An mHealth Intervention to Enhance Coping Skills and Mental Health Among MSM Living With HIV in China: Intervention Development and Feasibility Pilot Study
An mHealth Intervention to Enhance Coping Skills and Mental Health Among MSM Living With HIV in China: Intervention Development and Feasibility Pilot Study
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20250211152023
- ISBN
- 9798384096368
- DDC
- 157
- 저자명
- Wang, Liying.
- 서명/저자
- An mHealth Intervention to Enhance Coping Skills and Mental Health Among MSM Living With HIV in China: Intervention Development and Feasibility Pilot Study
- 발행사항
- [Sl] : University of Washington, 2024
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2024
- 형태사항
- 259 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-03, Section: A.
- 주기사항
- Advisor: Simoni, Jane M.
- 학위논문주기
- Thesis (Ph.D.)--University of Washington, 2024.
- 초록/해제
- 요약Men who have sex with men (MSM) bear a disproportionate burden of HIV and mental health problems in China, hindering HIV-related care engagement and medication adherence. mHealth interventions have shown promising effects in improving mental health outcomes. Working closely with Shanghai CSW&MSM Center (SCMC) and Centers for Disease Control and Prevention, Shanghai (SCDC), we aim to address the urgent mental health need and health disparities among MSM living with HIV by developing a culturally appropriate mHealth intervention. Based on needs assessment results, we developed a multi-level, mHealth intervention with a focus on individual skills training and community staff capacity building. The partnership with SCMC has been crucial and mutually beneficial to intervention development. The strengths and priorities of the community stakeholders identified through needs assessment were critical to the selection of coping skills for MSM living with HIV, the design of SCMC staff training to facilitate delivery, and the component of weekly skill groups to enhance peer learning and intervention engagement. In the needs assessment stage (Chapter 1), we interviewed 20 stakeholders, including MSM living with HIV, staff from a community-based organization, and staff from the CDC in Shanghai. The study found that stress from multiple socio-ecological levels, lack of individual coping skills, and scarcity of psychosocial services highlighted the importance of multi-level interventions for MSM living with HIV in China. To develop an mHealth intervention (Chapter 2), the researchers used intervention mapping, the behavioral intervention technology model, and human-centered design and cultural adaptation model. The mHealth intervention, named Turning to Sunshine, consisted of individual skills learning through a mobile app, skills learning group, and on-demand phone coaching. The intervention aimed to improve mental health outcomes for MSM recently diagnosed with HIV by helping them survive emotionally intense moments, change emotional expression to regulate emotions, and reduce emotional vulnerability, as well as build community capacity for mental health support. A feasibility pilot study (Chapter 3) is ongoing and to assess intervention acceptability, feasibility, app usability, and evaluate the preliminary efficacy of the intervention. The feasibility pilot study is a 1:1 randomized control trial (n=31), with a 4-week long intervention and treatment-as-usual control group. Results showed high acceptability and feasibility of the intervention. Compared to the control group, intervention participants demonstrated greater improvements in depression, emotion regulation, HIV mastery, life satisfaction, and coping efficacy. These promising findings suggest that this mHealth approach may be beneficial for improving mental health outcomes among MSM living with HIV in China, warranting further investigation through larger randomized trials.
- 일반주제명
- Clinical psychology
- 일반주제명
- Public health
- 일반주제명
- Mental health
- 일반주제명
- Asian studies
- 일반주제명
- Virology
- 키워드
- Coping efficacy
- 기타저자
- University of Washington Psychology
- 기본자료저록
- Dissertations Abstracts International. 86-03A.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■1001 ▼aWang, Liying.
■24513▼aAn mHealth Intervention to Enhance Coping Skills and Mental Health Among MSM Living With HIV in China: Intervention Development and Feasibility Pilot Study
■260 ▼a[Sl]▼bUniversity of Washington▼c2024
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2024
■300 ▼a259 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-03, Section: A.
■500 ▼aAdvisor: Simoni, Jane M.
■5021 ▼aThesis (Ph.D.)--University of Washington, 2024.
■520 ▼aMen who have sex with men (MSM) bear a disproportionate burden of HIV and mental health problems in China, hindering HIV-related care engagement and medication adherence. mHealth interventions have shown promising effects in improving mental health outcomes. Working closely with Shanghai CSW&MSM Center (SCMC) and Centers for Disease Control and Prevention, Shanghai (SCDC), we aim to address the urgent mental health need and health disparities among MSM living with HIV by developing a culturally appropriate mHealth intervention. Based on needs assessment results, we developed a multi-level, mHealth intervention with a focus on individual skills training and community staff capacity building. The partnership with SCMC has been crucial and mutually beneficial to intervention development. The strengths and priorities of the community stakeholders identified through needs assessment were critical to the selection of coping skills for MSM living with HIV, the design of SCMC staff training to facilitate delivery, and the component of weekly skill groups to enhance peer learning and intervention engagement. In the needs assessment stage (Chapter 1), we interviewed 20 stakeholders, including MSM living with HIV, staff from a community-based organization, and staff from the CDC in Shanghai. The study found that stress from multiple socio-ecological levels, lack of individual coping skills, and scarcity of psychosocial services highlighted the importance of multi-level interventions for MSM living with HIV in China. To develop an mHealth intervention (Chapter 2), the researchers used intervention mapping, the behavioral intervention technology model, and human-centered design and cultural adaptation model. The mHealth intervention, named Turning to Sunshine, consisted of individual skills learning through a mobile app, skills learning group, and on-demand phone coaching. The intervention aimed to improve mental health outcomes for MSM recently diagnosed with HIV by helping them survive emotionally intense moments, change emotional expression to regulate emotions, and reduce emotional vulnerability, as well as build community capacity for mental health support. A feasibility pilot study (Chapter 3) is ongoing and to assess intervention acceptability, feasibility, app usability, and evaluate the preliminary efficacy of the intervention. The feasibility pilot study is a 1:1 randomized control trial (n=31), with a 4-week long intervention and treatment-as-usual control group. Results showed high acceptability and feasibility of the intervention. Compared to the control group, intervention participants demonstrated greater improvements in depression, emotion regulation, HIV mastery, life satisfaction, and coping efficacy. These promising findings suggest that this mHealth approach may be beneficial for improving mental health outcomes among MSM living with HIV in China, warranting further investigation through larger randomized trials.
■590 ▼aSchool code: 0250.
■650 4▼aClinical psychology
■650 4▼aPublic health
■650 4▼aMental health
■650 4▼aAsian studies
■650 4▼aVirology
■653 ▼aMen who have sex with men
■653 ▼aMental health problems
■653 ▼aHealth disparities
■653 ▼amHealth intervention
■653 ▼aCoping efficacy
■690 ▼a0622
■690 ▼a0720
■690 ▼a0347
■690 ▼a0342
■690 ▼a0573
■71020▼aUniversity of Washington▼bPsychology.
■7730 ▼tDissertations Abstracts International▼g86-03A.
■790 ▼a0250
■791 ▼aPh.D.
■792 ▼a2024
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17162535▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
