Optimizing Engagement in Services for First-Episode Psychosis (FEP) in the Community Mental Health Setting
优化社区心理健康环境中首发精神病 (FEP) 服务的参与度
基本信息
- 批准号:10819929
- 负责人:
- 金额:$ 5.4万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-04-09 至 2025-03-31
- 项目状态:未结题
- 来源:
- 关键词:AddressAttentionBehavioralCaliforniaCaringCharacteristicsCommunicationCommunitiesCommunity Mental Health ServicesDevelopmentDoctor of MedicineDoctor of PhilosophyEarly InterventionEvidence based interventionFamily CaregiverFutureGoalsIndividualInstitutionInterventionLatino PopulationLiteratureMaster of Public HealthMediatorMental HealthMental Health ServicesMentorsMethodsModelingNational Institute of Mental HealthNatureOutcomePersonsProcessPsychosesPsychotic DisordersPublic HealthQualitative MethodsRandomized, Controlled TrialsRecoveryResearchResearch MethodologyResourcesRiskSamplingServicesSiteSupport GroupsTimeTrainingTraining SupportUniversitieseffective interventionfamily supportfirst episode psychosisfunctional disabilityfunctional outcomesimprovedmeetingspragmatic interventionprematurepreventservice engagementservice interventiontreatment as usual
项目摘要
Abstract
Disengagement from services is a major public health problem for individuals with first-episode psychosis
(FEP) as up to 40% of individuals prematurely terminate early care. Individuals with FEP are consequently at
increased risk of persistent symptomatic and functional impairment and poor long-term outcomes. Engagement
can be improved by (1) identifying pragmatic and effective evidence-based interventions, (2) pinpointing the
mechanisms through which change in engagement is achieved, and (3) enhancing the literature on
engagement, such as by developing a nuanced and dynamic conceptualization of engagement to guide future
research. In the U.S., effective interventions for engagement are particularly needed for community mental
health services, which deliver most mental health care and encounter major engagement issues, and for hard-
to-reach communities, such as those comprised by Latinos. Research conducted with individuals with
psychosis has shown that Behavioral Activation (BA) may effectively target engagement and also symptomatic
and functional outcomes. This study will develop 12-session BA for FEP and compare it to treatment-as-usual
over six months with a sample of 58 (29 per condition) Latinos and their family caregivers in a longitudinal
randomized controlled trial. Dyads will also participate in comparable family support groups delivered
separately by condition. To examine mechanisms of change, the association between intervention mediators
and engagement will be examined to determine whether changes in mediators precede changes in
engagement over time. Using mixed-methods, the relationship between local/cultural factors and engagement
will be explored. Qualitative methods will be used to explore how local/cultural factors impact engagement for
future quantitative analysis, how specific characteristics of robust predictors (e.g., family support) influence
engagement, discover other critical influences, consider BA specific factors, and generate a model of
engagement in FEP care with attention to stages of development, illness, and treatment. The project provides
training in service engagement and intervention for FEP, developing and applying BA for FEP, addressing
engagement during FEP in hard-to-reach communities with cultural responsivity, and relevant research
methods with primary mentor, Alex Kopelowicz, M.D, co-mentors Steven R. Lopez, Ph.D., Lisa B. Dixon, M.D.,
M.P.H., and Sona Dimidjian, Ph.D., and consultants Hilary Mairs, Ph.D., Anahi Collado, Ph.D., Mark Lai, Ph.D.,
Jodie Ullman, Ph.D., Lawrence Palinkas, Ph.D., and Ethel Nicdao, Ph.D. Activities will be sustained through
regular communication with and between trainers and resources at California State University San Bernardino,
University of Southern California, and relevant institutions/sites. Training supports Dr. Santos’s long-term goal
of advancing the field of service engagement for persons with FEP from hard-to-reach communities. The
project will enhance the FEP engagement and intervention field and supports the NIMH’s goals of improving
engagement and maximizing recovery for persons with early psychotic illness.
