1. Community Engagement Compared With Technical Assistance to Disseminate Depression Care Among Low-Income, Minority Women: A Randomized Controlled Effectiveness Study
- Author
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Cathy D. Sherbourne, Jeanne Miranda, Kenneth B. Wells, Bowen Chung, Lingqi Tang, Victoria K. Ngo, Yolanda Whittington, and Aziza Wright
- Subjects
Gerontology ,Community-Based Participatory Research ,Ethnic group ,Community-based participatory research ,AJPH Research ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Quality of life (healthcare) ,Randomized controlled trial ,law ,Ethnicity ,Medicine ,Humans ,030212 general & internal medicine ,Socioeconomic status ,Poverty ,Minority Groups ,Community engagement ,business.industry ,Depression ,Public Health, Environmental and Occupational Health ,Middle Aged ,medicine.disease ,Mental health ,Los Angeles ,Community Mental Health Services ,030227 psychiatry ,Substance abuse ,Socioeconomic Factors ,Female ,business - Abstract
Objectives. To compare the effectiveness of a (CEP) versus a technical assistance approach (Resources for Services, or RS) to disseminate depression care for low-income ethnic minority women. Methods. We conducted secondary analyses of intervention effects for largely low-income, minority women subsample (n = 595; 45.1% Latino and 45.4% African American) in a matched, clustered, randomized control trial conducted in 2 low-resource communities in Los Angeles, California, between 2010 and 2012. Outcomes assessed included mental health, socioeconomic factors, and service use at 6- and 12-month follow-up. Results. Although we found no intervention difference for depressive symptoms, there were statistically significant effects for mental health quality of life, resiliency, homelessness risk, and financial difficulties at 6 months, as well as missed work days, self-efficacy, and care barriers at 12 months favoring CEP relative to RS. CEP increased use of outpatient substance abuse services and faith-based depression visits at 6 months. Conclusions. Engaging health care and social community programs may offer modest improvements on key functional and socioeconomic outcomes, reduce care barriers, and increase engagement in alternative depression services for low-income, predominantly ethnic minority women.
- Published
- 2016