Asian Women's Action in Resilience and Empowerment

NCT03370549 | Completed

• 1 other identifier: BostonUCRC
• Study Type: interventional
• Target: 96
• Locations: 0 countries
• Sites: N/A

Brief Summary

Our objective for this R34 is to develop gender/culture specific and trauma informed group psychotherapy intervention designed to treat Chinese-, Korean-, and Vietnamese-American young women with histories of interpersonal violence trauma. The intervention is called Asian Women's Action for Resilience and Empowerment (AWARE).

Conditions

Mental Health Disorder

Keywords

Mental health; Suicide; Sexual risk behaviors

Outcome Measures

Primary Outcomes (1)

• Change in Sexual Risk Behaviors

  AIDS Risk Behavior Assessment (ARBA) was used. Sexual risk behaviors were defined as engaging in unprotected sex, having multiple sex partners, and engaging in anal sex. Engagement in unprotected sex was assessed by asking participants, "Of those times that you had vaginal sex in the past three months, how often did you or your partner use condoms/latex protection?'' Responses were scored 0 for "never used a condom," "some of the time," "half of the time," "more than half of the time" and 1 for "every time." Having multiple sex partners was assessed by the question: "How many female/male sex partners have you had in the past three months?" Responses were coded dichotomously as 0 for none or one sexual partner and 1 for more than one sexual partner. Engagement in anal sex was assessed by the question, "How many times in the past three months did you have anal sex?" Responses were dichotomized as 0 for none, and 1 for one or more times.

  Outcomes will be measured at: baseline, up to 12 weeks after the baseline, 3 months post intervention

Secondary Outcomes (3)

• Change in Depressive Symptoms

  Outcomes will be measured at: baseline, up to 12 weeks after the baseline, 3 months post intervention

• Change in Substance Use

  Outcomes will be measured at: baseline, up to 12 weeks after the baseline, 3 months post intervention

• Change in Mental Distress

  Outcomes will be measured at: baseline, up to 12 weeks after the baseline, 3 months post intervention

Other Outcomes (5)

• Change in PTSD Symptoms

  Outcomes will be measured at: baseline, up to 12 weeks after the baseline, 3 months post intervention

• Change in Safety Outcome

  Outcomes will be measured at: baseline, up to 12 weeks after the baseline, 3 months post intervention

• Change in HIV Knowledge

  Outcomes will be measured at: baseline, up to 12 weeks after the baseline, 3 months post intervention

Study Arms (2)

AWARE intervention

EXPERIMENTAL

Group psychotherapy intervention for Asian-American women

Behavioral: AWARE intervention

Waitlist control

OTHER

Delayed AWARE intervention for Asian-American women

Behavioral: AWARE intervention

Interventions

AWARE intervention BEHAVIORAL

Group psychotherapy for Asian-American women

AWARE intervention; Waitlist control

Eligibility Criteria

• Age: 18 Years - 35 Years
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• self-identify as female;
• are unmarried;
• are between the ages 18 and 35;
• are of Chinese, Korean, and/or Vietnamese descent;
• are 1.5 (immigrated to the US before the age of 18) or 2nd (US-born children of 1st generation immigrants) generation;
• are fluent in English;
• have a mobile phone with text messaging;
• have had penile-vaginal intercourse in their lifetime;
• have a history of exposure to at least one of five selected criteria in the Traumatic Life Events Questionnaire (TLEQ). These criteria include: beaten by stranger, death threat, childhood physical abuse, family violence, and partner physical assault;

You may not qualify if:

• at current significant risk of homicidal or suicidal behavior
• having symptoms of psychosis;
• have previously experienced natural disasters or other non-violent trauma;
• are of mixed race other than Korean-, Chinese-, or Vietnamese-Americans;

Sponsors & Collaborators

• Boston University Charles River Campus: lead
• Rutgers University: collaborator

Related Publications (9)

• Hahm HC, Lee J, Rough K, Strathdee SA. Gender power control, sexual experiences, safer sex practices, and potential HIV risk behaviors among young Asian-American women. AIDS Behav. 2012 Jan;16(1):179-88. doi: 10.1007/s10461-011-9885-2.

