Cultural-Social Engagement and Suicideamong Hispanics

西班牙裔人的文化社会参与和自杀

• 批准号: 10668299
• 负责人: Caroline Silva
• 金额: $ 18.18万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-01 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10668299
• 关键词: Adolescent; Adult; Aftercare; Behavior Therapy; Behavioral; Cellular Phone; Cessation of life; Clinical; Clinical Trials; Cognitive; Communities; Coupled; Data; Development; Ecological momentary assessment; Elements; Ethics; Event; Evidence based intervention; Expectancy; Family; Feedback; Feeling; Feeling suicidal; Friends; Funding; Geography; Goals; Hispanic; Hispanic Populations; Home; Individual; Intervention; Interview; Investigational Therapies; Language; Linguistics; Link; Location; Measures; Mental Depression; Mental Health; Mentors; Methodology; Monitor; National Institute of Mental Health; Nature; Outcome; Outpatients; Participant; Patient Self-Report; Perception; Population; Prevention Research; Prevention program; Public Health; Randomized; Randomized, Controlled Trials; Religiosity; Reporting; Research; Research Project Grants; Risk; Role; Sampling; Severities; Social Behavior; Social Interaction; Structure; Suicide; Suicide prevention; Techniques; Technology; Testing; Therapeutic; Time; Training; Treatment Protocols; Underserved Population; United States; Visit; Well in self; Work; attenuation; career development; cultural values; ethnic minority population; follow-up; health determinants; hispanic community; human centered design; ideation; improved; in vivo; innovation; interest; novel; post intervention; preventive intervention; programs; protective factors; psychologic; racial minority population; randomized, clinical trials; rapid growth; reducing suicide; research study; skill acquisition; social; social culture; social engagement; social factors; suicidal risk; suicide rate; theories; usability

ABSTRACT Suicide rates among Hispanics in the United States have increased in the last two decades; coupled with rapid growth of the Hispanic population, suicide among Hispanics is a pressing public health issue. Considering the role of culture in suicide can elucidate unique and modifiable mechanisms for suicide. The Candidate’s long- term research goal is to optimize suicide prevention interventions for Hispanics by targeting cultural determinants of health. Reaching that goal requires mentored training in three domains of suicide prevention research and completion of a research project to produce substantive, foundational results (described below). First, the candidate needs to gain expertise in randomized clinical trials methodology for suicide interventions (Objective 1) to conduct a trial with at risk Spanish-speaking adults in a reliable, valid, and ethical manner, and test target engagement with an experimental therapeutics approach. Second, the candidate needs to gain expertise in optimizing behavioral interventions to impact cultural determinants of health via human-centered design (Objective 2) to deliver a treatment protocol that is culturally-usable and optimized to increase cultural- social engagement. Third, as smartphone technology increases precision to measure mechanisms, the candidate needs to gain expertise in the use of novel smartphone technology for precise assessment of target engagement in clinical trials (Objective 3) to optimally/ethically use this technology in clinical trials research. The principal objective of the proposed research study is to use an experimental therapeutics approach to examine whether a behavioral intervention (SOCIAL ENGAGE; S-ENGAGE) can increase cultural-social engagement (intervention target) and decrease suicide risk (clinical outcome) among Hispanic adults. First, human-centered design approaches will be used to iteratively refine and optimize S-ENGAGE to alter cultural-social engagement via iterative feedback from 5 Spanish-speaking adults with low cultural-social engagement and recent ideation. Second, 60 Spanish-speaking adults who report low cultural-social engagement and recent ideation will be randomized into 10-weeks of S-ENGAGE or an expectancy-matched control. Participants will provide 2-weeks of real-time data via smartphone at baseline, post-treatment, and 3- month follow-up and complete semi-structured interviews. Research Aims are to: (1) Optimize S-ENGAGE for target engagement. (2) Test target engagement: Does S-ENGAGE increase cultural-social engagement among Spanish-speaking adults?; (3) Test clinical impact: Does S-ENGAGE decrease suicide risk among Spanish-speaking adults?; (4) To contextualize findings: What components of S-ENGAGE were most helpful? The resulting findings of this K23 project will function as the basis for a larger R01-funded study powered to examine whether the proposed target (cultural-social engagement) leads to changes in the clinical outcome (suicide ideation). The candidate will build on the skills acquired in this period of mentored career development to contribute to the development and refinement of approaches to suicide prevention for Hispanics.

