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| Name | Class |
|---|---|
| Chinese Community Health Resource Center | OTHER |
| University of California, Davis | OTHER |
| University of California, Merced | OTHER |
| California Department of Public Health |
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The project is to facilitate pandemic recovery by promoting emotional wellness among Asian Californians. The intervention includes a 6-week program in which participants may choose to receive text only or text + Lay Health Worker outreach targeting 600 self-identified Asian Americans residing in California who speak/read English, Chinese, Korean, Hmong, or Vietnamese.
Investigators will conduct a non-randomized intervention trial (preference trial). Research participants involved in the trial will include 20 lay health workers (LHWs) and 600 trial participants with intervention delivered via SMS text messaging (for all participants), and the intervention group will receive educational intervention outreach from an LHW via Zoom or mutually agreed video conferencing online venues, and by telephone or instant messaging. Participants will choose which group they are in, SMS text messaging only or SMS text messaging plus educational outreach from an LHW.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| INFORMED-Living Well | Experimental | INFORMED-Living Well consists of two components: 1) LHW outreach support providing responsive education and support; and 2) a 6-week automated SMS text messaging. The LHW educational outreach component includes 2 small group educational sessions with 2-8 participants. Participants will also receive a weekly SMS Text or instant message on managing emotional wellness within and beyond the context of the COVID-19 pandemic over 6 weeks. In addition, participants will receive as-needed messages on updates of COVID-19 or other situations that may introduce new worries and tragic culturally-based traumatic events. |
|
| Text Messaging Only | Active Comparator | Participants will have a 6-week SMS text messaging program identical to that received by the INFORMED-Living Well participants. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| INFORMED-Living Well | Behavioral | 1) LHW outreach support providing responsive education and support; and 2) a 6-week automated SMS text messaging |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in decisional conflict scale (SURE) scores | Self-assessed perceptions of decision conflict will be assessed using the 4-item Decision Conflict Scale (SURE). Scores on the SURE scale range from 0 to 4, with higher scores indicating less decisional conflict. A score of less than 4 indicates decisional conflict. | Baseline and 8-week follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Change in proportion of participants who have Intention to seek help for mental health | We will use a survey item to assess participants' intention to seek help for mental health issues when needed. A response will be 0 (No) or 1 (Yes). | Baseline and 8-week follow-up |
| Change in self-reported emotional wellness outcome |
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Inclusion Criteria:
i) age 18 and older
ii) speak Chinese, English, Hmong, Korean, or Vietnamese
iii) self-identify as Asian American
iv) have access to a mobile phone to receive SMS text messages
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Janice Tsoh, PhD | University of California, San Francisco | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Fresno Center | Fresno | California | 93727 | United States | ||
| Chinese Community Health Resource Center |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D000092862 | Psychological Well-Being |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| OTHER |
Non-randomized trial (Preference trial)
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| Text Messaging Only | Behavioral | A 6-week automated SMS text messaging |
|
We will use the four-item Patient Health Questionnaire (PHQ4) for measuring anxiety and depression symptoms. Scores are rated as normal (0-2), mild (3-5), moderate (6-8), and severe (9-12). Total score 3 or higher for the first 2 questions suggests anxiety, and total score 3 or higher for the last 2 questions suggests depression. |
| Baseline and 8-week follow-up |
| Change in the percentage of participants' awareness of resources to get help or to learn more about improving emotional wellness | We will assess participants' awareness of resources to get help or to learn more about improving emotional wellness. Two items created for the study will be used: 1) Do you know about "988"? (Yes, No, Unsure) 2) Do you know where to get help for mental health issues when you need to? (Yes, No, Unsure). The percentage of participants who answer "yes" to both questions will be assessed. | Baseline and 8-week follow-up |
| San Francisco |
| California |
| 94133 |
| United States |
| University of California, San Francisco | San Francisco | California | 94143 | United States |
| Immigrant Resettlement & Cultural Center | San Jose | California | 95131 | United States |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D010549 | Personal Satisfaction |
| D001519 | Behavior |