Socioeconomic Heterogeneity in the Impact of Psychiatric Care: A Secondary Analysis of the RAISE-ETP Trial for Patients with First-Episode Psychosis
Socioeconomic Heterogeneity in the Impact of Psychiatric Care: A Secondary Analysis of the RAISE-ETP Trial for Patients with First-Episode Psychosis
批准号:
10305685
负责人:
Daniel Mark Bennett
金额:
$8.25万
依托单位国家:
美国
项目类别:
财政年份:
2020
资助国家:
美国
项目状态:
已结题
起止时间:
2020-12-01 至 2022-11-30
关键词:
AddressAdherenceAdultAffectCaringCharacteristicsClinicalClinical TrialsCognitionDataEarly InterventionEarly intervention trialsEconomicsEducationEffectivenessEmployment OpportunitiesEquilibriumHealth Services AccessibilityHeterogeneityHomelessnessIndividualInequalityInterventionLeadLifeMeasuresMental HealthMental Health ServicesNational Institute of Mental HealthOccupationalPatientsPatternPersonsPoliciesPopulationPopulation HeterogeneityPsychiatric therapeutic procedurePsychosesQuality of lifeRaceRehabilitation therapyResearchResearch PersonnelSchizophreniaSiteSocioeconomic FactorsSocioeconomic StatusSourceSubstance abuse problemSymptomsTreatment EffectivenessTreatment FactorUnemploymentViolencebaseclinical research siteeffective interventioneffective therapyempowermentexperiencefallsfirst episode psychosishealth disparityhealth inequalitiesimprovedindexingintervention effectintervention programlow socioeconomic statuspsychiatric rehabilitationresponsesecondary analysissevere mental illnesssocialsocial stigmasocioeconomicssubstance usetreatment adherencetreatment effect
中文摘要
使用NIMH赞助的RAISE-ETP试验的数据,这项研究考察了影响这一效应的社会经济障碍。
提供积极的精神护理。RAISE调查人员发现早期干预计划的适度好处fi
适用于fi首发精神病患者。我们的初步分析表明,有很大的统计意义的fi不能
只有高SES患者从干预中受益的fi的差距。我们将研究可能的解释
这种模式包括SES在初始心理健康、耻辱、治疗依从性、认知、实质上的差异
虐待和经济赋权。最后,我们将量化此模式对年SES差距的贡献
心理健康。这项调查有别于RAISE调查人员提出或进行的任何分析
出去。
英文摘要
Using data from the NIMH-sponsored RAISE-ETP trial, this study examines socioeconomic barriers to the effec-
tive provision of psychiatric care. RAISE investigators found modest benefits of an early-intervention program
for patients with first-episode psychosis. Our preliminary analysis suggests a large and statistically significant
gap in which only high-SES patients benefitted from the intervention. We will examine possible explanations for
this pattern, including SES differences in initial mental health, stigma, treatment adherence, cognition, substance
abuse, and economic empowerment. Finally we will quantify the contribution of this pattern for the SES gap in
mental health. This inquiry is distinct from any analysis that the RAISE investigators have proposed or carried
out.
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