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Improving mental health among the LGBTQ+ community impacted by the COVID-19 pandemic

改善受 COVID-19 大流行影响的 LGBTQ 群体的心理健康

基本信息

批准号：
10613077
负责人：
Philip Andrew Chan
金额：
$ 236.85万
依托单位：
BROWN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-01 至 2025-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10613077
关键词：
Address Administrator Adoption Adult Affect Anxiety Disorders Award Behavior Therapy Behavioral Blinded COVID-19 COVID-19 pandemic COVID-19 pandemic effects Clinical Cognitive Therapy Collaborations Communities Data Diagnosis Disputes Effectiveness Effectiveness of Interventions Electronic Health Record Family Friends Goals Health Healthcare Hybrids Individual Intervention Interview Investigational Therapies Lesbian Gay Bisexual Transgender Queer Life Loneliness Mediating Mediator of activation protein Mental Health Mental disorders Mood Disorders Morbidity - disease rate Motivation National Institute of Mental Health Neighborhood Health Center Outcome Participant Pathway interactions Patient Self-Report Patients Perception Personal Satisfaction Persons Physicians Population Promoting Action on Research Implementation in Health Services framework Psychiatric Diagnosis Psychologist Public Health Quarantine Reach Effectiveness Adoption Implementation and Maintenance Recording of previous events Recovery Research Resources Rhode Island Social isolation Social support Societies Speed Strategic Planning Suicide Symptoms Testing Translations United States Work anxiety symptoms base clinical care clinical practice coping cost depressive symptoms distraction effectiveness implementation trial effectiveness testing experience follow-up future implementation health disparity health equity high risk hybrid type 1 design implementation barriers implementation fidelity implementation framework implementation intervention improved innovation mindfulness pandemic disease primary outcome recruit response secondary outcome social telehealth tool treatment as usual treatment effect treatment services uptake

项目摘要

PROJECT SUMMARY/ABSTRACT During the COVID-19 pandemic, up to 81% of adults in the United States experienced worsening mental health. A major cause was the social isolation triggered by the pandemic due to quarantining, loss of family or friends, and loss of work. For individuals who lost social connections or were unable to adapt to maintain their connections, social support decreased and loneliness worsened, putting them at much higher risk for anxiety and depressive symptoms. Importantly, people who identify as LGBTQ+ have been particularly affected by the social isolation caused by the pandemic and were already at much higher risk of social isolation, loneliness, and mental illness, including suicidality, before the pandemic. The long-term goal is to improve mental health outcomes in the LGBTQ+ population. The objective of this R01 fully-powered Hybrid Type 1 Effectiveness- Implementation trial is to examine the effectiveness of a brief acceptance-based behavioral telehealth intervention (ABBT) to improve mental health during the COVID-19 pandemic by strengthening social support among LGBTQ+ individuals. The central hypothesis is that ABBT will be an impactful intervention for LGBTQ+ individuals because it will teach patients how to navigate the real, unavoidable challenges of the COVID-19 pandemic, while attending to their life goals and values, such as social connectedness. The aims of this proposal are: (1) to examine the effectiveness of ABBT in reducing mental health morbidity by conducting a fully-powered, RCT (n=200) of ABBT vs. Treatment-as-Usual; (2) to examine potential mediators and moderators of ABBT treatment effects; and, (3) to identify patient, staff, and organizational-level factors that may facilitate/hinder ABBT implementation. Primary outcomes will be anxiety and depressive symptoms. ABBT represents an innovative approach to coping with the COVID-19 pandemic that can be more personally-relevant and sensitive to patients' needs than traditional CBT. Thus, the clinical and public health significance of this research will be the demonstration of a simple, lower-cost, and potentially widely- disseminable intervention that can be integrated into treatment services at LGBTQ+ health centers.

项目总结/文摘