Bamgbade Benita A, Barner Jamie C, Ford Kentya H, Brown Carolyn M, Lawson William B, Burdine Kimberly
Department of Pharmacy and Health Systems Sciences, Bouve College of Health Sciences, Northeastern University, Boston, MA, United States.
Division of Health Outcomes and Pharmacy Practice, College of Pharmacy, University of Texas at Austin, Austin, TX, United States.
JMIR Res Protoc. 2020 Feb 7;9(2):e16267. doi: 10.2196/16267.
In the United States, among those living with mental illness, 81% of African American (AA) young adults do not seek treatment compared with 66% of their white counterparts. Although the literature has identified unique culturally related factors that impact help seeking among AAs, limited information exists regarding the development and evaluation of interventions that incorporate these unique factors.
This study aims to describe a study protocol designed to develop a culturally relevant, theory-based, psychoeducational intervention for AA young adults; to determine if exposure to the intervention impacts AA young adults' willingness to seek help; and to determine whether cultural factors and stigma add to the prediction of willingness to seek help.
The Theory of Planned Behavior (TPB) and Barrera and Castro's framework for cultural adaptation of interventions were used as guiding frameworks. In stage 1 (information gathering), a literature review and three focus groups were conducted to identify salient cultural beliefs. Using stage 1 results, the intervention was designed in stage 2 (preliminary adaptation design), and in stage 3 (preliminary adaptation tests), the intervention was tested using pretest, posttest, and 3-month follow-up surveys. An experimental, mixed methods, prospective one-group intervention design was employed, and the primary outcomes were participants' willingness and intention to seek help for depression and actual help-seeking behavior.
This study was funded in May 2016 and approved by the University of Texas at Austin institutional review board. Data were collected from November 2016 to March 2016. Of the 103 students who signed up to participate in the study, 70 (67.9%) completed the pre- and posttest surveys. The findings are expected to be submitted for publication in 2020.
The findings from this research are expected to improve clinical practice by providing empirical evidence as to whether a culturally relevant psychoeducational intervention is useful for improving help seeking among young AAs. It will also inform future research and intervention development involving the TPB and willingness to seek help by identifying the important factors related to willingness to seek help. Advancing this field of research may facilitate improvements in help-seeking behavior among AA young people and reduce the associated mental health disparities that apparently manifest early on.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/16267.
在美国，患有精神疾病的非裔美国（AA）青年成年人中，81%未寻求治疗，而白人青年成年人中这一比例为66%。尽管文献已经确定了影响非裔美国人寻求帮助的独特文化相关因素，但关于纳入这些独特因素的干预措施的开发和评估的信息有限。
本研究旨在描述一项研究方案，该方案旨在为非裔美国青年成年人开发一种具有文化相关性、基于理论的心理教育干预措施；确定接触该干预措施是否会影响非裔美国青年成年人寻求帮助的意愿；并确定文化因素和耻辱感是否会增加对寻求帮助意愿的预测。
计划行为理论（TPB）以及巴雷拉和卡斯特罗的干预措施文化适应框架被用作指导框架。在第1阶段（信息收集），进行了文献综述和三个焦点小组讨论，以确定突出的文化信仰。利用第1阶段的结果，在第2阶段（初步适应设计）设计干预措施，并在第3阶段（初步适应测试），使用预测试、后测试和3个月随访调查对干预措施进行测试。采用了一种实验性、混合方法、前瞻性单组干预设计，主要结果是参与者因抑郁寻求帮助的意愿和意图以及实际的寻求帮助行为。
本研究于2016年5月获得资助，并得到德克萨斯大学奥斯汀分校机构审查委员会的批准。数据收集于2016年11月至2016年3月。在报名参加该研究的103名学生中，70名（67.9%）完成了预测试和后测试调查。研究结果预计将于2020年提交发表。
本研究的结果有望通过提供关于具有文化相关性的心理教育干预措施是否有助于改善非裔美国青年成年人寻求帮助情况的实证证据来改善临床实践。它还将通过确定与寻求帮助意愿相关的重要因素，为未来涉及计划行为理论和寻求帮助意愿的研究和干预开发提供信息。推进这一研究领域可能有助于改善非裔美国青年的寻求帮助行为，并减少早期明显出现的相关心理健康差距。
国际注册报告识别码（IRRID）：DERR1-10.2196/16267。
