Toward reducing the duration of untreated psychosis in a Latinx community.
Toward reducing the duration of untreated psychosis in a Latinx community.
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DOI：
10.1037/ccp0000729
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发表时间：
2022-10
影响因子：
5.9
通讯作者：
Calderon, Vanessa
中科院分区：
文献类型：
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作者：
Lopez, Steven Regeser;Kopelowicz, Alex;Ullman, Jodie;Mayer, Doe;Santos, Maria Magdalena;Kratzer, Maya;Vega, William A;Barrio, Concepcion;Calderon, Vanessa
开展并评估一项沟通活动（La CLAve），以减少美国拉丁裔社区未经治疗的精神病（DUP）的持续时间。我们在多个媒体渠道采用了基于证据的信息传递。我们招募了132名患有首发精神病（FEP）的拉丁裔和在高密度拉丁裔社区寻求精神卫生保健的照顾者。我们评估了运动的传播，社区收到运动信息的程度，以及运动的结果。我们测试了DUP（周数）是否在三个时间段（16个月基线，2年活动和16个月活动后）发生变化，以及参与者的语言背景（主要是西班牙语或英语）是否会调节DUP的变化。该运动得到广泛宣传。在为期一年的活动高峰期，我们的团队分发了22，039本小册子，并举办了740场研讨会。社区收到了该运动的信息，例如，每周拨打该运动1-800号码的不重复电话数量有所增加。应用平方根变换的DUP，我们发现一个显着的主效应的语言背景，但不是运动时期，也不是他们的互动。未调整的平均DUP为西班牙语的人与FEP是两倍以上的平均DUP为英语的人与FEP。患有FEP的西班牙语拉丁裔特别需要早期精神病治疗。该运动已深入社区，但还需要采取更多步骤来减少治疗延误。需要更加关注增加有色人种社区获得早期干预服务的机会。
To carry out and evaluate a communications campaign (La CLAve) to reduce the duration of untreated psychosis (DUP) in a U.S. Latinx community. We employed evidence-based messaging in multiple media outlets. We recruited 132 Latinxs with first episode psychosis (FEP) and caregivers seeking mental health care within a high density Latinx community. We evaluated the campaign’s dissemination, the extent to which the community received the campaign message, and the campaign outcome. We tested whether DUP (number of weeks) changed across three time periods (16-month baseline, 2-year campaign, and 16-month post-campaign) and whether participants’ language background (primarily Spanish-speaking or English-speaking) moderated change in DUP. The campaign was disseminated widely. During the height of the campaign over a one-year period our team distributed 22,039 brochures and performed 740 workshops. The campaign message was received by the community as noted for example by increases in the number of unduplicated weekly calls to the campaign’s 1–800 number. Applying square root transformations to DUP we found a significant main effect for Language Background but not for Campaign Period nor their interaction. The unadjusted mean DUP for Spanish-speaking persons with FEP was more than twice as high as the mean DUP for English-speaking persons with FEP. Spanish-speaking Latinxs with FEP are especially in need of early psychosis treatment. The campaign reached the community but additional steps are needed to reduce treatment delay. Greater attention is needed to increase access to early intervention services for communities of color.