Buddhist Monks as Task-Shifting Providers of Depression Treatment in Viet Nam
佛教僧侣作为越南抑郁症治疗的任务转移提供者
基本信息
- 批准号:10472707
- 负责人:
- 金额:$ 16.65万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2021
- 资助国家:美国
- 起止时间:2021-08-20 至 2024-07-31
- 项目状态:已结题
- 来源:
- 关键词:AddressAffectiveAftercareAntidepressive AgentsAreaAwarenessBehavioralClinicalCognitive TherapyCollaborationsCommunitiesDataDevelopmentDisadvantagedEducational workshopEmotionalEvaluationFeelingFocus GroupsFutureGoalsGroup InterviewsGroup PracticeHealth ProfessionalHealth systemHuman ResourcesInterventionInterviewKnowledgeLabelLogisticsMeditationMental DepressionMental HealthMental Health ServicesMental disordersMindfulness TrainingNeeds AssessmentOutcomeOutpatientsParticipantPatientsPersonsPharmaceutical PreparationsProcessProgram AcceptabilityProviderPsychologistPublic HealthRecurrenceResearchResearch ActivityResearch SupportRiskService provisionServicesSolidStructureSystemTechniquesTherapeuticThinkingTrainingUniversitiesVietnamacceptability and feasibilitybasebehavioral healthbodily sensationdesigndissemination strategyeffective interventioneffective therapyeffectiveness evaluationeffectiveness implementation studyexperienceimplementation fidelityimplementation interventionimplementation researchinformantlow and middle-income countriesmedical schoolsmental trainingmindfulnessmindfulness interventionmindfulness-based stress reductionprogramspsychologicpublic health relevancerecruitsmoking cessationsocial stigmasuccess
项目摘要
PROJECT SUMMARY
Depression represents a substantial public health burden. Effective treatments for depression exist but in part
because of a scarcity of trained mental health professionals and stigma associated with “mental illness”, the
majority of depression patients do not receive treatment, particularly in LMIC. One approach to address these
issues is mental health task-shifting, the transfer of mental health services from highly trained mental health
professionals to non-mental health professionals or lay people receiving focused training in a particular mental
health program. Mindfulness-based (MB) interventions are a depression EBT, using activities to help people
become more aware of bodily sensations, feelings, and thoughts without automatically judging them, reducing
negative emotional reactivity that precipitates and exacerbates affective mental health problems. This R21
focuses on use of Vietnamese Buddhist monks as task-shifting providers of mindfulness-based intervention for
depression. MB interventions are derived from Buddhist meditation practices, developed and applied in a
secular manner. Use of Buddhist monks as task-shifting providers of MB interventions may be advantageous as
(1) meditation is a central part of Buddhist monks' training and although not mental health professionals,
monks have a solid background in underlying techniques being task-shifted; (2) pagoda-based treatment may
reduce treatment stigma. Project Specific Aims are: #1. Conduct a capacity development needs assessment
with approximately 68 stakeholders, using focus groups and Key Informant interviews, to prepare for this
project and more comprehensive future research; #2: Adapt Mindfulness-Based Stress Reduction (MBSR) for
task-shifting implementation by monks. Goals of this specific aim are (a) to adapt MBSR for monks (MBSR-
4M) to implement; (b) train the monks in MBSR-4M for implementation under Specific Aim #3; and (c)
through the process of collaborative sharing involved in the adaptation, increase our understanding more
generally of how our expanded team can most effectively collaborate together; #3: Conduct a Type 2 Hybrid
Implementation-Effectiveness evaluation of MBSR-4M. Primary goals are: (a) to gain experience collaborating
with the VN Buddhist system conducting implementation research, in order to (b) develop capacity for future
collaborative research in this and related areas; (c) identify cultural and other factors potentially influencing IS
domains for targeting in future research; and (d) obtain preliminary RCT data to assess the appropriateness
and success of our program adaptation. The MBSR-4M evaluation will be conducted in 16 Hanoi and Danang
pagoda with 160 participants (half in the treatment condition, half in control) with depression, recruited from
pagoda and the general community. #4: Capacity Development: A central function of these specific aims is to
develop capacity to support this research, by providing our team with the relevant knowledge, logistic
structures, and professional relationships necessary to move forward in these directions. In addition,
workshops targeting specific development areas identified in Specific Aim #1 also will be provided.
