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Supportive Listening with Depressed Low-Income mothers

与抑郁的低收入母亲进行支持性倾听

基本信息

批准号：
8101013
负责人：
LISA Sharon SEGRE
金额：
$ 12.27万
依托单位：
UNIVERSITY OF IOWA
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-19 至 2013-12-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8101013
关键词：
Affect African American American British Case Management Case Manager Child Child Development Client Clinical Clinical Research Cognitive Counseling Depressed mood Depression screen Development Disease Effectiveness Emotional Evaluation Evaluation Studies Feedback Funding Grant Health Personnel Health Professional Health Visitors Healthcare Systems Home environment Home visitation House Call Intervention Investigation K-Series Research Career Programs Logistics Low income Measurement Measures Mental Depression Mental Health Mental Health Services Mentors Modification Morbidity - disease rate Mothers Outcome Perinatal Phase Phase I Clinical Trials Population Positioning Attribute Postpartum Women Preparation Problem Solving Procedures Process Public Health Nurses Public Health Nursing Randomized Controlled Trials Reading Relative (related person)Research Risk Schedule Scientist Services Social Adjustment Social Health Services Social Work Supervision System Testing Training Treatment Effectiveness Trust United Kingdom Woman base career development clinically significant depressive symptoms ethnic minority population experience follow-up improved instrument maternal depression member patient oriented programs social treatment adherence

项目摘要

DESCRIPTION (provided by applicant): The final resubmission of a Mentored Patient-Oriented Career Development Award Application (K23) to support Dr. Lisa Segre's development as an academic research scientist with expertise in the development of perinatal depression treatments for low-income and ethnic minority women. Dr. Segre intends to obtain additional training through formal coursework, directed readings under supervision of her mentor, and direct interactions with members of her external advisory panel while pursuing a program of research to develop new treatments for perinatal depression. Perinatal depression is a serious disorder affecting approximately 13% of new mothers, with low-income and African-American women particularly at risk. Depression also has a pervasive and long-lasting impact on the physical, social-emotional, and cognitive development of children of depressed mothers. Dr. Segre's research will focus on the implementation and subsequent evaluation of supportive listening/problem solving (SUPS), a treatment with established effectiveness in the United Kingdom. This treatment is provided by non-threatening professionals, delivered in the home, and conveys an important sense of mutual respect. Dr. Segre intends to import, implement, and evaluate the effectiveness of this treatment for depressed low- income and ethnic minority women who are unlikely, unwilling, or unable to seek more traditional treatment from mental health professionals. A special emphasis will be placed on adapting the treatment to the context of the US mental health and social service system, as well as evaluating the treatment's effectiveness. The central hypotheses of the Phase II treatment evaluation trial are (1) that supportive listening/problem solving (SL/PS) will be significantly more effective than standard enhanced case management in reducing depressive symptoms at the end of treatment and follow-up, (2) SL/PS will be significantly more effective than standard enhanced case management in improving social adjustment at the end of treatment and follow-up, (3) clients and case managers will find SL/PS to be an acceptable treatment, and (4) participation in SL/PS will be associated with significantly more use of professional mental health services than participation in standard enhanced case management.

描述（由申请人提供）：最终重新提交的以患者为导向的职业发展奖申请（K23），以支持 Lisa Segre 博士作为一名学术研究科学家的发展，该科学家在为低收入和少数族裔妇女开发围产期抑郁症治疗方面具有专业知识。 Segre 博士打算通过正式课程、导师监督下的定向阅读以及与外部顾问小组成员的直接互动来获得额外的培训，同时开展一项研究计划，开发围产期抑郁症的新疗法。围产期抑郁症是一种严重的疾病，影响着大约 13% 的新妈妈，其中低收入妇女和非裔美国妇女面临的风险尤其大。抑郁症还会对抑郁母亲的孩子的身体、社会情感和认知发展产生普遍而持久的影响。 Segre 博士的研究重点是支持性倾听/问题解决 (SUPS) 的实施和后续评估，这是一种在英国已证实有效的治疗方法。这种治疗由不具有威胁性的专业人士在家中提供，传达了重要的相互尊重的感觉。 Segre 博士打算针对不太可能、不愿意或无法向心理健康专业人员寻求更传统治疗的抑郁低收入和少数族裔女性引入、实施和评估这种治疗方法的有效性。将特别强调使治疗适应美国心理健康和社会服务系统的背景，以及评估治疗的有效性。 II 期治疗评估试验的中心假设是 (1) 支持性倾听/问题解决 (SL/PS) 在减少治疗结束和随访时的抑郁症状方面比标准强化病例管理显着更有效，(2) SL/PS 在改善治疗结束和随访时的社会适应方面比标准强化病例管理显着更有效，(3) 客户和病例管理者会发现 SL/PS 是一种可接受的治疗方法，(4) 与参与标准强化病例管理相比，参与 SL/PS 会显着更多地使用专业心理健康服务。

项目成果

期刊论文数量（22）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

A new look at patient satisfaction: learning from self-organizing maps.

患者满意度的新视角：从自组织地图中学习。

DOI：
10.1097/nnr.0000000000000054
发表时间：
2014
期刊：
Nursing research
影响因子：
2.5
作者：
Voutilainen,Ari;Kvist,Tarja;Sherwood,PaulaR;Vehviläinen-Julkunen,Katri
通讯作者：
Vehviläinen-Julkunen,Katri

Depression treatment delivered at the point-of-care: a qualitative assessment of the views of low-income US mothers.

DOI：
10.1080/02646838.2015.1101753
发表时间：
2016
期刊：
Journal of reproductive and infant psychology
影响因子：
2.5
作者：
Orengo-Aguayo RE;Segre LS
通讯作者：
Segre LS

Implementation of an innovative nurse-delivered depression intervention for mothers of NICU infants.

DOI：
10.1097/anc.0000000000000146
发表时间：
2015-04
期刊：
Advances in neonatal care : official journal of the National Association of Neonatal Nurses
影响因子：
0
作者：
Chuffo Siewert R;Cline M;Segre LS
通讯作者：
Segre LS

Implementation of an evidence-based depression treatment into social service settings: the relative importance of acceptability and contextual factors.

在社会服务环境中实施循证抑郁症治疗：可接受性和背景因素的相对重要性。

DOI：
10.1007/s10488-011-0345-0
发表时间：
2012-05
期刊：
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH
影响因子：
2.6
作者：
Segre, Lisa S.;McCabe, Jennifer E.;Stasik, Sara M.;O'Hara, Michael W.;Arndt, Stephan
通讯作者：
Arndt, Stephan

Moving beyond depression screening: integrating perinatal depression treatment into OB/GYN practices.

超越抑郁症筛查：将围产期抑郁症治疗纳入妇产科实践。