Telehealth Trauma Interventions for Low-SES Abused Women

说明(由申请人提供)：亲密伴侣暴力(IPV)(Saltzman等人，1999；2002)是一个重大的公共健康威胁。创伤后应激障碍是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，Kemp等人，1995年)。不幸的是，在与IPV相关的许多其他不良心理健康和行为后果中，还发现了创伤后应激障碍，包括抑郁和再次受害。低社会地位、非裔美国人遭受虐待的妇女是IPV受害者中的一个特别脆弱的群体，因为她们不太可能获得精神健康服务来解决这些困难(USDHHS，2001)。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令人敬畏的障碍。在这一人群中，几乎没有循证干预研究来解决创伤后应激障碍、再受害和其他与IPV相关的后果。因此，创新的治疗战略对于提高这一服务不足的人群获得和接受精神卫生服务的机会和接受度至关重要。这项研究的目的是开发和初步评估一种创新的、可获得的、增强的创伤后应激障碍干预措施对低SES非裔美国受虐妇女的有效性和成本。拟议的连接干预通过其内容、灵活性和交付方式解决了这一目标。这项申请有三个具体目标，所有这些目标都与R34规定的使命一致，并包括：(1)为受虐妇女开发一种由多个组成部分通过电话实施的干预措施；(2)对干预措施进行试点测试；以及(3)对干预措施的管理成本进行试点测试。R34将提供基础，在此基础上开发一项全面的NIMH R01有效性试验，以减少低SES非裔美国受虐妇女的创伤后应激障碍和相关问题。

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.