  PMID: 21259042 BACKGROUND

• Hahm HC, Kolaczyk E, Lee Y, Jang J, Ng L. Do Asian-American women who were maltreated as children have a higher likelihood for HIV risk behaviors and adverse mental health outcomes? Womens Health Issues. 2012 Jan-Feb;22(1):e35-43. doi: 10.1016/j.whi.2011.07.003. Epub 2011 Aug 26.

  PMID: 21872488 BACKGROUND

• Hahm HC, Lee CH, Choe JY, Ward A, Lundgren L. Sexual Attitudes, Reasons for Forgoing Condom Use, and the Influence of Gender Power among Asian-American Women: A Qualitative Study. J AIDS Clin Res. 2011 Dec 30;(S1):004. doi: 10.4172/2155-6113.S1-004.

  PMID: 22866240 BACKGROUND

• Lee J, Hahm HC. HIV risk, substance use, and suicidal behaviors among Asian American lesbian and bisexual women. AIDS Educ Prev. 2012 Dec;24(6):549-63. doi: 10.1521/aeap.2012.24.6.549.

  PMID: 23206203 BACKGROUND

• Hahm HC, Jang J, Vu C, Alexander LM, Driscoll KE, Lundgren L. Drug use and suicidality among Asian American women who are children of immigrants. Subst Use Misuse. 2013 Dec;48(14):1563-76. doi: 10.3109/10826084.2013.808219. Epub 2013 Jul 12.

  PMID: 23848381 BACKGROUND

• Hahm HC, Gonyea JG, Chiao C, Koritsanszky LA. Fractured Identity: A Framework for Understanding Young Asian American Women's Self-harm and Suicidal Behaviors. Race Soc Probl. 2014;6(1):56-68. doi: 10.1007/s12552-014-9115-4.

  PMID: 24563680 BACKGROUND

• Hahm HC, Chang ST, Tong HQ, Meneses MA, Yuzbasioglu RF, Hien D. Intersection of suicidality and substance abuse among young Asian-American women: implications for developing interventions in young adulthood. Adv Dual Diagn. 2014;7(2):90-104. doi: 10.1108/ADD-03-2014-0012.

  PMID: 25031627 BACKGROUND

• Augsberger A, Yeung A, Dougher M, Hahm HC. Factors influencing the underutilization of mental health services among Asian American women with a history of depression and suicide. BMC Health Serv Res. 2015 Dec 8;15:542. doi: 10.1186/s12913-015-1191-7.

  PMID: 26645481 BACKGROUND

• Hahm HC, Lee J, Chiao C, Valentine A, Le Cook B. Use of Mental Health Care and Unmet Needs for Health Care Among Lesbian and Bisexual Chinese-, Korean-, and Vietnamese-American Women. Psychiatr Serv. 2016 Dec 1;67(12):1380-1383. doi: 10.1176/appi.ps.201500356. Epub 2016 Jul 1.

  PMID: 27364813 BACKGROUND

MeSH Terms

Conditions

Mental Disorders; Psychological Well-Being; Suicide

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior; Self-Injurious Behavior; Behavioral Symptoms

Study Officials

• Hyeouk Hahm, Ph.D., LCSW

  Boston University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: We employed a two-arm randomized clinical trial to test the preliminary feasibility, safety, and efficacy for AWARE intervention comparing the AWARE intervention group (n=48) with the wait-list group (n =48).

Study Record Dates

• First Submitted: November 29, 2017
• First Posted: December 12, 2017
• Study Start: August 1, 2013
• Primary Completion: June 23, 2016
• Study Completion: July 31, 2017
• Last Updated: December 12, 2017

Record last verified: 2017-12

Data Sharing

• IPD Sharing: Will not share