Effects Of Anti-Stigma Intervention For Chinese American Older Adults With Mood And Anxiety Disorders
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 16
- 试验地点
- 1
- 主要终点
- Recovery assessment scale
研究概览
简要总结
Approximately 50 participants will be enrolled and screened to achieve 45 eligible patients with mood/anxiety disorders to complete a 10 weekly anti-stigma group intervention (ASGI) in addition to several self-report internalized stigma and psychiatric measures.This study will examine changes in internalized stigma and psychiatric symptoms pre- and post-ASGI with 3 months post-intervention follow-up.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 55 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Self-reported Chinese heritage;
- •55 years or older
- •Mandarin and/or Cantonese speaking and ability to read and/or comprehend spoken Chinese language.
- •Currently receiving treatment from a mental health provider at Gouverneur Medical Center Asian Bicultural Clinic (GMC ABC) and willing to continue mental health care through the study.
- •Willing to provide release for communication between primary mental health care provider and study staff throughout the study.
- •Documented by mental health provider after consent for release of information as having mood and anxiety disorder diagnosis in the past year;
- •A willingness to participate in the ASGI with stated availability;
- •Able and willing to provide informed consent.
排除标准
- •Lifetime psychosis, neurocognitive, or significant neurological disorders;
- •Current manic episode;
- •Past 6 months of alcohol/substance use disorder;
- •Serious safety concerns of suicide or homicide.
结局指标
主要结局
Recovery assessment scale
时间窗: 23 weeks
Empowerment will be assessed using the 15-item scale from the Recovery Assessment Scale. This scale measures domains of recovery including 1) personal confidence and hope 2) willingness to ask for help 3) goal and success orientation 4) reliance on others 5) symptom coping. Patients are asked to describe themselves using a 5-point agreement scale (1= strongly disagree, 5= strongly agree) regarding their recovery. Total score from15 to 75 (summed score) Higher score means better outcome
Self-protective Withdrawal and Secrecy scale
时间窗: 23 weeks
Changes in use of self-protective withdrawal and secrecy as a strategy for coping with public stigma will be evaluated using two scales to assess patients' responses to their stigmatized status. 1. Secrecy subscale: a 5-item Likert-type scale (1=strongly agree, 6=strongly disagree) assessing use of concealment of mental illness. Total score: 5 to 30 (summed score) 2. Withdrawal subscale consists of 7 items (1=strongly agree, 6=strongly disagree) assessing "limiting social interaction to those who know about and tend to accept one's stigmatized condition". Total score: 6 to 42 (average score). For the overall scale, summed score will be used. Higher score means better outcome
Self stigma of mental illness scale
时间窗: 23 weeks
This 40-item self-report scale assesses the extent of patient self-stigma. Items are rated on a 9-point Likert-type scale (1= Strongly Disagree; 9= Strongly Agree). Total score from 1 to 9 (average score) Higher score means worse outcome
次要结局
- Changes in social support(23 weeks)
- Changes in patient depressive symptoms measured by Patient Health Questionnaire-9 (PHQ-9)(23 weeks)
- Changes in patient anxiety symptoms associated with stigma reduction(23 weeks)