CBPR to Improve Depression Care for African-American Domestic Violence Survivors

CBPR 改善非裔美国家庭暴力幸存者的抑郁症护理

• 批准号: 7635830
• 负责人: Christina M Nicolaidis
• 金额: $ 18.33万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-06-11 至 2011-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7635830
• 关键词: Address; Advocate; African American; American; Arts; Belief; Caring; Case Manager; Clinic; Color; Communities; Complex; Data; Discrimination; Domestic Violence; Effectiveness; Ethnic Origin; Focus Groups; Funding; Future; Goals; Guidelines; Healed; Health; Health Personnel; Health Sciences; Health Services; Health system; Healthcare; Healthcare Systems; Healthy People 2010; Home environment; Housing; Individual; Intervention; Intervention Studies; Latina; Left; Link; Mental Health; Mental Health Services; Modeling; Monitor; Not Hispanic or Latino; Oregon; Patient Education; Plant Roots; Population; Preparation; Prevalence; Process; Provider; Race; Recording of previous events; Recruitment Activity; Research; Research Personnel; Resources; Role; Self Care; Self Management; Series; Services; Severities; Site; Social Change; Societies; Stress; Survivors; Techniques; Testing; Trust; Universities; Violence; Voice; Woman; Work; base; behavior change; chronic care model; community based participatory research; control trial; depressed; depression; design; effectiveness measure; empowered; empowerment; experience; healing; health disparity; health equity; improved; innovation; instrument; interest; intimate partner violence; meetings; member; men; motivational enhancement therapy; peer; physical conditioning; programs; racism; skills; success; theories; tool; treatment program

African-Americans receive less guideline-appropriate depression care than Whites. likewise, women with histories of intimate partner violence (IPV) have increased rates of depression and greater mistrust of mental health care. However, few mental health treatment programs specifically address the complex needs of African-American abuse survivors. We plan to use Community-Based Participatory Research (CBPR) to develop and test a community-based multi-faceted intervention to reduce depression disparities in AfricanAmerican women who have experienced IPV. The pUrPOse of this proposal is to strengthen our communityacademic partnership and to acquire the skills, tools, and preliminary data necessary to conduct a large-scale controlled trial. Our partnership consists of African-American IPV survivors, community leaders, domestic violence advocates, mental health providers and researchers who have already been working together to understand the beliefs and needs of depressed African-American IPV survivors. We are now developing a depression care model based within the Healing Roots Center, a community-based African-American domestic violence program. Our intervention incorporates many of the same principles included in the health systembased Chronic Care Model, but it places the community and its resources at the core of the program. AfricanAmerican domestic violence advocates will serve in a role similar to that of care managers, providing care coordination and patient education. They will link IPV survivors into the health care system and empower them to have more effective interactions with both on-site and clinic-based providers. Advocates will use motivational interviewing techniques to help women make behavior changes they wish to make in a culturallyappropriate manner. Finally, we will incorporate creative, arts-based programs as a way to recruit and retain women who might otherwise be hesitant to access mental health services or recognize their IPV. We will strengthen the partnership between our academic and community groups, build capacity for CBPR among all members, and monitor the success of the process. We will adapt, prioritize and pilot test assessment instruments that will be used to measure the effectiveness of our intervention. We will pilot test our intervention to assess its feasibility and acceptability and collect preliminary effectiveness data. Moreover, we will engage the community in designing and preparing an acceptable large-scale intervention study. Our project is strongly grounded in principles of Empowerment Theory on both micro and macro levels. On an individual level, our project will empower women to address the violence in their relationships, to use selfmanagement support tools and self-care practices to control their depression, and to become involved, informed consumers of mental health services. At a community level, the project will enable community members to partner with researchers to design and conduct research that is relevant to their needs and respectful of their expertise, which leaves lasting resources in place, and leads directly to social change.

与白人相比，非裔美国人接受的符合指南的抑郁症护理较少。同样，女性 亲密伴侣暴力（IPV）的历史增加了抑郁症的发病率，并增加了对精神上的不信任。 卫生保健。然而，很少有心理健康治疗计划专门解决人们的复杂需求。 非裔美国人虐待幸存者。我们计划利用基于社区的参与式研究（CBPR）来 开发并测试基于社区的多方面干预措施，以减少非裔美国人的抑郁差异 经历过 IPV 的女性。该提案的目的是加强我们的社区学术 伙伴关系并获得进行大规模研究所需的技能、工具和初步数据 对照试验。我们的合作伙伴包括非裔美国 IPV 幸存者、社区领袖、国内 暴力倡导者、心理健康提供者和研究人员已经共同努力， 了解抑郁的非裔美国 IPV 幸存者的信仰和需求。我们现在正在开发一个 治愈根源中心 (Healing Roots Center) 内的抑郁症护理模式是一个以社区为基础的非裔美国家庭 暴力计划。我们的干预措施融合了基于卫生系统的许多相同原则 慢性护理模式，但它将社区及其资源置于该计划的核心。非裔美国人 家庭暴力倡导者将扮演类似于护理管理者的角色，提供护理 协调和患者教育。他们将把 IPV 幸存者纳入医疗保健系统并赋予他们权力 他们与现场和诊所提供者进行更有效的互动。倡导者将使用 动机性访谈技巧，帮助女性以适合文化的方式做出她们希望做出的行为改变 方式。最后，我们将纳入创造性的、以艺术为基础的项目，作为招募和留住人才的一种方式 那些可能对获得心理健康服务或承认自己的 IPV 犹豫不决的女性。我们将 加强学术界和社区团体之间的伙伴关系，培养所有人的 CBPR 能力 成员，并监控流程的成功。我们将进行调整、优先排序和试点测试评估 将用于衡量我们干预措施有效性的工具。我们将进行试点测试 干预评估其可行性和可接受性并收集初步有效性数据。此外，我们 将让社区参与设计和准备可接受的大规模干预研究。我们的 该项目在微观和宏观层面上均以赋权理论原则为基础。在一个 在个人层面上，我们的项目将赋予妇女权力，以解决其关系中的暴力问题，并进行自我管理 支持工具和自我护理实践来控制抑郁症并参与其中， 向消费者通报心理健康服务。在社区层面，该项目将使社区 成员与研究人员合作设计和开展与其需求相关的研究 尊重他们的专业知识，从而留下持久的资源，并直接导致社会变革。