A Culturally Adapted Depression Intervention for African American Adults

描述（由申请人提供）：非裔美国人患有抑郁症，但他们只有14%的时间得到足够的心理健康护理。最近的一项对文化适应性干预（CAI）的荟萃分析表明，针对特定文化群体的干预措施比提供给由文化多样性患者组成的群体的干预措施有效四倍。不幸的是，专门针对非洲裔美国成年人的CAIs很少。Oh Happy Day Class（OHDC）是从应对抑郁症课程（CWD）中改编而来的，旨在治疗非裔美国成年人的抑郁症。我们建议使用两组（OHDC v. CWD）随机对照试验和182名非洲裔美国成年人（年龄30-55岁）的样本，在基线，中期和干预结束时以及干预后3个月，6个月，9个月和12个月进行测量。主要目标1：检查OHDC与CWD相比在提高保留率，依从性，参与度，满意度和治疗寻求方面的有效性。主要目的2：检查OHDC与CWD相比在减轻抑郁症状方面的有效性。次要目标3：检查OHDC与CWD相比在改善心理和身体健康状况的自我报告和减少残疾的自我报告方面的有效性。公共卫生影响：根据CAI的研究，OHDC有可能比CWD有效四倍。如果我们的假设得到证实，OHDC将成为第一个专门为非洲裔美国成年人设计的基于证据的文化适应性抑郁症干预措施。 公共卫生相关性：非裔美国人患有抑郁症，但他们只有14%的时间获得足够的心理健康护理。然而，最近的一项对文化适应性干预措施（CAI）的荟萃分析表明，针对特定文化群体的干预措施比提供给由文化多样性患者组成的群体的干预措施有效四倍。不幸的是，专门针对非洲裔美国成年人的CAIs很少。Oh Happy Day Class（OHDC）是从应对抑郁症课程（CWD）中改编而来的，旨在治疗非裔美国成年人的抑郁症。我们建议使用一个两组，（OHDC与CWD）随机对照试验和样本的182名非洲裔美国成年人（年龄30-55）在威斯康星州。根据CAI的研究，OHDC有可能比CWD有效四倍。如果我们的假设得到证实，OHDC将成为第一个专门为非洲裔美国成年人设计的基于证据的文化适应性抑郁症干预措施。

DESCRIPTION (provided by applicant): African Americans are burdened by depression, yet they receive adequate mental health care only 14% of the time. A recent meta-analysis of culturally adapted interventions (CAI) suggest interventions tailored to a specific cultural group were four times more effective than interventions provided to groups consisting of culturally diverse patients. Unfortunately, CAIs focusing specifically on African American adults are sparse. The Oh Happy Day Class (OHDC) was culturally adapted from the Coping with Depression Course (CWD) and designed to treat depression in African American adults. We propose using a two-group, (OHDC v. CWD) randomized controlled trial and a sample of 182 African American adults (age 30-55) with measures at baseline, middle and immediate end of the intervention and 3-, 6-, 9-, and 12-months post-intervention. Primary Aim 1: Examine effectiveness of the OHDC compared to the CWD in increasing retention, adherence, engagement, satisfaction, and treatment seeking. Primary Aim 2: Examine effectiveness of the OHDC compared to the CWD in reducing symptoms of depression. Secondary Aim 3: Examine the effectiveness of the OHDC compared to the CWD in improving self-report of mental and physical health status and reducing self-report of disability. Public Health Impact: Based on CAI research, the OHDC has the potential to be four times more effective than the CWD. If our hypotheses are proven, the OHDC will be the first evidence-based culturally adapted depression intervention designed specifically for African American adults. PUBLIC HEALTH RELEVANCE: African Americans are burdened by depression, yet they receive adequate mental health care only 14% of the time. However, a recent meta-analysis of culturally adapted interventions (CAI) suggest interventions tailored to a specific cultural group were four times more effective than interventions provided to groups consisting of culturally diverse patients. Unfortunately, CAIs focusing specifically on African American adults are sparse. The Oh Happy Day Class (OHDC) was culturally adapted from the Coping with Depression Course (CWD) and designed to treat depression in African American adults. We propose using a two-group, (OHDC v. CWD) randomized controlled trial and a sample of 182 African American adults (age 30-55) in Wisconsin. Based on CAI research, the OHDC has the potential to be four times more effective than the CWD. If our hypotheses are proven, the OHDC will be the first evidence-based culturally adapted depression intervention designed specifically for African American adults.