TERTULIAS: Addressing Social Isolation to Reduce Depression Among Female Mexican Immigrants

项目摘要 概况.我们将进行一项随机对照试验的TERTULIAS，一种创新的社会隔离支持 小组模式，与240名女性墨西哥移民（FMIs），以促进科学的整体，多层次 （个人、家庭和团体）干预，以减少与社会隔离有关的移民健康差距， 萧条我们的跨学科团队将使用严格的，混合的方法，社区参与的方法， 包括头发皮质醇作为慢性压力生物标志物的尖端生物评估。 研究目标。1.）的人。测量文化背景下的同伴群体干预是否会减少抑郁症 以及与移民经历相关的压力。2.）的情况。为了测试使用“妇女”的干预是否 “知识基金”的方法提高了复原力、知识和赋权。3.）第三章探讨 是否一个文化上的同龄群体干预使用妇女的知识基金的方法可以给 参与者的社会和身体联系（“安置”）的感觉和经验，这是在 移民的过程。 Approach.我们将使用经过验证的工具收集感兴趣领域的调查数据。解释 定量结果将得到三角测量和数据集定性分析的支持，这些数据集包括 观察笔记、会议记录以及访谈和小组会议的记录。 预期成果。我们将展示减少与社会隔离有关的健康差距的战略 是在移民过程中产生的。我们的新干预措施将解决与社会隔离相关的健康问题 通过利用积极的文化动力和妇女的知识基金， 参与者生活中的变革性社会联系、知识和弹性因素。 长期影响。这项工作的长期影响将有助于发展一种文化和 在移民社区减少健康差距的情境健康促进模式。 更广泛的意义。根据NIMHD研究框架，拟议的研究将建立科学的 在多个领域和多个层面上解决健康差距的知识， 影响力的社会这项研究超越了确定健康差异的存在，发现了一种创造性的健康科学。 解决和干预。根据我们的理论架构，整合文化情境理论，基金 知识，性别安置，这项研究将表明，一个创新的，全面的，多层次的， 社区参与的方法可以在没有大量财政资源支出的情况下取得成功， 机构基础设施，或高成本的受过医疗培训的专业人员。对特图利亚斯的试验 一个可复制的、可扩展的模式，用于文化上适当的健康促进，并具有以下影响： 与新移民和第一代移民中其他妇女一起开展健康促进工作。

PROJECT SUMMARY Overview. We will conduct a randomized controlled trial of TERTULIAS, an innovative social isolation support group model, with 240 female Mexican immigrants (FMIs) to contribute to the science of a holistic, multi-level (individual, family, and group) intervention to reduce immigrant health disparities related to social isolation and depression. Our transdisciplinary team will use a rigorous, mixed-method, community-engaged approach that includes a cutting-edge biological assessment of hair cortisol as a biomarker for chronic stress. Research Aims. 1.) To measure whether a culturally situated peer group intervention will reduce depression and stress associated with the experience of immigration. 2.) To test whether an intervention using a “women’s funds of knowledge” approach results in improved resilience, knowledge and empowerment. 3.) To investigate whether a culturally situated peer group intervention using a women’s funds of knowledge approach can give participants’ a sense and experience of social and physical connection (“emplacement”) that is lost in the process of immigration. Approach. We will gather survey data for domains of interest using validated instruments. Interpretation of quantitative results will be supported by triangulation with the qualitative analysis of data sets that include observational notes, meeting logs, and transcripts from interviews and group sessions. Expected Outcomes. We will demonstrate a strategy for reducing health disparities related to social isolation produced in the process of immigration. Our novel intervention will address social isolation-related health disparities for FMIs by leveraging positive cultural dynamics and women’s funds of knowledge to nurture transformative social connectedness, knowledge, and resiliency factors in the lives of participants. Long-term Impact. The long-term impact of this work will be to contribute to developing a culturally and contextually situated health promotion model for reducing health disparities in the immigrant community. Broader Significance. In line with the NIMHD Research Framework, the proposed research will build scientific knowledge toward solutions to health disparities that operate in multiple domains and at multiple levels of influence. This study goes beyond identifying that health disparities exist to discover a creative health science solution and intervention. Per our theoretical architecture that integrates theories of cultural situatedness, funds of knowledge, and gendered emplacement, this study will demonstrate that an innovative, holistic, multi-level, community-engaged approach can be successful without a large expenditure of financial resources, extensive institutional infrastructure, or high-cost medically trained professional staff. This trial of TERTULIAS will create a replicable, scalable model for culturally appropriate health promotion with FMIs that has implications for health promotion work with other women from recent and first generation immigrant populations.