta-Analysis; Methods; Minority Groups; Mobile Health Application; Modeling; Modification; Motivation; Participant; Phase; Population; Prefrontal Cortex; Problem Solving; Psyche structure; Psychopathology; Psychotherapy; Randomized; Randomized Controlled Trials; Reporting; Research; Research Design; Self Efficacy; Social Problems; Stress; Stressful Event; Testing; Text; Treatment Efficacy; Writing; active control; base; community involvement; control trial; conventional therapy; design; effective intervention; efficacy evaluation; ethnic minority population; evidence base; health disparity; health literacy; heuristics; improved; mHealth; member; mobile application; physical conditioning; problem solving therapy; prototype; psychologic; psychosocial; skills; social stigma; stem; stress reduction; usability

Abstract The proposed intervention, Personal relevance of psychotherapy for Asian Americans: A mHealth problem- solving intervention to reduce stress, is designed 1) to increase the use of mental health services by a population that uses them at one third the rate of Whites,1 and 2) to develop a personally-relevant approach to stress-reduction. Practical and cultural barriers inhibit the use of mental health services by Asian Americans2 including a lack of fluency in English amongst specific subpopulations,3 insufficient health literacy,2 and stigma surrounding mental illness which stems from Asian American cultural beliefs shared across subpopulations.4-6 With the rise in discrimination against Asian Americans during the current health crisis related to Covid-19,7,8 their physical and mental health may be adversely impacted,9 reinforcing the need for an improved option that addresses these barriers. This proposal aims to develop a mHealth (mobile health) application that is systematically adapted to be culturally relevant to select Asian American subpopulations. If successful, future development would extend the app to additional groups. Identifying personally-relevant interventions has the potential to reduce persistent mental health disparities among ethnic minority groups10 by increasing engagement with mental health services. Problem-Solving Therapy (PST), the intervention that will be used for this project, is likely to be personally relevant to Asian Americans. PST is a skills-based, psychosocial intervention to assist individuals in managing the negative effects of stressful events which is an effective intervention for reducing psychopathology, such as depression11 and a variety of other psychological difficulties.12 An external problem-solving orientation is culturally-syntonic to Asian values.13 The proposed mHealth app first will be developed for Chinese Americans and Korean Americans. The project will assess and adapt the PST using a systematic approach that integrates two frameworks, the top- down Psychotherapy Adaptation and Modification Framework (PAMF)14 and the bottom-up Formative Method for Adapting Psychotherapy (FMAP).15 In addition, the app layout, text, video, and audio content will be localized. Users will have access to at least five modules in the app, an introduction and one module for each of the four skills that comprise PST. The app will include video modeling of skills by Asian Americans and interactive features that will allow users to apply skills learned like writing down ideas and developing a plan. In Phase I, the project team will: a) design and develop a minimum viable product using an iterative, user- centered approach. In Phase II, the project team will: a) complete content and app development, and b) conduct a randomized controlled trial to evaluate the efficacy of the intervention. When the study concludes, PRoP-AA will be the first evidence-based PST mobile app designed for Asian Americans.

摘要 拟议的干预措施，心理治疗对亚裔美国人的个人相关性：一个移动健康问题- 解决干预，以减少压力，旨在1）增加使用心理健康服务， 使用率为白人的三分之一的人口，1和2）制定一个与个人相关的方法， 减压实际和文化障碍阻碍亚裔美国人使用心理健康服务2 包括特定亚群中英语不流利，3健康知识不足，2和耻辱 围绕精神疾病，这源于亚裔美国人的文化信仰在亚群中共享。 在当前与新冠肺炎相关的健康危机期间，随着对亚裔美国人的歧视增加， 他们的身心健康可能会受到不利影响，9因此更需要一种更好的选择， 解决这些障碍。该提案旨在开发一个mHealth（移动的健康）应用程序， 系统地适应文化相关的选择亚裔美国人亚群。如果成功，未来 开发将把应用程序扩展到更多的群体。 确定个人相关的干预措施有可能减少持续的心理健康差异 通过增加对精神卫生服务的参与，在少数民族群体中10。解决问题 治疗（PST），将用于本项目的干预，可能是个人相关的亚洲 美国人PST是一种以技能为基础的心理社会干预，以帮助个人管理负面情绪。 压力事件的影响，这是一种有效的干预，以减少精神病理学，如 抑郁症11和各种其他心理困难。12外部解决问题的方向是 与亚洲价值观的文化共鸣。 拟议中的mHealth应用程序将首先为华裔美国人和韩裔美国人开发。的 项目将评估和调整PST使用系统的方法，整合两个框架，顶部- 自下而上的心理治疗适应和修改框架（PAMF）14和自下而上的形成方法 15此外，应用程序布局、文本、视频和音频内容将 本地化。用户将可以访问应用程序中的至少五个模块，每个模块都有一个介绍和一个模块 这四种技能构成了PST。该应用程序将包括亚裔美国人技能的视频建模， 交互式功能，允许用户应用所学的技能，如写下想法和制定计划。 在第一阶段，项目组将：a）使用迭代的用户- 中心的方法。在第二阶段，项目团队将：a）完成内容和应用程序开发，以及B） 进行随机对照试验，以评估干预的有效性。当研究结束时， PRoP-AA将是第一个为亚裔美国人设计的基于证据的PST移动的应用程序。