Adaptation and Pilot of a Peer-Facilitated Self-Help Plus Stress Management Intervention for Breast Cancer Patients in Viet Nam

项目概要 我是纽约大学社会与行为科学系的助理研究科学家 大学全球公共卫生学院 (NYU GPH)。我的职业目标是从事研究和实践 改善全球边缘化人群的心理健康。我的学术培训包括应用 数学（BS，'05）、卫生政策和管理（MPH，'08）、社区健康科学（博士，'14），以及 全球心理健康（博士后奖学金，'17和'20）。我还接受了混合方法的培训 以社区为基础的参与性研究。虽然我在评估心理健康方面有很强的分析能力 干预措施，我现在想培养技能来支持实施心理健康干预措施 与其他健康状况的治疗相结合，特别是：癌症。这个枢轴将需要一个 额外的知识和技能。因此，我获得 K01 奖项的目标是获得量身定制的培训和 在成为独立国际研究科学家的四个关键领域提供指导，重点是 全球癌症控制和预防。我组建了一支经验丰富的国际化多学科团队 致力于我职业发展的导师。指导委员会将由两人共同领导 实施科学和卫生服务研究领域的杰出学者：Donna Shelley 博士（纽约大学 GPH） 和 Minh Van Hoang 博士（河内公共卫生大学 [HUPH]）。我的共同导师包括两位专家 全球心理健康研究与实践——Dr. Lawrence H. Yang（纽约大学 GPH）和 Wietse A. Tol 博士（大学 哥本哈根） - 以及两位癌症控制和预防专家 - 博士。奥菲拉·金斯伯格（纽约大学珀尔穆特 癌症中心）和 Huong Tran 博士（河内医科大学、越南国家癌症研究所）。职业生涯 发展活动旨在利用纽约大学广泛的导师和活动，并促进 我在美国和美国之间交替居住期间，纽约大学和 HUPH 之间的知识交流 越南。我的研究计划是调整和试点针对乳腺癌的强化压力管理干预措施 越南的患者。首先，我将进行定性研究，以评估以下内容的可接受性和适当性： 实施 Self-Help Plus (SH) 计划以及额外的同伴支持部分，以帮助乳房 癌症患者控制他们的痛苦。此步骤的结果将有助于识别潜在的修改 需要。其次，我将召集一个工作组来选择和实施调整，包括额外的内容 同伴支持成分（P）。最后，我将试点经过调整、同伴协助的 SHP 干预措施，以评估其效果 可行性。成功完成培训和研究活动后，我将准备开发一个 R01建议测试调整后的干预措施在减少心理方面的实施和有效性 越南乳腺癌患者的痛苦。研究结果最终可以为证据的发展提供信息—— 对许多低收入和中等收入的癌症患者进行基于文化的社会心理干预 国家以及美国的不同种族/族裔群体

PROJECT SUMMARY I am an Assistant Research Scientist in the Department of Social and Behavioral Sciences at the New York University School of Global Public Health (NYU GPH). My career goal is to engage in research and practice that improves the mental health of marginalized populations globally. My academic training included applied mathematics (BS, ’05), health policy and management (MPH, ’08), community health sciences (PhD, ’14), and global mental health (postdoctoral fellowships, ’17 and ’20). I have also received training in mixed-methods and community-based participatory research. Although I have strong analytical skills in evaluating mental health interventions, I would now like to develop skills to support the implementation of mental health interventions that are integrated with the treatment of other health conditions—particularly: cancer. This pivot will require an additional set of knowledge and skills. Accordingly, my goal in this K01 award is to obtain tailored training and mentorship in four key areas critical in becoming an independent international research scientist with a focus on global cancer control and prevention. I have assembled an experienced, international, multidisciplinary team of mentors who are committed to my career development. The mentoring committee will be co-led by two distinguished scholars in implementation science and health services research: Dr. Donna Shelley (NYU GPH) and Dr. Minh Van Hoang (Hanoi University of Public Health [HUPH]). My co-mentors include two experts in global mental health research and practice—Dr. Lawrence H. Yang (NYU GPH) and Dr. Wietse A. Tol (University of Copenhagen)—and two experts in cancer control and prevention—Dr. Ophira Ginsburg (NYU Perlmutter Cancer Center) and Dr. Huong Tran (Hanoi Medical University, Viet Nam National Cancer Institute). The career development activities are designed to leverage the wide range of mentors and activities at NYU and to facilitate the knowledge exchange between NYU and HUPH throughout my alternating residences between the U.S. and Viet Nam. My research plan is to adapt and pilot an enhanced stress management intervention for breast cancer patients in Viet Nam. First, I will conduct qualitative research to assess the acceptability and appropriateness of implementing the Self-Help Plus (SH+) program, with an additional peer support component, to help breast cancer patients manage their distress. The findings from this step will help identify the potential modifications needed. Second, I will convene a working group to select and implement the adaptations, including the additional Peer support component (P). Finally, I will pilot the adapted, peer-facilitated SH+P intervention to evaluate its feasibility. Upon successful completion of the training and research activities, I will be prepared to develop an R01 proposal to test the implementation and effectiveness of the adapted intervention in reducing psychological distress among breast cancer patients in Viet Nam. Findings can ultimately inform the development of evidence- based, culturally-adapted psychosocial interventions for cancer patients in many low- and middle-income countries as well as for different racial/ethnic groups in the U.S.