A Culturally Adapted Depression Intervention for African American Adults

描述(申请人提供)：非裔美国人有抑郁症的负担，但他们只有14%的时间得到足够的心理健康护理。最近的一项关于文化适应干预的荟萃分析表明，为特定文化群体量身定做的干预措施比为由不同文化背景的患者组成的群体提供的干预措施的有效性高四倍。不幸的是，专门针对非裔美国成年人的CAI很少。哦，快乐日课程(OHDC)从文化上改编自应对抑郁症课程(CWD)，旨在治疗非裔美国成年人的抑郁症。我们建议使用两组(OHDC诉CWD)随机对照试验和182名非裔美国成年人(年龄30-55岁)的样本，在干预基线、中期和即刻结束时以及干预后3、6、9和12个月测量。主要目标1：检查OHDC与CWD在提高保留率、依从性、参与度、满意度和寻求治疗方面的有效性。主要目标2：比较OHDC和CWD在减轻抑郁症状方面的有效性。次要目标3：与慢性WD相比，OHDC在改善身心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。公共健康影响：根据计算机辅助教学研究，OHDC的效果有可能是CWD的四倍。如果我们的假设得到证实，OHDC将成为第一个专门为非裔美国成年人设计的基于证据的文化适应抑郁症干预措施。 与公共卫生相关：非洲裔美国人有抑郁症的负担，但他们只有14%的时间得到了足够的心理健康护理。然而，最近一项对文化适应干预(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不同文化背景的患者组成的群体的干预措施的有效性高四倍。不幸的是，专门针对非裔美国成年人的CAI很少。哦，快乐日课程(OHDC)从文化上改编自应对抑郁症课程(CWD)，旨在治疗非裔美国成年人的抑郁症。我们建议使用两组(OHDC诉CWD)随机对照试验和182名威斯康星州非洲裔美国成年人(年龄30-55岁)的样本。根据计算机辅助教学的研究，OHDC的效率有可能是CWD的四倍。如果我们的假设得到证实，OHDC将成为第一个专门为非裔美国成年人设计的基于证据的文化适应抑郁症干预措施。

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.