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通过文化运动干预促进越南移民的身心健康。

Promoting mental and physical health of Vietnamese immigrants through a cultural movement intervention.

作者信息

Huang Cindy Y, Zane Nolan W, Hunter Lynette, Vang Lay, Apesoa-Varano Ester Carolina, Joseph Jill

机构信息

Department of Counseling and Clinical Psychology, Teachers College, Columbia University.

Department of Psychology, Asian American Center on Disparities Research, University of California, Davis.

出版信息

Cultur Divers Ethnic Minor Psychol. 2025 Jan;31(1):46-57. doi: 10.1037/cdp0000591. Epub 2023 May 25.

Abstract

OBJECTIVES

Older Vietnamese adults are among the most underserved groups in the United States, despite being at high risk for stress and other negative experiences (e.g., access to same-language practitioners, transportation barriers, lack of health care). Minimal progress has been made in decreasing treatment barriers for this underserved population. One promising approach involves using indigenous, culturally based interventions to enhance psychological and physical well-being. Such interventions may reduce utilization and quality of care disparities because they emphasize a more holistic approach to health, thereby limiting the shame and face loss often experienced due to the stigma associated with mental illness. The present study examined the efficacy of lishi, a traditional East Asian movement form of exercise, in promoting mental and physical health outcomes for older Vietnamese immigrant adults.

METHOD

Seventy-one older Vietnamese adults participated in this randomized waitlist control study. Participants were between 60 and 75 years old. Multivariate analysis of covariance was used to determine posttest outcomes differences between the intervention and control groups.

RESULTS

Intervention group participants experienced significantly higher levels of self-efficacy and physical energy, less bodily pains, and better body balance at posttest compared to the control group.

CONCLUSIONS

Lishi may be an effective culturally valid intervention for older Vietnamese adults and demonstrated promise at engaging this hard-to-reach population in treatment and services. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

目标

尽管美国的老年越南裔成年人面临着高压力及其他负面经历(例如,难以获得会说同一种语言的从业者的服务、交通障碍、缺乏医疗保健)的高风险,但他们却是最未得到充分服务的群体之一。在减少这一未得到充分服务群体的治疗障碍方面进展甚微。一种有前景的方法是使用基于本土文化的干预措施来增进心理和身体健康。此类干预措施可能会减少医疗服务利用和质量方面的差距,因为它们强调更全面的健康方法,从而减少因与精神疾病相关的污名化而经常经历的羞耻感和面子丧失。本研究考察了东亚传统运动形式——李氏(lishi)运动对老年越南裔移民成年人心理健康和身体健康状况的促进效果。

方法

71名老年越南裔成年人参与了这项随机等待名单对照研究。参与者年龄在60至75岁之间。使用协方差多元分析来确定干预组和对照组在测试后的结果差异。

结果

与对照组相比,干预组参与者在测试后自我效能感和身体能量水平显著更高,身体疼痛更少,身体平衡更好。

结论

李氏运动可能是一种对老年越南裔成年人有效的、具有文化效度的干预措施,并且在促使这一难以接触到的人群参与治疗和服务方面显示出前景。(《心理学文摘数据库记录》(c)2025美国心理学会,保留所有权利)

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