Telehealth Trauma Interventions for Low-SES Abused Women

描述（由申请人提供）：亲密伴侣暴力（IPV）（Saltzman等人，2002年，这是一个严重的公共卫生威胁。创伤后应激障碍（PTSD）是IPV的一种特别普遍的结果，一些研究报告称，超过75%的受虐妇女符合诊断标准（例如，肯普等人，1995年）。不幸的是，PTSD被发现在一系列与IPV相关的其他不良心理健康和行为结果中，包括抑郁和再次受害。社会经济地位低的非裔美国人受虐妇女是一个特别脆弱的家庭暴力受害者群体，因为她们不太可能获得心理健康服务来解决这些困难（美国卫生和公众服务部，2001年）。这种获得护理的机会减少是由于传统精神卫生环境中常规护理的形式和结构中存在许多难以克服的障碍。在这一人群中，几乎没有以证据为基础的干预研究来解决创伤后应激障碍、再次受害和其他IPV相关结果。因此，创新的治疗策略对于增加精神卫生服务的可及性和可接受性至关重要，因为这些服务不足的人群。本研究的目的是开发和初步评估的有效性和成本的创新，可访问的，并加强创伤后应激障碍干预低SES的非洲裔美国人受虐妇女。拟议的《儿童权利公约》干预措施通过其内容、灵活性和交付方式实现了这一目标。这项申请有三个具体目标，所有这些目标都与R34所述的使命一致，包括：（1）为被殴打妇女制定一项多组成部分的电话管理干预措施;（2）对干预措施进行试点测试;（3）对管理干预措施的成本措施进行试点测试。R34将为开展全面的NIMH R 01有效性试验提供基础，以减少低SES非洲裔美国受虐妇女的PTSD和相关问题。

DESCRIPTION (provided by applicant): Intimate partner violence (IPV) (Saltzman et al., 1999; 2002) is a significant public health threat. PTSD is a particularly prevalent outcome of IPV, with some studies reporting more than 75% of battered women meeting diagnostic criteria (e.g., Kemp et al., 1995). Unfortunately, PTSD is found among a host of additional poor mental health and behavioral outcomes associated with IPV, including depression and revictimization. Low-SES, African American battered women represent an especially vulnerable group of IPV victims, as they are unlikely to access mental health services to address these difficulties (USDHHS, 2001). This diminished access to care is due to numerous and formidable barriers within the format and structure of usual care in traditional mental health settings. There is little in the way of evidence-based intervention research for addressing PTSD, revictimization, and other IPV-related outcomes in this population. Thus, innovative treatment strategies are essential for increasing the accessibility and acceptability of mental health services to this underserved population. The purpose of this study is to develop and preliminarily evaluate the effectiveness and cost of an innovative, accessible, and enhanced PTSD intervention for low-SES African American battered women. The proposed CONNECT intervention addresses this goal through its content, flexibility, and mode of delivery. This application has three specific aims all of which are congruent with the stated mission of the R34 and include: (1) To develop a multi-component, telephone-administered intervention for battered women; (2) To pilot test the intervention; and (3) To pilot test measures of the cost of administering the intervention. The R34 will provide the foundation upon which to develop a full-scale NIMH R01 effectiveness trial to reduce PTSD and associated problems in Iow-SES African American battered women.