摘要 在过去的20年里，美国拉美裔美国人的自杀率有所上升；再加上迅速的 随着拉美裔人口的增长，拉美裔美国人的自杀是一个紧迫的公共卫生问题。考虑到 文化在自杀中的作用可以阐明自杀的独特和可修改的机制。候选人的长久以来- 学期研究的目标是通过以文化为目标来优化拉美裔自杀预防干预措施 健康的决定因素。要实现这一目标，需要对自杀预防的三个领域进行辅导培训 研究和完成研究项目，以产生实质性的基础性成果(如下所述)。 首先，候选人需要在自杀干预的随机临床试验方法学方面获得专业知识 (目标1)以可靠、有效和道德的方式对讲西班牙语的高危成年人进行试验，以及 使用实验治疗学方法测试目标参与度。其次，候选人需要获得 通过以人为中心优化行为干预以影响健康的文化决定因素方面的专业知识 设计(目标2)提供一种可在文化上使用并优化的治疗方案，以增加文化- 社会参与度。第三，随着智能手机技术提高了测量机械装置的精度， 应聘者需要在使用新的智能手机技术方面获得专业知识，以准确评估目标 参与临床试验(目标3)在临床试验研究中以最佳/合乎伦理的方式使用这项技术。 建议的研究性研究的主要目标是使用实验治疗学方法 考察行为干预(社会参与；S-参与)是否可以增加文化-社会 参与(干预目标)和降低西班牙裔成年人的自杀风险(临床结果)。 首先，将使用以人为中心的设计方法迭代细化和优化S-Engage to Alternate 通过来自5个文化社会程度低的讲西班牙语的成年人的迭代反馈，实现文化社会参与 参与和最近的想法。其次，60名说西班牙语的成年人反映他们的文化和社会地位低 参与度和近期想法将随机分为10周的S-参与度或期望值匹配 控制力。参与者将通过智能手机提供为期两周的基线、治疗后和3- 进行一个月的跟踪调查，并完成半结构化访谈。研究目的：(1)优化S-从事 目标交战。(2)测试目标参与度：S参与度是否增加了文化-社会参与度 在讲西班牙语的成年人中？；(3)测试临床影响：S-Engage是否降低了 说西班牙语的成年人？；(4)将研究结果与背景联系起来：S-Engage的哪些组成部分最有帮助？ K23项目的结果将作为R01资助的更大规模研究的基础 检查建议的目标(文化-社会参与)是否会导致临床结果的变化 (自杀意念)。应聘者将在指导职业发展期间获得的技能基础上再接再厉 为发展和完善拉美裔自杀预防方法作出贡献。

项目成果

URMC Universal Depression Screening Initiative: Patient Reported Outcome Assessments to Promote a Person-Centered Biopsychosocial Population Health Management Strategy.

• DOI: 10.3389/fpsyt.2021.796499
• 发表时间: 2021
• 期刊: Frontiers in psychiatry
• 影响因子: 4.7
• 作者: Van Orden KA;Lutz J;Conner KR;Silva C;Hasselberg MJ;Fear K;Leadley AW;Wittink MN;Baumhauer JF
• 通讯作者: Baumhauer JF

Spanish Validation of the Interpersonal Needs Questionnaire and the Acquired Capability for Suicide Scale Among Mexican University Students.

• DOI: 10.28931/riiad.2023.1.03
• 发表时间: 2023-01
• 期刊: Revista internacional de investigacion en adicciones
• 作者: Rangel Villafana, Jose Nahum;Silva, Caroline;Cardenas, Samuel Jurado
• 通讯作者: Cardenas, Samuel Jurado