Mobile Health to Monitor Risk for COVID-19 and Improve Mental Health during the Pandemic
移动医疗可监测 COVID-19 风险并改善大流行期间的心理健康
基本信息
- 批准号:10809400
- 负责人:
- 金额:$ 6.57万
- 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:2021-05-05 至 2025-03-31
- 项目状态:未结题
- 来源:
- 关键词:AddressAdoptionAffectAmerican IndiansAnxietyBlack raceBusinessesCOVID-19COVID-19 impactCOVID-19 pandemicCOVID-19 riskCOVID-19 stressCellular PhoneCessation of lifeChild CareChronicClinicalCommunitiesContractsControl GroupsCoupledDataDiagnosticDisease ProgressionEcological momentary assessmentEffectivenessElementsEssential workerEthnic PopulationEtiologyEvaluationFrightHealthHealth behaviorHealthcareHospitalizationHouseholdIndividualIndividual DifferencesInfectionInterventionInterviewJob lossLatinoLatinxLong-Term Care for ElderlyMaintenanceMeasuresMediatingMediatorMeditationMental DepressionMental HealthMonitorOccupationsOutcomeOutcome StudyPainParticipantPerformance at workPhysical activityPopulationPredispositionPsyche structurePublic HealthRandomizedRecommendationResearchRiskSARS-CoV-2 exposureSafetyScheduleSleepSocial DistanceSocial InteractionSocial supportSocioeconomic StatusStressSymptomsTelephoneTestingTherapeuticTimeUnemploymentVirusVulnerable PopulationsWorkaccess disparitiesanxiety sensitivityanxiety symptomsbehavioral healthcostdepressive symptomsdesigndigitaldigital interventioneffectiveness evaluationefficacy evaluationethnic minority populationevidence baseexperiencefollow-upfunctional disabilitygroup interventionhealth care availabilityhealth disparityhealth economicsimprovedintervention effectlow socioeconomic statusmHealthmindfulnessmindfulness interventionmobile applicationnovel coronaviruspandemic diseaseperceived discriminationprecision medicinepsychoeducationpsychoeducationalracial discriminationracial minority populationracial populationschool closureskillssocial health determinantsstandard of carestress reduction
项目摘要
ABSTRACT
Clear health disparities have emerged in rates of COVID-19 exposure, hospitalization, and death among Black,
Latinx, and American Indian (BLAI) individuals, relative to Non-Latino White (NLW) individuals, and BLAI
populations are disproportionately affected by lower behavioral health access and heightened negative mental
health outcomes as a result of the pandemic. The current project directly aligns with the objectives of PAR-20-
243 as it addresses health disparities in access to behavioral health care during COVID-19 among BLAI via an
adaptation of the established, initially validated, low-cost, mobile application (‘app’) that will target ongoing
mental health concerns among BLAI with elevated anxiety and/or depressive symptoms. Utilizing a precision
medicine approach, the Easing Anxiety Sensitivity for Everyone (EASE) app targets anxiety sensitivity, a
transdiagnostic individual difference factor implicated in the etiology, maintenance, and progression of anxiety
and depressive symptoms. EASE includes COVID-19 symptom monitoring, exposure management skills, and
psychoeducation on COVID-19-related stress and the impact of stress on susceptibility to infection and
disease progression. Participants (N = 800; 200 Black, 200 Latinx, 200 American Indian, and 200 NLW) will be
randomized to either EASE or to an active standard-of-care control digital intervention (Headspace app) for
anxiety and depression. The present study will include a baseline assessment, a 3-month intervention period, a
3-month continued assessment period (with access to intervention materials), and 3- and 6-month post-
baseline assessments that includes a qualitative interview via phone or online platform (e.g., Zoom) at the 6-
month follow-up. Participants will complete two scheduled daily ecological momentary assessments (EMAs)
during the intervention and continued assessment periods that will guide a just-in-time approach to immediate,
personalized behavioral health care. Assessments will be completed remotely. Aim 1. To compare the effect of
EASE with COVID-19 specific elements (n = 400) to an established empirically validated standard-of-care
digital intervention with COVID-19 specific elements (n = 400). To evaluate the efficacy of the experimental
intervention across each race/ethnic group. Aim 2. To identify the therapeutic mechanisms of EASE, including
theoretically driven mediators (i.e., anxiety sensitivity, subsequent changes in COVID-19 related stress and
fear) and moderators (i.e., perceived racial discrimination, social support, and socioeconomic status). Overall,
the current proposal has the potential to significantly impact public health and safety by decreasing anxiety and
depression symptoms among vulnerable populations determined to be most at risk of exacerbated, long-lasting
negative health sequelae.
