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.

非裔美国人比白人接受更少的指南适当的抑郁症治疗。同样， 亲密伴侣暴力（IPV）的历史增加了抑郁症的发病率， 保健然而，很少有心理健康治疗方案专门解决复杂的需求， 非裔美国虐待幸存者我们计划使用基于社区的前瞻性研究（CBPR）， 开发和测试以社区为基础的多方面干预措施，以减少非裔美国人的抑郁差异 经历过IPV的女性这项建议的目的是加强我们的社区学术 伙伴关系，并获得必要的技能，工具和初步数据，进行大规模的 对照试验我们的伙伴关系包括非洲裔美国人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人IPV幸存者的信仰和需求。我们正在开发一个 抑郁症护理模式的基础上愈合根中心，一个以社区为基础的非洲裔美国人家庭 暴力节目。我们的干预措施包含了许多与卫生系统中所包含的原则相同的原则。 慢性病护理模式，但它把社区及其资源放在方案的核心。非裔美国人 家庭暴力倡导者将发挥类似于护理管理人员的作用， 协调和患者教育。他们将把IPV幸存者与医疗保健系统联系起来， 他们与现场和诊所提供者进行更有效的互动。律师将使用 激励性面试技巧，帮助女性在文化上做出她们希望做出的行为改变 方式最后，我们将把创造性的、以艺术为基础的项目作为招聘和留住人才的一种方式。 妇女谁否则可能会犹豫获得心理健康服务或承认他们的IPV。我们将 加强我们的学术界和社区团体之间的伙伴关系，建立所有人的CBPR能力 成员，并监测该进程的成功。我们将调整，优先考虑和试点测试评估 这些工具将被用来衡量我们干预的有效性。我们将试点测试我们的 评估其可行性和可接受性，并收集初步的有效性数据。而且我们 将让社区参与设计和准备一项可接受的大规模干预研究。我们 该项目在微观和宏观层面上都以增强权能理论的原则为坚实基础。上 在个人层面，我们的项目将赋予妇女权力，以解决其关系中的暴力，使用自我管理， 支持工具和自我护理的做法，以控制他们的抑郁症，并成为参与， 让消费者了解心理健康服务。在社区一级，该项目将使社区 成员与研究人员合作，设计和开展与他们的需求相关的研究， 尊重他们的专业知识，这留下了持久的资源，并直接导致社会变革。