A Web-App Based Lifestyle Physical Activity Promotion Program to Improve Depressive Symptom Experience: Midlife Korean American Women

基于网络应用程序的生活方式体育活动促进计划，以改善抑郁症状体验：中年韩裔美国女性

• 批准号: 10900238
• 负责人: Wonshik Chee
• 金额: $ 55.14万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-06 至 2027-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10900238
• 关键词: Acceleration; Adopted; Adoption; Age; American; Asian Americans; Attitude; Behavioral; Body mass index; COVID-19 outbreak; COVID-19 pandemic; Cellular Phone; Centers for Disease Control and Prevention (U.S.); Characteristics; Computer software; Computers; Control Groups; Cost Analysis; Cultural Characteristics; Devices; Dimensions; Disease; Ethnic Population; European; Family history of; Gender; Generations; Genetic; Goals; Guidelines; Health; Health Personnel; Health Status; Heart Rate; Household; Immigration; Internet; Intervention; Intervention Studies; Korean American; Koreans; Leisures; Life; Life Style; Maintenance; Measures; Mediating; Menopausal Status; Mental Depression; Mental Health Services; Mental disorders; Minority Women; Modality; Moods; Operating System; Outcome; Patient Self-Report; Pharmacotherapy; Physical activity; Population; Prevalence; Program Effectiveness; Psychotherapy; Randomized; Recommendation; Research; Rest; Risk; Running; Social support; Stress; Stress and Coping; Surface; Symptoms; Technology; Testing; Time; Translations; Transportation; Woman; Work; active control group; aging population; cultural competence; depressive symptoms; design; efficacy evaluation; epidemiology study; ethnic health disparity; ethnic minority; experience; fitbit; follow-up; group intervention; handheld mobile device; health care service; improved; innovation; intervention effect; men; middle age; perceived discrimination; pilot test; preference; primary care setting; programs; prototype; racial disparity; racial minority; racial population; recruit; social media; social stigma; stress reduction; theories; waist circumference; web app; web server; web site

With an increasing multicultural aging population in the U.S., depressive symptoms in midlife racial/ethnic minorities are becoming increasingly significant. The prevalence of depression among Asian Americans is about 4.5 times higher than that of Americans in general. Within the Asian- American demographic, Korean Americans have the highest rate of depression. Within the Korean-American group, midlife Korean-American women are at increased risk of depressive symptoms because of their gender and age. Furthermore, the recent COVID19 pandemic has placed additional stress to this specific population. Korean Americans have a cultural preference for natural lifestyle management strategies (e.g., promotion of lifestyle physical activity) for depression as opposed to pharmacotherapy, and there is a cultural emphasis on one’s ability to handle stresses without outside assistance. A technology-based program using a web app could provide a highly innovative and effective way to promote lifestyle physical activity and improve depressive symptoms experienced by this specific population in a manner that appeals to their cultural preference. Yet, few programs are available for this specific population and little is known about the efficacy of technology-based interventions in improving depressive symptoms of racial/ethnic minority women including this population. Based on Preliminary Studies, the research team has developed and pilot-tested the Web-App based Lifestyle Physical Activity Promotion Program in improving depressive symptom experience of midlife Korean American women (WPAPP-K). WPAPP-K has several unique features that overcome the shortcomings of existing programs such as surface and deep cultural tailoring and social media functions. The purpose of this randomized intervention study is to determine the efficacy of WPAPP-K in improving depressive symptom experience of midlife Korean American women. The specific aims are to: (a) determine whether the intervention group will show significantly greater improvements than the control group in self-reported depressive symptom experience from a pre-test (T0) to post 6-months (T1) and post 12-months (T2); (b) determine whether the intervention group will show significantly greater improvements than the control group in self-reported lifestyle physical activity experience from T0 to T1 and T2; (c) identify whether physical activity experience mediates the intervention effects of the WPAPP-K on depressive symptom experience from T0 to T2; and (d) determine whether the effects of WPAPP-K on depressive symptom experience are moderated by selected factors. The study is theoretically guided by the Bandura’s Theory of Behavioral Change and the Stress and Coping framework by Lazarus and Folkman. The study adopts a randomized repeated measures pretest/posttest control group design among 300 midlife Korean American women who are nationally recruited. The long-term goals are to: (a) implement the program in various primary care settings; (b) examine the cost-effectiveness of the program; and (c) determine if the WPAPP-K will lead to long-term improved health outcomes.

随着美国多元文化老龄化人口的增加，中年抑郁症状种族/民族 少数群体的重要性越来越大。亚裔美国人抑郁症的患病率是 比一般美国人高4.5倍。在亚裔美国人中，韩国人 美国人的抑郁症发病率最高。在韩裔美国人群体中， 妇女因其性别和年龄而更容易出现抑郁症状。而且 最近的COVID-19大流行给这一特定人群带来了额外的压力。韩裔美国人有一个 对自然生活方式管理策略的文化偏好（例如，促进生活方式体育活动）， 抑郁症，而不是药物治疗，有一个文化强调一个人的能力，以处理 在没有外界帮助的情况下。一个使用网络应用程序的基于技术的程序可以提供一个高度 以创新有效方法推广体育运动及改善抑郁症 这一特定人群以符合其文化偏好的方式经历的。然而，很少有项目 对这一特定人群可用，对基于技术的干预措施的有效性知之甚少 改善包括这一人群在内的少数种族/民族妇女的抑郁症状。基于 初步研究，研究小组已经开发和试点测试了基于Web应用程序的生活方式物理 活动促进计划改善中年韩裔美国妇女的抑郁症状体验 （WPAPP-K）。WPAPP-K有几个独特的功能，克服了现有程序的缺点 例如表层和深层的文化定制和社交媒体功能。这种随机化的目的是 干预研究是为了确定WPAPP-K在改善抑郁症状体验方面的疗效， 中年韩裔美国女性具体目标是：（a）确定干预小组是否将 在自我报告的抑郁症状方面， 从试验前（T0）到6个月后（T1）和12个月后（T2）的经验;（B）确定 干预组在自我报告的生活方式方面比对照组有更大的改善 从T0到T1和T2的身体活动经历;（c）确定身体活动经历是否起中介作用 WPAPP-K对从T0到T2的抑郁症状体验的干预效果;以及（d）确定 WPAPP-K对抑郁症状体验的影响是否受选定因素的调节。的 本研究以班杜拉的行为改变理论和压力与应对理论为理论指导 Lazarus和Folkman的框架。研究采用随机重复测量的前测/后测 在300名中年韩裔美国妇女中进行对照组设计。长期 目标是：（a）在各种初级保健环境中实施该方案;（B）检查 （c）确定《消除对妇女一切形式歧视行动计划》是否会长期改善健康状况。