摘要
在黑人中接触新冠肺炎、住院和死亡率方面已经出现了明显的健康差异,
拉丁裔和美国印第安人(BLAI)个人,相对于非拉丁裔白人(NLW)个人,以及BLAI
人群受到行为健康可获得性降低和负面心理加剧的不成比例的影响
大流行造成的健康后果。目前的项目直接与PAR-20的目标相一致-
243.它通过一项法案解决了在新冠肺炎期间BLAI在获得行为医疗方面的健康差距
调整已建立的、初步验证的、低成本的移动应用程序(APP),该应用程序的目标是持续进行
焦虑和/或抑郁症状升高的BLAI患者的心理健康问题。利用精确度
医学方法,缓解每个人的焦虑敏感(EASE)应用程序针对焦虑敏感,a
跨诊断个体差异因素在焦虑的病因、维持和进展中的作用
和抑郁症状。易用性包括新冠肺炎症状监测、暴露管理技能和
新冠肺炎相关应激心理教育及应激对感染易感性的影响
疾病的发展。参与者(N=800;200黑人、200拉丁裔、200美国印第安人和200 NLW)将是
随机进行缓解或主动标准护理控制数字干预(Headspace应用程序),用于
焦虑和抑郁。本研究将包括基线评估、3个月干预期、
3个月持续评估期(可获得干预材料),以及3个月和6个月后
基准评估,包括通过电话或在线平台(例如,Zoom)在6-
一个月的随访。参与者将完成两个预定的每日生态瞬时评估(EMA)
在干预和持续评估期间,这将指导采取及时的方法,
个性化的行为保健。评估将远程完成。目的1.比较两种药物的治疗效果
轻松使用新冠肺炎的特定元素(n=400),以建立经经验验证的护理标准
使用新冠肺炎特定元素的数字干预(n=400)。为了评价实验的疗效
对每个种族/民族群体的干预。目的2.确定EASE的治疗机制,包括
理论驱动的中介变量(即焦虑敏感性、新冠肺炎相关压力的后续变化和
恐惧)和调解人(即感受到的种族歧视、社会支持和社会经济地位)。总的来说,
目前的提案有可能通过减少焦虑和
被确定为最有可能长期恶化的易受伤害人群中的抑郁症状
负面的健康后遗症。
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 Role of Functional Health Literacy in terms of Harmful Alcohol Use in Adults with Probable Posttraumatic Stress Disorder and Alcohol Use Disorder.
功能健康素养对于可能患有创伤后应激障碍和酒精使用障碍的成年人有害酒精使用的作用。
- DOI:10.21203/rs.3.rs-4144996/v1
- 发表时间:2024
- 期刊:
- 影响因子:0
- 作者:Gould,DylanA;Lubin,RebeccaE;McGrew,ShelbyJ;Smit,Tanya;Vujanovic,AnkaA;Otto,MichaelW;Zvolensky,MichaelJ
- 通讯作者:Zvolensky,MichaelJ
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Michael S. Businelle其他文献
E-Cigarette switching and financial incentives to promote combustible cigarette cessation among adults accessing shelter services: A pilot study
- DOI:
10.1016/j.dadr.2024.100295 - 发表时间:
2024-12-01 - 期刊:
- 影响因子:
- 作者:
Munjireen S. Sifat;Adam C. Alexander;Michael S. Businelle;Summer G. Frank-Pearce;Laili Kharazi Boozary;Theodore L. Wagener;Jasjit S. Ahluwalia;Darla E. Kendzor - 通讯作者:
Darla E. Kendzor
The influence of sociodemographic, tobacco use, and mental health characteristics on treatment adherence among adults enrolled in a community-based tobacco cessation program
- DOI:
10.1016/j.abrep.2024.100568 - 发表时间:
2024-12-01 - 期刊:
- 影响因子:
- 作者:
Motolani E. Ogunsanya;Summer G. Frank-Pearce;Sixia Chen;Munjireen Sifat;Amy M. Cohn;Michael S. Businelle;Darla E. Kendzor - 通讯作者:
Darla E. Kendzor
Rural disparities in head and neck cancer from 2017 to 2021: a single institution analysis
2017年至2021年头颈癌农村差异:单一机构分析
- DOI:
- 发表时间:
2022 - 期刊:
- 影响因子:0.4
- 作者:
