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Randomized Controlled Trial
. 2016 Oct;106(10):1833-41.
doi: 10.2105/AJPH.2016.303304. Epub 2016 Aug 23.

Community Engagement Compared With Technical Assistance to Disseminate Depression Care Among Low-Income, Minority Women: A Randomized Controlled Effectiveness Study

Victoria K Ngo  1 , Cathy Sherbourne  1 , Bowen Chung  1 , Lingqi Tang  1 , Aziza L Wright  1 , Yolanda Whittington  1 , Kenneth Wells  1 , Jeanne Miranda  1
Affiliations
Randomized Controlled Trial

Community Engagement Compared With Technical Assistance to Disseminate Depression Care Among Low-Income, Minority Women: A Randomized Controlled Effectiveness Study

Victoria K Ngo et al. Am J Public Health. 2016 Oct.

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.

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Figures

FIGURE 1—
FIGURE 1—
Trial Profile: Community Partners in Care, Women’s Substudy, Los Angeles, CA, 2010–2012 Note. CEP = Community Engagement and Planning; RS = Resources for Services, or individual program technical assistance.
See this image and copyright information in PMC

References

    1. Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):e442. - PMC - PubMed
    1. Kessler RC. Epidemiology of women and depression. J Affect Disord. 2003;74(1):5–13. - PubMed
    1. Patel V, Lund C, Hatherill S, Plagerson S, Corrigall J, Funk M. Social Determinants of Mental Disorders. Priority Public Health Conditions: From Learning to Action on Social Determinants of Health. Geneva, Switzerland: World Health Organization; 2009.
    1. McLeod JD, Kessler RC. Socioeconomic status differences in vulnerability to undesirable life events. J Health Soc Behav. 1990;31(2):162–172. - PubMed
    1. Alegria M, Canino G, Rios R et al. Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. Psychiatr Serv. 2002;53(12):1547–1555. - PubMed

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