抽象的
对于首发精神病患者来说,脱离服务是一个主要的公共卫生问题
(FEP) 高达 40% 的人提前终止早期护理。因此,患有 FEP 的人处于
持续症状和功能障碍以及长期预后不良的风险增加。订婚
可以通过以下方式改进:(1) 确定务实且有效的循证干预措施;(2) 查明
实现参与变革的机制,以及 (3) 加强有关方面的文献
参与,例如通过制定细致入微且动态的参与概念来指导未来
研究。在美国,社区心理特别需要有效的参与干预措施
卫生服务,提供大部分精神卫生保健并遇到重大参与问题,并为困难
覆盖社区,例如由拉丁裔组成的社区。对患有以下疾病的个体进行的研究
精神病表明,行为激活(BA)可以有效地针对参与和症状
和功能结果。本研究将为 FEP 制定 12 次 BA 疗程,并将其与常规治疗进行比较
在六个月的时间里,对 58 名(每种情况 29 名)拉丁裔及其家庭照顾者进行了纵向调查
随机对照试验。夫妻还将参加类似的家庭支持小组
按条件分别。为了检查变化机制、干预中介之间的关联
将审查参与度,以确定调解员的变化是否先于调解员的变化
随着时间的推移参与度。使用混合方法,研究当地/文化因素与参与度之间的关系
将被探索。将使用定性方法来探索当地/文化因素如何影响参与度
未来的定量分析,稳健预测因素的具体特征(例如家庭支持)如何影响
参与度,发现其他关键影响,考虑 BA 特定因素,并生成一个模型
参与 FEP 护理,关注发育阶段、疾病和治疗。该项目提供
FEP 的服务参与和干预培训,开发和应用 FEP 的 BA,解决
在 FEP 期间参与具有文化责任感的难以到达的社区以及相关研究
与主要导师 Alex Kopelowicz 医学博士、共同导师 Steven R. Lopez 博士、Lisa B. Dixon 医学博士合作的方法,
M.P.H.、Sona Dimidjian 博士以及顾问 Hilary Mairs 博士、Anahi Collado 博士、Mark Lai 博士、
Jodie Ullman 博士、Lawrence Palinkas 博士和 Ethel Nicdao 博士活动将持续通过
与加州州立大学圣贝纳迪诺分校的培训师和资源之间进行定期沟通,
南加州大学和相关机构/网站。培训支持桑托斯博士的长期目标
促进来自难以到达的社区的 FEP 患者的服务参与领域。这
该项目将加强 FEP 的参与和干预领域,并支持 NIMH 的改善目标
早期精神病患者的参与和最大程度的康复。
项目成果
期刊论文数量(2)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
The duration of untreated psychosis among U.S. Latinxs and social and clinical correlates.
- DOI:10.3389/fpsyt.2023.1052454
- 发表时间:2023
- 期刊:
- 影响因子:4.7
- 作者:Santos, Maria M. M.;Kratzer, Maya;Zavala, Jaqueline;Lopez, Daisy;Ullman, Jodie;Kopelowicz, Alex;Lopez, Steven Regeser
- 通讯作者:Lopez, Steven Regeser
Toward reducing the duration of untreated psychosis in a Latinx community.
- DOI:10.1037/ccp0000729
- 发表时间:2022-10
- 期刊:
- 影响因子:5.9
- 作者:Lopez, Steven Regeser;Kopelowicz, Alex;Ullman, Jodie;Mayer, Doe;Santos, Maria Magdalena;Kratzer, Maya;Vega, William A;Barrio, Concepcion;Calderon, Vanessa
- 通讯作者:Calderon, Vanessa
{{
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 }}
Maria M Santos其他文献
Prenatal intraamniotic administration of surfactant substance improves lung compliance and morphometric parameters in an animal model of congenital diaphragmatic hernia (CDH). † 2094
产前羊膜腔内给予表面活性物质可改善先天性膈疝(CDH)动物模型的肺顺应性和形态计量学参数。† 2094
- DOI:
10.1203/00006450-199604001-02118 - 发表时间:
1996-04-01 - 期刊:
- 影响因子:3.100
- 作者:
Uenis Tannuri;João G Maksoud Filho;Edna MA Diniz;Maria M Santos;Ana Cristina A Tannuri;Consuelo J Rodrigues;Aldo J Rodrigues - 通讯作者:
Aldo J Rodrigues
Intraamniotic Infused Surfactant is Aspirated by the Fetus and Improves Lung Biochemical Parameters in an Animal Model of Congenital Diaphragmatic Hernia(CDH) 1756
- DOI:
10.1203/00006450-199804001-01778 - 发表时间:
1998-04-01 - 期刊:
- 影响因子:3.100
- 作者:
Uenis Tannuri;Edna MA Diniz;Maria M Santos;Joao G Maksoud F;Ana CA Tannuri;Consuelo J Rodrigues;Aldo J Rodrigues - 通讯作者:
