Asian American Center on Disparities Research

描述（由申请人提供）：本申请建立了亚裔美国人差异研究中心（AACDR）。AACDR建立在自1988年以来由美国亚裔心理健康国家研究中心（NRCAAMH）进行的亚裔美国人心理健康问题研究计划的基础上。AACDR追求的研究议程是调查文化因素如何发挥作用，以增强或减轻亚裔美国人客户循证治疗的实施和有效性。 该中心的目标是（1）进行程序化的，以问题为导向的研究，对有效的临床试验进行实证检验。 （2）开展对亚裔美国人和一般心理健康领域具有理论和政策意义的研究;（3）促进和开展研究，解决多样性和差异研究中涉及的关键方法问题;（4）通过维持和加强研究人员网络，成为研究人员在国家一级进行亚裔美国人差异研究的焦点和激励因素，（5）将科学与心理健康实践结合起来，特别是在文化影响方面，因为文化影响会影响治疗和服务提供的关键问题，如不坚持治疗和过早辍学。该中心的临床有效性研究项目测试了基于证据的治疗抑郁症的亚裔美国人的客户的有效性，并确定了文化变量，这些干预措施的效果适度。治疗师因素研究计划确定治疗师的特征与文化能力和使用循证实践相互作用或独立影响心理健康门诊客户的治疗结果。药物依从性研究计划开发和测试旨在改善抑郁症亚裔美国人客户的药物依从性的文化针对性干预的有效性。 保健方面的差异是指基于种族或族裔对病人的区别对待，而这种区别对待不能用病人的基本健康状况或治疗偏好来解释（医学研究所，2002年）。自1978年以来，各种总统委员会得出结论认为，这种差异并不是因为精神病理学发病率的种族和民族差异，而是因为无法获得有效的治疗。因此，一项关键任务是提高这些客户的治疗效果和护理质量。从本质上讲，该中心的研究使命是致力于并集中在这后一方面的贞操文化因素，影响治疗的有效性。

DESCRIPTION (provided by applicant): This application establishes the Asian American Center on Disparities Research (AACDR). AACDR builds upon a program of research on the mental health issues of Asian American populations that had been carried on since 1988 by the National Research Center on Asian American Mental Health (NRCAAMH). AACDR pursues a research agenda that investigates how cultural factors work to either enhance or mitigate the implementation and effectiveness of evidence-based treatments for Asian American clients. The center's objectives are to (1) conduct programmatic, problem-oriented research toward the empirical testing of effective clinical treatments for Asian American populations; (2) conduct research that has theoretical and policy significance for Asian Americans in particular and the mental health field in general; (3) promote and conduct research that addresses key methodological issues involved in the study of diversity and disparities; (4) be the focal point and stimulus for researchers conducting Asian American disparities research on a national level by maintaining and enhancing a network of researchers, service providers, and policy makers to facilitate theory and methodology development; and (5) bridge science into mental health practice, in particular, concerning cultural influences that affect critical problems of treatment and service delivery such as medical non-adherence and premature dropout. The center's Clinical Effectiveness Research Program tests the effectiveness of evidence-based treatments for depression for Asian American clients and identifies the cultural variables that moderate the effects of these interventions. The Therapist Factors Research Program determines if therapist characteristics associated with cultural competence and the use of evidence-based practices interact or independently affect treatment outcomes for mental health outpatient clients. The Medication Adherence Research Program develops and tests the effectiveness of a culturally targeted intervention designed to improve medication adherence among depressed Asian American clients. Disparities in health care refer to the differential treatment of patients on the basis of race or ethnicity that is not explained by underlying health conditions or treatment preferences of patients (Institute of Medicine, 2002). Since 1978, various presidential commissions have concluded that the disparities were not so much due to racial and ethnic differences in rates of psychopathology but were due to inaccessible and ineffective treatment. Thus, one critical task is to improve therapeutic effectiveness and quality of care for these clients. Essentially, the center's research mission is devoted to and focused on this latter aspect of disparity-cultural factors that affect the effectiveness of treatment.