项目摘要
抑郁症是一个巨大的公共卫生负担。抑郁症的有效治疗方法是存在的,但部分
由于缺乏训练有素的精神卫生专业人员和与“精神疾病”有关的耻辱,
大多数抑郁症患者没有接受治疗,特别是在LMIC。解决这些问题的一种方法是
问题是心理健康任务转移,心理健康服务从训练有素的心理健康
专业人员到非精神卫生专业人员或接受特定精神卫生专业培训的非专业人员
健康计划。基于正念(MB)的干预是一种抑郁症EBT,使用活动来帮助人们
变得更加意识到身体的感觉,感觉和想法,而不自动判断它们,减少
加速和加剧情感心理健康问题的负面情绪反应。R21
专注于使用越南佛教僧侣作为基于正念的干预的任务转移提供者,
萧条MB干预措施来自佛教冥想实践,在一个
世俗的方式。利用佛教僧侣作为甲基溴干预措施的任务转移提供者可能是有利的,
(1)冥想是佛教僧侣训练的核心部分,尽管不是心理健康专业人员,
僧侣在任务转移的基础技术方面有坚实的背景;(2)基于宝塔的治疗可能
减少治疗的耻辱感。项目的具体目标是:#1。进行能力发展需求评估
与大约68个利益相关者,使用焦点小组和关键知情人访谈,为这一目标做准备。
项目和更全面的未来研究; #2:适应基于正念的减压(MBSR),
僧侣们的任务转移。这一具体目标的目标是(a)为僧侣调整MBSR(MBSR),
(B)在MBSR-4 M中培训僧侣,以便在具体目标#3下实施;以及(c)
通过参与适应的协作分享过程,增加我们的了解更多
一般来说,我们的扩展团队如何才能最有效地合作; #3:进行类型2混合
实施MBSR-4 M的有效性评估。主要目标是:(a)获得合作经验
与越南佛教系统进行实施研究,以(B)发展未来的能力
(c)确定可能影响信息系统的文化和其他因素
未来研究的目标领域;以及(d)获得初步RCT数据,以评估
和我们的节目改编的成功。MBSR-4 M评估将在河内和岘港进行
宝塔与160名参与者(一半在治疗条件下,一半在控制)与抑郁症,招募来自
塔和一般社区。#4:能力发展:这些具体目标的核心功能是
发展能力,以支持这项研究,通过提供我们的团队与相关的知识,物流
结构和专业关系,以朝着这些方向前进。此外,本发明还提供了一种方法,
还将举办针对具体目标1中确定的具体发展领域的讲习班。
项目成果
期刊论文数量(0)
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专利数量(0)
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{{ truncateString('Bahr Weiss', 18)}}的其他基金
Buddhist Monks as Task-Shifting Providers of Depression Treatment in Viet Nam
佛教僧侣作为越南抑郁症治疗的任务转移提供者
- 批准号:
10297970 - 财政年份:2021
- 资助金额:
$ 16.65万 - 项目类别:
Increasing Mental Health Research Infrastructure in Southeast Asia
加强东南亚的心理健康研究基础设施
- 批准号:
8335763 - 财政年份:2012
- 资助金额:
$ 16.65万 - 项目类别:
Increasing Mental Health Research Infrastructure in Southeast Asia
加强东南亚的心理健康研究基础设施
- 批准号:
8828320 - 财政年份:2012
- 资助金额:
$ 16.65万 - 项目类别:
Increasing Mental Health Research Infrastructure in Southeast Asia
加强东南亚的心理健康研究基础设施
- 批准号:
8514751 - 财政年份:2012
- 资助金额:
$ 16.65万 - 项目类别:
Cultural Effects on Stress, Coping, and Symptom Expression
文化对压力、应对和症状表达的影响
- 批准号:
8316360 - 财政年份:2010
- 资助金额:
$ 16.65万 - 项目类别:
Cultural Effects on Stress, Coping, and Symptom Expression
文化对压力、应对和症状表达的影响
- 批准号:
7890894 - 财政年份:2010
- 资助金额:
$ 16.65万 - 项目类别:
Cultural Effects on Stress, Coping, and Symptom Expression
文化对压力、应对和症状表达的影响
- 批准号:
8473277 - 财政年份:2010
- 资助金额:
$ 16.65万 - 项目类别:
Cultural Effects on Stress, Coping, and Symptom Expression
文化对压力、应对和症状表达的影响
- 批准号:
8660320 - 财政年份:2010
- 资助金额:
$ 16.65万 - 项目类别:
Cultural Effects on Stress, Coping, and Symptom Expression
文化对压力、应对和症状表达的影响
- 批准号:
8110488 - 财政年份:2010
- 资助金额:
$ 16.65万 - 项目类别:
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