Aldo J Rodrigues
Maria M Santos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('Maria M Santos', 18)}}的其他基金
Optimizing Engagement in Services for First-Episode Psychosis (FEP) in the Community Mental Health Setting
优化社区心理健康环境中首发精神病 (FEP) 服务的参与度
- 批准号:
10361452 - 财政年份:2020
- 资助金额:
$ 5.4万 - 项目类别:
Optimizing Engagement in Services for First-Episode Psychosis (FEP) in the Community Mental Health Setting
优化社区心理健康环境中首发精神病 (FEP) 服务的参与度
- 批准号:
9977721 - 财政年份:2020
- 资助金额:
$ 5.4万 - 项目类别:
Optimizing Engagement in Services for First-Episode Psychosis (FEP) in the Community Mental Health Setting
优化社区心理健康环境中首发精神病 (FEP) 服务的参与度
- 批准号:
10594902 - 财政年份:2020
- 资助金额:
$ 5.4万 - 项目类别:
相似国自然基金
多模态超声VisTran-Attention网络评估早期子宫颈癌保留生育功能手术可行性
- 批准号:
- 批准年份:2022
- 资助金额:30 万元
- 项目类别:青年科学基金项目
Ultrasomics-Attention孪生网络早期精准评估肝内胆管癌免疫治疗的研究
- 批准号:
- 批准年份:2022
- 资助金额:52 万元
- 项目类别:面上项目
相似海外基金
Information processing biases in adults who stutter: Behavioral and eye-tracking indices of threat-related attention allocation
口吃成年人的信息处理偏差:威胁相关注意力分配的行为和眼球追踪指数
- 批准号:
10731318 - 财政年份:2023
- 资助金额:
$ 5.4万 - 项目类别:
Converging Behavioral and Neural Measures of Attention in Human Infants
人类婴儿注意力的行为和神经测量的融合
- 批准号:
10804947 - 财政年份:2023
- 资助金额:
$ 5.4万 - 项目类别:
The impact of behavioral state and spatial attention on sensory responses in the primary visual thalamus
行为状态和空间注意力对初级视觉丘脑感觉反应的影响
- 批准号:
10579181 - 财政年份:2022
- 资助金额:
$ 5.4万 - 项目类别:
The impact of behavioral state and spatial attention on sensory responses in the primary visual thalamus
行为状态和空间注意力对初级视觉丘脑感觉反应的影响
- 批准号:
10388646 - 财政年份:2022
- 资助金额:
$ 5.4万 - 项目类别:
Converging Behavioral and Neural Measures of Attention in Human Infants
人类婴儿注意力的行为和神经测量的融合
- 批准号:
10451733 - 财政年份:2021
- 资助金额:
$ 5.4万 - 项目类别:
Converging Behavioral and Neural Measures of Attention in Human Infants
人类婴儿注意力的行为和神经测量的融合
- 批准号:
10303335 - 财政年份:2021
- 资助金额:
$ 5.4万 - 项目类别:
Neurocognitive mechanism of behavioral flexibility, social anxiety and shifting of attention
行为灵活性、社交焦虑和注意力转移的神经认知机制
- 批准号:
21K07544 - 财政年份:2021
- 资助金额:
$ 5.4万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
Behavioral outcomes and neurobiological mechanisms of sustained auditory selective attention
持续听觉选择性注意的行为结果和神经生物学机制
- 批准号:
10064026 - 财政年份:2020
- 资助金额:
$ 5.4万 - 项目类别:
Behavioral outcomes and neurobiological mechanisms of sustained auditory selective attention
持续听觉选择性注意的行为结果和神经生物学机制
- 批准号:
10542666 - 财政年份:2020
- 资助金额:
$ 5.4万 - 项目类别:
Behavioral outcomes and neurobiological mechanisms of sustained auditory selective attention
持续听觉选择性注意的行为结果和神经生物学机制
- 批准号:
10319549 - 财政年份:2020
- 资助金额:
$ 5.4万 - 项目类别: