The Role of Social Networks in Treatment Engagement for Minorities

社交网络在少数群体参与治疗中的作用

• 批准号: 8137530
• 负责人: KENNETH B. WELLS
• 金额: $ 22.49万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-05 至 2013-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8137530
• 关键词: Address; Adherence; Caring; Chronic; Clinical Services; Communities; Data; Data Analyses; Databases; Depressed mood; Development; Ethnic group; Event; Funding; Future; Guidelines; Health Professional; Healthcare Systems; Imagery; Individual; Intervention; Interview; Learning; Life; Link; Longitudinal Surveys; Medicine; Mental Depression; Mental Health; Mental disorders; Methods; Minority; Motivation; National Institute of Mental Health; Occupations; Outcome; Pathway Analysis; Patients; Persons; Pharmaceutical Preparations; Play; Process; Quality of Care; Randomized Controlled Trials; Recovery; Recurrence; Request for Applications; Research; Respondent; Risk; Role; Sampling; Series; Social Environment; Social Interaction; Social Network; Stress; Stressful Event; Structure; Symptoms; System; Targeted Research; Treatment outcome; Underrepresented Minority; Underserved Population; base; care seeking; coping; cultural competence; depressive symptoms; ethnic minority population; evidence base; experience; health disparity; help-seeking behavior; improved; interest; member; programs; public health relevance; response; service intervention; theories; working group

DESCRIPTION (provided by applicant): This application is in response to NOT-MH-10-021 's request for competitive revision applications for targeted research on mental health disparities. We request a revision to the UCLA/RAND NIMH Partnered Research Center for Quality Care. We plan secondary analysis of a unique data base to understand the roles that social networks play in supporting the engagement in treatment and medication use of persons who are at risk of or in need of treatment for depression, in particular those who are underserved minorities. The objective of this analysis is to inform the development of future community-based interventions that include a focus on the social networks of intervention recipients as a mechanism for improving outcomes. The data base includes a large sample of underserved minorities and a matched sample of whites which allows for the analyses of the potential of social network members to support engagement for minorities as well as whites. It will also allow for exploration of the effect of a Quality Improvement intervention on the activation level of networks related to treatment seeking and adherence to treatments as well as comparisons by ethnic group. The project will build on network analysis theory and methods to investigate how personal networks are used in coping with symptoms, life events, help-seeking and use of treatments by those who have experienced depression. Our specific aim is: To analyze secondary data from Partners in Care minority and matched white respondents to determine how their social interactions differ and the types of proactive coping strategies used to deal with depressive symptoms and stressful events. A grounded theory approach will be used to identify themes in the qualitative data, examine network visualizations derived from the social network interviews, and identify the roles social networks play in enhancing treatment engagement and outcome. We propose to use a mixed-methods analytic approach to develop theory, based on empirical analysis of data from Partners in Care, a group-level randomized controlled trial of practice-initiated Quality Improvement programs for depression for which funding ended March 2009. Data include a series of 780 in-depth qualitative interviews with all minorities and a sub-sample of whites in which respondents provided detailed information about specific events involving stress, depression, and treatment and how they coped with those situations. It also includes data from a social network interview in which respondents provided detailed information about their personal networks, the positive and negative influence of network members on the respondent's stress, depression and treatment and the structure of relationships among these network members. These data will be linked to 9 years of longitudinal survey data. The findings from our analyses will add to the evidence base for future effective mental health interventions for diverse groups, including ethnic minorities. We will use a community work group to review the data and help generate hypotheses and explanations as well as provide cultural competence in the analysis.

描述（由申请人提供）：本申请是对NOT-MH-10-021关于针对心理健康差异研究的竞争性修订申请的请求的回应。我们要求对UCLA/兰德NIMH合作研究中心的质量护理进行修订。我们计划对一个独特的数据库进行二次分析，以了解社交网络在支持有抑郁症风险或需要抑郁症治疗的人，特别是那些服务不足的少数民族参与治疗和药物使用方面所发挥的作用。这项分析的目的是为今后制定以社区为基础的干预措施提供信息，其中包括将重点放在干预措施接受者的社交网络上，作为改善成果的机制。该数据库包括大量服务不足的少数群体样本和匹配的白人样本，可以分析社交网络成员支持少数群体和白人参与的潜力。它还将允许探索质量改进干预对与寻求治疗和坚持治疗相关的网络激活水平的影响以及种族群体的比较。该项目将以网络分析理论和方法为基础，研究个人网络如何用于应对抑郁症患者的症状，生活事件，寻求帮助和使用治疗。我们的具体目标是：分析二级数据的合作伙伴在照顾少数民族和匹配的白色受访者，以确定他们的社会交往如何不同的类型，用于处理抑郁症状和压力事件的积极应对策略。将使用扎根理论方法确定定性数据中的主题，检查社交网络访谈中的网络可视化，并确定社交网络在增强治疗参与和结局中的作用。我们建议使用混合方法的分析方法来开发理论，基于对合作伙伴的数据进行实证分析，这是一项针对抑郁症的实践发起的质量改进计划的组级随机对照试验，其资金已于2009年3月结束。数据包括一系列的780个深入的定性访谈，所有少数民族和一个子样本的白人，受访者提供了有关具体事件的详细信息，涉及压力，抑郁和治疗，以及他们如何应对这些情况。它还包括来自社交网络访谈的数据，受访者提供了有关其个人网络的详细信息，网络成员对受访者的压力，抑郁和治疗的积极和消极影响，以及这些网络成员之间的关系结构。这些数据将与9年的纵向调查数据联系起来。我们的分析结果将为未来对包括少数民族在内的不同群体进行有效的心理健康干预提供证据基础。我们将使用一个社区工作组来审查数据，并帮助生成假设和解释，以及在分析中提供文化能力。