Developing an equitable intervention approach for communities of color: mental health and co-occurring physical health concerns in the context of the COVID-19 pandemic

Asnaani, A (通讯作者),Univ Utah, Dept Psychol, Salt Lake City, UT 84112 USA.
2022-10-7
The COVID-19 pandemic has exacerbated disparities in mental health treatment for people of color in the USA. Meeting the needs of those most burdened by this disparity will require swift and tactical action in partnership with these communities. The purpose of this paper is to describe how a community-based participatory research approach was employed to assess the priorities and needs of four communities of color (African immigrant, Hispanic/Latino, Black/African American, and Pacific Islander) in a major U.S. city. A brief quantitative survey devised jointly by community leaders and the research team was deployed to community members (N = 59) in the fall of 2020. The most endorsed mental health issues across the communities were excessive worry (51%) and stress regarding COVID-19, racism, and immigration policies (49%). The most endorsed physical health concerns included sleep difficulties (44%), headaches, and backaches (each 39%). Physical symptoms predicted the endorsement of a mental health issue above and beyond COVID-19-related hardships, multiplying the odds of reporting an issue by 1.73 per physical health concern endorsed. Based on these findings, the community-research team conceptualized and proposed an evidence-based, effectiveness-implementation hybrid type-2 intervention approach for chronic worry and daily stress. This paper highlights detail on how the community-research team arrived at the proposed multilevel intervention that addresses community-stated barriers to mental health treatment (e.g., preferring trusted health workers to deliver emotional health treatments) and considers the burden of the additional stressful context of COVID-19. Lay Summary Diverse community members and university researchers collaborated on the development of an equitable intervention approach for community members' mental health needs.
TRANSLATIONAL BEHAVIORAL MEDICINE
卷号:12|期号:9|页码:919-926
ISSN:1869-6716|收录类别:SCIE
语种
英语
来源机构
Utah System of Higher Education; University of Utah; Utah System of Higher Education; University of Utah; Utah System of Higher Education; University of Utah
资助机构
National Center for Advancing Translational Sciences of the National Institutes of Health(United States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Center for Advancing Translational Sciences (NCATS))
资助信息
First, we would like to thank the Community Collaboration and Engagement Team, particularly Dr. Louisa Stark, Heather Brown, Brieanne Witte, and Naomi Flake, for coordinating the initial collaboration with community leaders, and for setting up the foundation for Phase 1 (focus groups) of the study. Additionally, we are very thankful for the team at the Treatment Mechanisms, Community Empowerment, and Technology Innovations (TCT) Lab (PI: Asnaani), especially Tracey Tacana and Ifrah Majeed for their assistance in administrative work related to study deployment and Qualtrics management. Moreover, our deepest appreciation to Community Faces of Utah members not on the author list, who shared invaluable resources and input throughout the study, with special mention of Calvary Baptist Church community leader Doriena Lee, who connected the team with Brian Hesleph and Kareem Balance, who assisted in recruitment of survey participants for this community. Additionally, we are grateful to Dr. Lizabeth Roemer, who met with the research-community team on multiple occasions to discuss the use of mindfulness techniques in communities of color. Lastly, but certainly not least, we would like to sincerely thank the community members across all the CFU communities who shared their experiences and helped us think about health in more holistic and culturally-relevant terms; our motivation to continue working with and for these communities largely stem from the strong voices of our community participants. Research reported in this publication was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health under Award Number UL1TR002538, for a project entitled Investigation of Community-Level Definitions of Mental Health, Mental Health Priority Areas, and Barriers to Care Across Diverse Communities: Development of a Framework for CulturallyResponsive, Evidence-Based Mental Health Intervention (PIs: Asnaani and Sanchez-Birkhead). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
被引频次(WOS)
1
被引频次(其他)
1
180天使用计数
1
2013以来使用计数
1
EISSN
1613-9860
出版年
2022-10-7
DOI
10.1093/tbm/ibac033
WOS学科分类
Public, Environmental & Occupational Health
学科领域
循证公共卫生
关键词
Mental health Physical health Health disparities Community-based research Health equity