Building Research Capacity for Implementation of Outcomes Research and Evidence-Based trauma care after Mass Violence, in Ukraine.

摘要/摘要 数百万乌克兰人（平民和军人）最近受到战斗/战争相关的伤害。 外伤伤亡人数惊人。根据联合国的数据，即使在早期， 在乌克兰有限的冲突（2014-2021年），据估计，32%的人遭受 PTSD，22%的抑郁症和17%的焦虑症，因此预计数十万人 很可能发展出与创伤/压力相关的精神健康后遗症。同时对 乌克兰的精神卫生状况非常严峻。这个国家在共产党统治下达70年之久 多年来，这导致一般医疗保健，特别是心理健康长期资金不足。甚至 在俄罗斯入侵之前，乌克兰的心理压力是前苏联国家中最高的。 几乎没有受过循证创伤护理培训的精神卫生专业人员， 抑郁症，焦虑症，甚至更少，调查人员谁可以传播，实施，并评估 这些治疗的保真度、可接受性和有效性。因此，建筑，创伤护理研究， 执行工作现在非常重要。与顶尖的心理学家和医生合作- 乌克兰创伤护理科学家，并借鉴美国合作者的专业知识-世界知名的 在研究方法，压力/创伤和循证护理方面的专家，该项目将实施一个 一套创伤研究培训经验。目标是传递有关创伤的知识 流行病学，病理生理学，研究方法和实施干预措施， 这个科学基础。在该计划的最后几年，我们将指导和合作的设计， 对最终有可能在全国推广的研究项目进行试点测试。的 拟议的方案涉及来自5所不同的美国大学（TAMU， UThealth、密歇根大学、埃默里大学和MUSC）、国立基辅大学莫希拉学院 （NaUKMA）和Zelenskaya精神卫生改革实施倡议办公室。实施 一套联锁培训经验，包括以下内容：（a）年度讲习班（约70 与会者）在乌克兰西部举行，为博士后临床科学家（B）持续不断 教育与来自美国和乌克兰的专家，包括每月在线会议，指导阅读和 监督（c）为期三个月的强化暑期学校，为16名先进和承诺的夏季 研究员在研究方法方面接受深入培训，并在共同领域与导师合作 （d）暑期研究员将在长期研究员的支持下开发的国内研究项目 （e）建立一个研究网络，由以下人员领导的研究小组组成： 暑期研究员，并得到其他学员的支持

Summary/Abstract Millions of Ukrainians (both civilian and military) had been recently exposed to combat/war-related trauma. The numbers of casualties are staggering. Based on UN data, even during the early, and limited, conflict in Ukraine (2014-2021), it had been estimated that, 32% of individuals suffered from PTSD, 22% Depression, and 17% anxiety, thus it is projected that hundreds of thousands of persons are likely to develop debilitating trauma/stress-related mental health sequela. At the same time, the situation with mental health care in Ukraine is critical. The country was under communist rule for 70 years, leading to chronic underfunding of health care in general and mental health in particular. Even before Russian invasion, Ukraine had the highest levels of psychological distress among former Soviet states, and there almost no mental health professionals trained in evidence-based care for trauma, depression, anxiety, and even less so, investigators who can disseminate, implement, and assess the fidelity, acceptability, and efficacy of these treatments. Thus building, trauma care research, and implementation are so critical right now. In collaboration with leading psychologists and physician- scientists in trauma care in Ukraine, and drawing on the expertise of US collaborators – world-renown experts in research methodology, stress/trauma and evidence-based care, this project will implement a set of trauma research training experiences. The goal is to transfer of knowledge pertaining to trauma epidemiology, pathophysiology, research methods, and implementation of interventions that build upon that scientific base. In the latter years of the program, we will mentor and collaborate in the design and pilot testing of research projects that ultimately will have the potential for national dissemination. The proposed program involves collaboration among faculty from 5 different US Universities (TAMU, UThealth, University of Michigan, Emory and MUSC), National University of Kyiv-Mohyla Academy (NaUKMA), and Zelenskaya Initiative office for Mental Health reform implementation. To implement a set of interlocking training experiences which will include the following: (a) Yearly workshops (~ 70 attendees) held in Western Ukraine, for post-doctoral clinical scientists (b) ongoing continuous education with Experts from US and Ukraine, including monthly online sessions, directed reading and supervision (c) Three month-long intensive Summer School, for 16 advanced and committed Summer Fellows to get in-depth training in research methodology and work with mentors in areas of common interest, (d) In-country research projects that Summer Fellows will develop, with the support of long term U.S. mentors, (e) Creation of a Research network comprised from Research teams led by Summer Fellows, and supported by the other trainees