Community Partnered Approach to Implement EBPs for Depression

社区合作实施 EBP 治疗抑郁症的方法

• 批准号: 8896064
• 负责人: SIDNEY H HANKERSON
• 金额: $ 18.51万
• 依托单位: NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-25 至 2018-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8896064
• 关键词: Address; Adoption; Adult; Affect; African; African American; Aftercare; Area; Attitude; Caring; Church; Clergy; Client; Client satisfaction; Collaborations; Color; Communities; Community Participation; Competence; Counseling; Data; Depressed mood; Development; Disease; Education; Encapsulated; Evidence based intervention; Evidence based practice; Feedback; Gatekeeping; Goals; Health; Health Professional; Health Promotion; Healthcare; Institution; Intervention; Intervention Studies; Interview; K-Series Research Career Programs; Knowledge; Learning; Maintenance; Major Depressive Disorder; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Mentors; Methods; Modeling; National Institute of Mental Health; Outcome; Patient Self-Report; Patients; Persons; Phase; Policies; Population Heterogeneity; Positioning Attribute; Process; Provider; Public Health; Qualitative Methods; Qualitative Research; Quality of Care; Questionnaires; Randomized Controlled Trials; Research; Research Activity; Research Design; Research Infrastructure; Research Personnel; Research Support; Research Training; Services; Social Adjustment; Source; Staging; Strategic Planning; Testing; Training; Training Programs; Translating; Trust; Underserved Population; Vision; Work; base; burden of illness; career; caucasian American; community setting; cost; depressive symptoms; design; evidence base; experience; health disparity; implementation science; improved; innovation; interpersonal therapy; lectures; medical specialties; member; mental health education; novel; programs; racial and ethnic; racial and ethnic disparities; racial disparity; satisfaction; skills; social; social stigma; socioeconomics

DESCRIPTION (provided by applicant): African Americans with major depressive disorder (MDD) have greater disease burden, receive lower quality care, and under-utilize traditional mental health services compared to white Americans with MDD. Because clergy are regarded as trusted "gatekeepers," they are the primary source of mental health education and/or services for socioeconomically diverse African Americans. However, few studies investigate how to translate evidence-based practices (EBPs) for depression into faith-based settings. This K23 proposes a concurrent, mixed-methods study to investigate the feasibility and acceptability of utilizing a community-partnered participatory research (CPPR) approach to support clergy in implementing Interpersonal Counseling (IPC) in faith-based settings. IPC is a manualized, 3-session depression intervention that was designed for delivery by non-mental health professionals, such as clergy. We aim to contribute an understanding of the factors involved in translating EBPs into real world settings, knowledge that could be used to disseminate interventions to underserved populations and reduce health disparities. This study has three main phases. The first phase (Vision) is designed to initiate a community-partnered approach to plan how to implement IPC in faith-based settings. It will yield a Community Steering Council that will guide all research activities and develop a specific implementation strategy for clergy. The second phase (Valley) is the implementation of a CPPR informed model to test the feasibility and acceptability of training 8 clergy in IPC at two African American churches. Implementation will be staggered across churches to incorporate community input. Patient outcomes will be depressive symptomatology and level of functioning. Implementation outcomes will be feasibility, acceptability, adoption, implementation, and maintenance. The third phase (Victory) will allow community members to provide feedback on the study design and celebrate results. Execution of these studies will be combined with a comprehensive training program that integrates didactic lectures with mentored experiences. Led by co-mentors, Dr. Myrna Weissman, Dr. Ken Wells, and Ms. Loretta Jones, the application encompasses the following career training goals: (1) to learn and apply principles of dissemination and implementation science (Drs. Lisa Dixon, Sherry Glied, Gail Wyatt, and Helen Verdeli); (2) to develop expertise in community engagement (Dr. Alfiee Breland-Noble, Dr. Alwyn Cohall, and Mr. Richard Ferreira); and (3) to gain skills in mixed-methods (qualitative/quantitative) study designs (Drs. Jennifer Wisdom, Mindy Fullilove, and Priya Wickramaratne). The research plan produces data for a R01 to conduct a cluster-randomized controlled trial to test different ways to implement IPC in faith-based settings.

描述（由申请人提供）：与患有MDD的白人美国人相比，患有严重抑郁症（MDD）的非洲裔美国人具有更大的疾病负担，质量较低，并减少传统的心理健康服务。由于神职人员被认为是值得信赖的“守门人”，因此它们是精神健康教育和/或服务的主要来源。但是，很少有研究研究如何将基于证据的实践（EBP）转化为基于信仰的环境。该K23提出了一项并发的混合方法研究，以调查利用社区合作的参与研究（CPPR）方法的可行性和可接受性，以支持神职人员在基于信仰的环境中实施人际关系咨询（IPC）。 IPC是一项手动的三级抑郁症干预措施，旨在由神职人员等非精神卫生专业人员提供。我们的目标是了解将EBP转化为现实世界中所涉及的因素，这些因素可用于将干预措施传播到服务不足的人群并减少健康差异。这项研究有三个主要阶段。第一阶段（愿景）旨在启动一种社区合作的方法来计划如何在基于信仰的环境中实施IPC。它将产生社区指导委员会，该委员会将指导所有研究活动并制定特定的神职人员实施策略。第二阶段（山谷）是实施CPPR知情模型，以测试两个非洲裔美国教会在IPC中培训8神职人员的可行性和可接受性。实施将在教堂之间交错，以纳入社区意见。患者的结果将是抑郁症状和功能水平。实施结果将是可行性，可接受性，采用，实施和维护。第三阶段（胜利）将允许社区成员提供有关研究设计的反馈并庆祝结果。 这些研究的执行将与一项全面的培训计划相结合，该计划将教学演讲与受过指导的经验相结合。该申请由联合官员Myrna Weissman博士，Ken Wells博士和Loretta Jones女士领导，该申请包括以下职业培训目标：（1）学习和应用传播和实施科学的原则（Lisa Dixon，Sherry Dixon，Sherry，Gail Wyatt，Gail Wyatt和Helen Verdeli）； （2）发展社区参与方面的专业知识（Alfiee Breland-Noble博士，Alwyn Cohall博士和Richard Ferreira先生）； （3）获得混合方法（定性/定量）研究设计的技能（Jennifer Wisdom，Mindy Fullilove博士和Priya Wickramaratne）。该研究计划为R01提供了数据，以进行集群随机对照试验，以测试在基于信仰的设置中实施IPC的不同方法。