Developing an Abuse-Sensitive Depression Care Model

开发对虐待敏感的抑郁症护理模式

基本信息

批准号：
7538402
负责人：
Christina M Nicolaidis
金额：
$ 18.13万
依托单位：
OREGON HEALTH & SCIENCE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-01-01 至 2010-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7538402
关键词：
Adherence African American Antidepressive Agents Anxiety Disorders Belief Caring Case Manager Child Abuse Chronic Care Chronic Disease Clinic Cohort Studies Communication Communities Cost Measures Counseling Data Data Set Disadvantaged Distress Domestic Violence Drops Education Effectiveness Focus Groups Foundations Goals Grant Health Care Costs Health behavior Healthcare Individual Information Systems Interpersonal Violence Intervention Latina Low Income Population Major Depressive Disorder Measures Mental Health Mental Health Services Modeling Needs Assessment Outcome Patient Care Patient Education Patients Pharmaceutical Preparations Population Preparation Primary Health Care Provider Psychiatry Randomized Controlled Trials Recording of previous events Registries Research Personnel Resistance Resources Schedule Self Management Services Severities Social support Support Groups Survivors Symptoms Testing Time Training Violence Visit Woman Wood material Work base care seeking care systems chronic care model chronic pain cognitive behavior therapy depressed depression depressive symptoms experience health related quality of life improved innovation intimate partner violence post intervention preference primary care setting programs prospective racial and ethnic response tool treatment strategy

项目摘要

DESCRIPTION (provided by applicant): Many studies have documented the value of multi-faceted interventions based on Wagner's Chronic Care Model for treating depression in primary care, but despite a well-known association between depression and intimate partner violence, (IPV) none have focused on the needs of depressed women with histories of IPV. Our long-range goal is to test the effectiveness of an abuse-sensitive chronic care model for depressed women seen in primary care settings. The objective of this proposal is to identify violence-related predictors of adherence and response to an existing multi-faceted depression care intervention, to adapt that model to be more responsive to the needs of abuse survivors, and to assess the feasibility and acceptability of the new abuse-sensitive model in preparation for a large randomized control trial. We hypothesize that women with a history of IPV are less likely to respond to traditional depression treatment models than non-abused women. We further hypothesize that the addition of special abuse-sensitive features such as abuse assessments, referrals to community resources, self-management tools about IPV, and group cognitive behavioral therapy focused on depression and abuse will improve the effectiveness of the chronic care model in treating depression. We propose 3 studies: 1) a prospective cohort study identifying violence related predictors of response to a traditional multi-faceted depression care intervention (care management, psychiatry support, provider education and a depression registry) being implemented by our collaborators; 2) a qualitative needs assessment of depressed IPV survivors to determine their beliefs, needs, treatment barriers and preferences; and 3) a pilot intervention assessing the acceptability and feasibility of an abuse sensitive depression care model. This work is significant, as it will improve our ability to provide mental health services to this challenging group of primary care patients. It is innovative as it applies concepts of chronic care management to an understudied and challenging population. This project will provide the necessary training, experience, and preliminary data for a R01 proposal to conduct a randomized controlled trial testing the effectiveness of an abuse-sensitive depression care model.

描述（由申请人提供）：许多研究证明了基于瓦格纳慢性护理模型的多方面干预措施在初级保健中治疗抑郁症的价值，但尽管抑郁症与亲密伴侣暴力之间存在众所周知的关联，但没有一项研究表明，重点关注有 IPV 病史的抑郁女性的需求。我们的长期目标是测试对初级保健机构中的抑郁女性使用的虐待敏感慢性护理模式的有效性。该提案的目的是确定对现有多方面抑郁症护理干预措施的依从性和反应的与暴力相关的预测因素，调整该模型以更好地满足虐待幸存者的需求，并评估该方案的可行性和可接受性。新的滥用敏感模型正在为大型随机对照试验做准备。我们假设，与未受虐待的女性相比，有 IPV 病史的女性对传统抑郁症治疗模式的反应较小。我们进一步假设，增加特殊的虐待敏感功能，例如虐待评估、社区资源转介、IPV 自我管理工具以及针对抑郁和虐待的团体认知行为治疗，将提高慢性护理模式治疗的有效性。沮丧。我们提出了 3 项研究：1）一项前瞻性队列研究，确定对我们的合作者实施的传统多方面抑郁症护理干预措施（护理管理、精神病学支持、提供者教育和抑郁症登记）的反应的暴力相关预测因素； 2) 对抑郁 IPV 幸存者进行定性需求评估，以确定他们的信念、需求、治疗障碍和偏好； 3) 一项试点干预措施，评估滥用敏感型抑郁症护理模式的可接受性和可行性。这项工作意义重大，因为它将提高我们为这一具有挑战性的初级保健患者群体提供心理健康服务的能力。它具有创新性，因为它将慢性护理管理的概念应用于研究不足且具有挑战性的人群。该项目将为 R01 提案提供必要的培训、经验和初步数据，以进行随机对照试验，测试对虐待敏感的抑郁症护理模型的有效性。

项目成果

期刊论文数量（13）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Collaboration strategies in nontraditional community-based participatory research partnerships: lessons from an academic−community partnership with autistic self-advocates.

DOI：
10.1353/cpr.2011.0022
发表时间：
2011
期刊：
Progress in community health partnerships : research, education, and action
影响因子：
0
作者：
Nicolaidis C;Raymaker D;McDonald K;Dern S;Ashkenazy E;Boisclair C;Robertson S;Baggs A
通讯作者：
Baggs A

Patients' Reasons for Choosing Office-based Buprenorphine: Preference for Patient-Centered Care.

DOI：
10.1097/adm.0b013e3181cc9610
发表时间：
2010-12
期刊：
Journal of addiction medicine
影响因子：
5.5
作者：
Korthuis PT;Gregg J;Rogers WE;McCarty D;Nicolaidis C;Boverman J
通讯作者：
Boverman J

Development and preliminary psychometric testing of the centrality of pain scale.

疼痛量表中心性的开发和初步心理测量测试。

DOI：
10.1111/j.1526-4637.2011.01072.x
发表时间：
2011
期刊：
Pain medicine (Malden, Mass.)
影响因子：
0
作者：
Nicolaidis,Christina;Chianello,Terry;Gerrity,Martha
通讯作者：
Gerrity,Martha

"Guardarse las cosas adentro" (keeping things inside): Latina violence survivors' perceptions of depression.

“Guardarse las cosas adentro”（把东西藏在里面）：拉丁裔暴力幸存者对抑郁症的看法。

DOI：
10.1007/s11606-011-1747-0
发表时间：
2011
期刊：
Journal of general internal medicine
影响因子：
5.7
作者：
Nicolaidis,Christina;Perez,Marlen;Mejia,Angie;Alvarado,Anabertha;Celaya-Alston,Rosemary;Galian,Hilary;Hilde,Anandam
通讯作者：
Hilde,Anandam

Differences in physical and mental health symptoms and mental health utilization associated with intimate-partner violence versus childhood abuse.

与亲密伴侣暴力和儿童虐待相关的身心健康症状和心理健康利用的差异。