Community Partnered Approach to Implement EBPs for Depression

描述（由申请人提供）：与患有重度抑郁症的美国白人相比，患有重度抑郁症（MDD）的非裔美国人有更大的疾病负担，接受的护理质量较低，并且未充分利用传统的精神卫生服务。因为神职人员被认为是值得信赖的“看门人”，他们是心理健康教育和/或服务的主要来源，为社会经济多样化的非裔美国人提供服务。然而，很少有研究调查如何将抑郁症的循证实践（EBPs）转化为基于信仰的环境。本K23提出了一项并行、混合方法的研究，以调查利用社区合作参与式研究（CPPR）方法支持神职人员在基于信仰的环境中实施人际咨询（IPC）的可行性和可接受性。IPC是一种手动的3期抑郁症干预措施，旨在由神职人员等非精神卫生专业人员实施。我们的目标是促进对将ebp转化为现实世界环境所涉及的因素的理解，这些知识可用于向服务不足的人群传播干预措施并减少健康差距。这项研究有三个主要阶段。第一阶段（愿景）旨在启动一种与社区合作的方法，规划如何在基于信仰的环境中实施IPC。它将产生一个社区指导委员会，该委员会将指导所有研究活动，并为神职人员制定具体的实施策略。第二阶段（山谷）是CPPR知情模型的实施，以测试在两个非裔美国教堂培训8名IPC神职人员的可行性和可接受性。实施将在各教堂交错进行，以纳入社区意见。患者的结果将是抑郁症状和功能水平。实现结果将是可行性、可接受性、采用、实现和维护。第三阶段（胜利）将允许社区成员对研究设计和庆祝结果提供反馈。这些研究的执行将与综合培训计划相结合，该计划将教学讲座与指导经验相结合。在共同导师麦娜·韦斯曼博士、肯·威尔斯博士和洛雷塔·琼斯女士的带领下，该应用程序包括以下职业培训目标：(1)学习和应用传播和实施科学的原则。丽莎·迪克森、雪莉·格利德、盖尔·怀亚特和海伦·维尔德利)；(2)发展社区参与方面的专业知识（Alfiee Breland-Noble博士、Alwyn Cohall博士和Richard Ferreira先生）；(3)获得混合方法（定性/定量）研究设计的技能。Jennifer Wisdom， Mindy fullillove和Priya Wickramaratne)。该研究计划为R01提供数据，以便进行分组随机对照试验，以测试在基于信仰的环境中实施IPC的不同方法。

DESCRIPTION (provided by applicant): African Americans with major depressive disorder (MDD) have greater disease burden, receive lower quality care, and under-utilize traditional mental health services compared to white Americans with MDD. Because clergy are regarded as trusted "gatekeepers," they are the primary source of mental health education and/or services for socioeconomically diverse African Americans. However, few studies investigate how to translate evidence-based practices (EBPs) for depression into faith-based settings. This K23 proposes a concurrent, mixed-methods study to investigate the feasibility and acceptability of utilizing a community-partnered participatory research (CPPR) approach to support clergy in implementing Interpersonal Counseling (IPC) in faith-based settings. IPC is a manualized, 3-session depression intervention that was designed for delivery by non-mental health professionals, such as clergy. We aim to contribute an understanding of the factors involved in translating EBPs into real world settings, knowledge that could be used to disseminate interventions to underserved populations and reduce health disparities. This study has three main phases. The first phase (Vision) is designed to initiate a community-partnered approach to plan how to implement IPC in faith-based settings. It will yield a Community Steering Council that will guide all research activities and develop a specific implementation strategy for clergy. The second phase (Valley) is the implementation of a CPPR informed model to test the feasibility and acceptability of training 8 clergy in IPC at two African American churches. Implementation will be staggered across churches to incorporate community input. Patient outcomes will be depressive symptomatology and level of functioning. Implementation outcomes will be feasibility, acceptability, adoption, implementation, and maintenance. The third phase (Victory) will allow community members to provide feedback on the study design and celebrate results. Execution of these studies will be combined with a comprehensive training program that integrates didactic lectures with mentored experiences. Led by co-mentors, Dr. Myrna Weissman, Dr. Ken Wells, and Ms. Loretta Jones, the application encompasses the following career training goals: (1) to learn and apply principles of dissemination and implementation science (Drs. Lisa Dixon, Sherry Glied, Gail Wyatt, and Helen Verdeli); (2) to develop expertise in community engagement (Dr. Alfiee Breland-Noble, Dr. Alwyn Cohall, and Mr. Richard Ferreira); and (3) to gain skills in mixed-methods (qualitative/quantitative) study designs (Drs. Jennifer Wisdom, Mindy Fullilove, and Priya Wickramaratne). The research plan produces data for a R01 to conduct a cluster-randomized controlled trial to test different ways to implement IPC in faith-based settings.