Ignite Creation Date:
2024-10-26 @ 3:42 PM
Last Modification Date:
2024-10-26 @ 3:42 PM
Study NCT ID:
NCT06632158
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-10-06
Brief Title:
Personal Relevance of Psychotherapy for Asian Americans
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Personal Relevance of Psychotherapy for Asian Americans a MHealth Problem-solving Intervention to Reduce Stress PRoP-AA
Status:
RECRUITING
Status Verified Date:
2024-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
PRoP-AA
Brief Summary:
Using a three-armed design the investigators will test whether participants in the Mindboba online application experience significantly greater improvements as compared to participants in the active control online app based on Cognitive Behavioral Therapy and participants in the business-as-usual control The outcome measures are self-reported social problem-solving self-efficacy stress depression anxiety attitudes towards seeking mental health and knowledge
Detailed Description:
The intervention Personal relevance of psychotherapy for Asian Americans A mHealth problem-solving intervention to reduce stress is designed 1 to increase the use of mental health services by a population that uses them at one third the rate of Whitesand 2 to develop a personally-relevant approach to stress-reduction Practical and cultural barriers inhibit the use of mental health services by Asian Americans including a lack of fluency in English amongst specific subpopulations insufficient health literacy and stigma surrounding mental illness which stems from Asian American cultural beliefs shared across subpopulations To this end we developed MindBoba a mHealth mobile health application that is systematically adapted to be culturally relevant to select Asian American subpopulations based on Problem-Solving Therapy PST
To ensure client engagement psychotherapy should provide relevant immediate and tangible benefits Personally relevant evidence-based interventions have the potential to increase the reach and impact of mental health services-especially as conventional evidence-based interventions have not worked to eliminate mental health disparities among ethnic minority groups Personally relevant interventions can reduce disparities by increasing engagement and greater engagement makes mental health services more effective An external problem-solving orientation is culturally responsive to Asian values It focuses on the problem allowing the client to feel more comfortable in treatment rather than on cognitive reframing which can elicit an aversive reaction if the client is unprepared to make internal shifts and feels blamed when asked by the therapist to do so By approaching personal issues as external problems to solve as opposed to a personal disease to manage Asian Americans can effectively save face a particular concern PST is effective for reducing psychopathology such as depression and other psychological difficulties Research has shown that Asian Americans report greater perceived relevance of PST as well as greater activation of self-processing in the medial prefrontal cortex compared to Cognitive Behavioral Therapy CBT
The MindBoba interventions content is innovative it integrates external problem-solving and goal-setting through the use of PST By focusing on stressful problems in the real world PST offers a more personally relevant approach for many Asian Americans-particularly those concerned about saving face Mindboba was culturally adapted for this group systematically Culturally adapted strategies may include providing cultural-clinical bridges through a comprehensive therapy orientation focus on stigma reduction integration of cultural metaphors and symbols and use of cultural and philosophical teachings
The final evaluation of intervention efficacy will be conducted via a randomized controlled trial with 360 Asian American participants Over 14 weeks 1 week for pretest 12 weeks for intervention 1 week for posttest we will assess whether compared to a business-as-usual BAU or an active control AC implementation of the full PRoP-AA intervention a increases social problem-solving b increases participant self-efficacy c decreases stress and depression d increases motivation to engage with the intervention e improves attitudes towards seeking mental health help and f increases knowledge
To ensure client engagement psychotherapy should provide relevant immediate and tangible benefits Personally relevant evidence-based interventions have the potential to increase the reach and impact of mental health services-especially as conventional evidence-based interventions have not worked to eliminate mental health disparities among ethnic minority groups Personally relevant interventions can reduce disparities by increasing engagement and greater engagement makes mental health services more effective An external problem-solving orientation is culturally responsive to Asian values It focuses on the problem allowing the client to feel more comfortable in treatment rather than on cognitive reframing which can elicit an aversive reaction if the client is unprepared to make internal shifts and feels blamed when asked by the therapist to do so By approaching personal issues as external problems to solve as opposed to a personal disease to manage Asian Americans can effectively save face a particular concern PST is effective for reducing psychopathology such as depression and other psychological difficulties Research has shown that Asian Americans report greater perceived relevance of PST as well as greater activation of self-processing in the medial prefrontal cortex compared to Cognitive Behavioral Therapy CBT
The MindBoba interventions content is innovative it integrates external problem-solving and goal-setting through the use of PST By focusing on stressful problems in the real world PST offers a more personally relevant approach for many Asian Americans-particularly those concerned about saving face Mindboba was culturally adapted for this group systematically Culturally adapted strategies may include providing cultural-clinical bridges through a comprehensive therapy orientation focus on stigma reduction integration of cultural metaphors and symbols and use of cultural and philosophical teachings
The final evaluation of intervention efficacy will be conducted via a randomized controlled trial with 360 Asian American participants Over 14 weeks 1 week for pretest 12 weeks for intervention 1 week for posttest we will assess whether compared to a business-as-usual BAU or an active control AC implementation of the full PRoP-AA intervention a increases social problem-solving b increases participant self-efficacy c decreases stress and depression d increases motivation to engage with the intervention e improves attitudes towards seeking mental health help and f increases knowledge
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None