Building Research Capacity for Implementation of Outcomes Research and Evidence-Based trauma care after Mass Violence, in Ukraine.

在乌克兰开展大规模暴力事件后实施结果研究和循证创伤护理的研究能力建设。

• 批准号: 10665360
• 负责人: Israel Liberzon
• 金额: $ 24.54万
• 依托单位: TEXAS A&M UNIVERSITY HEALTH SCIENCE CTR
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2028-02-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10665360
• 关键词: Academy; Anxiety; Area; Caring; Chronic; Clinical; Collaborations; Conflict (Psychology); Country; Data; Education; Educational workshop; Epidemiology; Exposure to; Faculty; Functional disorder; Funding; Goals; Health Care Reform; Health Professional; Healthcare; Individual; Invaded; Knowledge; Mental Depression; Mental Health; Mental Health Services; Mentors; Michigan; Military Personnel; Outcomes Research; Persons; Physicians; Post-Traumatic Stress Disorders; Postdoctoral Fellow; Psychologist; Reading; Research; Research Methodology; Research Personnel; Research Project Grants; Research Training; Schools; Scientist; Stress; Supervision; Time; Training; Trauma; Trauma Research; Treatment Efficacy; Ukraine; Universities; Violence; War; Work; base; combat; design; evidence base; experience; implementation intervention; implementation outcomes; interest; pilot test; programs; psychological distress; trauma care

Summary/Abstract Millions of Ukrainians (both civilian and military) had been recently exposed to combat/war-related trauma. The numbers of casualties are staggering. Based on UN data, even during the early, and limited, conflict in Ukraine (2014-2021), it had been estimated that, 32% of individuals suffered from PTSD, 22% Depression, and 17% anxiety, thus it is projected that hundreds of thousands of persons are likely to develop debilitating trauma/stress-related mental health sequela. At the same time, the situation with mental health care in Ukraine is critical. The country was under communist rule for 70 years, leading to chronic underfunding of health care in general and mental health in particular. Even before Russian invasion, Ukraine had the highest levels of psychological distress among former Soviet states, and there almost no mental health professionals trained in evidence-based care for trauma, depression, anxiety, and even less so, investigators who can disseminate, implement, and assess the fidelity, acceptability, and efficacy of these treatments. Thus building, trauma care research, and implementation are so critical right now. In collaboration with leading psychologists and physician- scientists in trauma care in Ukraine, and drawing on the expertise of US collaborators – world-renown experts in research methodology, stress/trauma and evidence-based care, this project will implement a set of trauma research training experiences. The goal is to transfer of knowledge pertaining to trauma epidemiology, pathophysiology, research methods, and implementation of interventions that build upon that scientific base. In the latter years of the program, we will mentor and collaborate in the design and pilot testing of research projects that ultimately will have the potential for national dissemination. The proposed program involves collaboration among faculty from 5 different US Universities (TAMU, UThealth, University of Michigan, Emory and MUSC), National University of Kyiv-Mohyla Academy (NaUKMA), and Zelenskaya Initiative office for Mental Health reform implementation. To implement a set of interlocking training experiences which will include the following: (a) Yearly workshops (~ 70 attendees) held in Western Ukraine, for post-doctoral clinical scientists (b) ongoing continuous education with Experts from US and Ukraine, including monthly online sessions, directed reading and supervision (c) Three month-long intensive Summer School, for 16 advanced and committed Summer Fellows to get in-depth training in research methodology and work with mentors in areas of common interest, (d) In-country research projects that Summer Fellows will develop, with the support of long term U.S. mentors, (e) Creation of a Research network comprised from Research teams led by Summer Fellows, and supported by the other trainees

摘要/摘要 数百万乌克兰人（包括平民和军人）最近遭受了与战斗/战争相关的影响 创伤。伤亡人数惊人。根据联合国的数据，即使在早期和 乌克兰冲突有限（2014-2021 年），据估计，32% 的人遭受过 创伤后应激障碍 (PTSD)、22% 的抑郁症和 17% 的焦虑症，因此预计有数十万人 可能会出现使人衰弱的创伤/压力相关的心理健康后遗症。与此同时， 乌克兰的精神卫生保健状况十分严峻。这个国家被共产党统治了70年 多年来，导致一般医疗保健，特别是心理健康长期资金不足。甚至 在俄罗斯入侵之前，乌克兰的心理困扰程度是前苏联国家中最高的 州，而且几乎没有接受过创伤循证护理培训的心理健康专业人员， 抑郁、焦虑，甚至更不用说，能够传播、实施和评估研究的调查人员 这些治疗的保真度、可接受性和有效性。因此，建立创伤护理研究，并 现在实施非常关键。与领先的心理学家和医生合作- 乌克兰创伤护理科学家，并借鉴美国合作者的专业知识——世界知名 研究方法、压力/创伤和循证护理方面的专家，该项目将实施 一套创伤研究培训经验。目标是传播有关创伤的知识 流行病学、病理生理学、研究方法和干预措施的实施 那个科学基础。在该计划的最后几年，我们将在设计和 对研究项目进行试点测试，最终有可能在全国范围内传播。这 拟议的计划涉及来自 5 所不同美国大学（TAMU、 UThealth、密歇根大学、埃默里大学和 MUSC）、基辅国立大学莫希拉学院 (NaUKMA) 和 Zelenskaya 精神卫生改革实施倡议办公室。实施一个 一套环环相扣的培训经验，其中包括以下内容： (a) 年度研讨会（~ 70 参加者）在乌克兰西部举行，为博士后临床科学家（b）持续不断 与来自美国和乌克兰的专家一起进行教育，包括每月在线课程、定向阅读和 监督 (c) 为期三个月的强化暑期学校，为 16 名先进且忠诚的暑期学生提供 研究员将接受研究方法方面的深入培训，并与导师在共同领域合作 (d) 暑期研究员将在长期资助下开发的国内研究项目 任期美国导师，(e) 创建一个由以下研究团队组成的研究网络 暑期研究员，并得到其他学员的支持