My;Jonathan T. Derouen;J. N. Cantrell;Andrea L. Johnston;G. Vidal;A. Schutz;W. Ogilvie;Michael S. Businelle;S.Airiza Ahmad;C. Henson - 通讯作者:
C. Henson
Using intensive longitudinal assessment to study mechanisms of the Native American pain inequity among persons experiencing depression and/or anxiety: The role of interpersonal discrimination and stress
运用密集纵向评估研究患有抑郁症和(或)焦虑症的美国原住民疼痛状况不平等的机制:人际歧视和压力的作用
- DOI:
10.1016/j.jpain.2025.105329 - 发表时间:
2025-04-01 - 期刊:
- 影响因子:4.000
- 作者:
Jamie L. Rhudy;Joanna O. Shadlow;Travis S. Lowe;Lancer D. Stephens;Michael J. Zvolensky;Lorra Garey;Darla E. Kendzor;Michael S. Businelle - 通讯作者:
Michael S. Businelle
Associations between cannabis use and same-day health and substance use behaviors
大麻使用与当日健康及物质使用行为之间的关联
- DOI:
10.1016/j.addbeh.2024.108239 - 发表时间:
2025-04-01 - 期刊:
- 影响因子:3.600
- 作者:
Irene De La Torre;Emily T. Hébert;Krista M. Kezbers;Danielle Walters;Zachary C. Pope;Bingjing Mao;Lizbeth Benson;Dingjing Shi;Nadia Stanley;Michael S. Businelle - 通讯作者:
Michael S. Businelle
Michael S. Businelle的其他文献
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{{ truncateString('Michael S. Businelle', 18)}}的其他基金
Mobile Health to Monitor Risk for COVID-19 and Improve Mental Health during the Pandemic
移动医疗可监测 COVID-19 风险并改善大流行期间的心理健康
- 批准号:
10663119 - 财政年份:2021
- 资助金额:
$ 6.57万 - 项目类别:
Mobile Health to Monitor Risk for COVID-19 and Improve Mental Health during the Pandemic
移动医疗可监测 COVID-19 风险并改善大流行期间的心理健康
- 批准号:
10402904 - 财政年份:2021
- 资助金额:
$ 6.57万 - 项目类别:
Mobile Health to Monitor Risk for COVID-19 and Improve Mental Health during the Pandemic
移动医疗可监测 COVID-19 风险并改善大流行期间的心理健康
- 批准号:
10244766 - 财政年份:2021
- 资助金额:
$ 6.57万 - 项目类别:
Mobile Health to Monitor Risk for COVID-19 and Improve Mental Health during the Pandemic
移动医疗可监测 COVID-19 风险并改善大流行期间的心理健康
- 批准号:
10599378 - 财政年份:2021
- 资助金额:
$ 6.57万 - 项目类别:
Smartphone Based Smoking Cessation Intervention for Socioeconomically Disadvantaged Adults
针对社会经济弱势成年人的基于智能手机的戒烟干预
- 批准号:
10348211 - 财政年份:2019
- 资助金额:
$ 6.57万 - 项目类别:
Smartphone Based Smoking Cessation Intervention for Socioeconomically Disadvantaged Adults
针对社会经济弱势成年人的基于智能手机的戒烟干预
- 批准号:
10552631 - 财政年份:2019
- 资助金额:
$ 6.57万 - 项目类别:
Development and Testing of a Just-in-Time Adaptive Smart Phone Intervention to Reduce Drinking among Homeless Adults
开发和测试实时自适应智能手机干预措施以减少无家可归成年人的饮酒
- 批准号:
10190553 - 财政年份:2018
- 资助金额:
$ 6.57万 - 项目类别:
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