nach oben

Erschienen in:

01.04.2013 | Original Research

The Interconnections Project: Development and Evaluation of a Community-Based Depression Program for African American Violence Survivors

verfasst von: Christina Nicolaidis, MD, MPH, Stéphanie Wahab, MSW, PhD, Jammie Trimble, MA, Angie Mejia, MA, S. Renee Mitchell, MBA, Dora Raymaker, MS, Mary Jo Thomas, Vanessa Timmons, A. Star Waters

Erschienen in: Journal of General Internal Medicine | Ausgabe 4/2013

Einloggen, um Zugang zu erhalten

ABSTRACT

BACKGROUND

Multi-faceted depression care programs based within the healthcare system have been found to be effective, but may not fully address the needs of African American Intimate Partner Violence (IPV) survivors, many of whom are not seeking depression care in healthcare settings.

OBJECTIVES

To develop and evaluate a multifaceted, community-based depression care program (the Interconnections Project) for African American women with a history of IPV.

METHODS

We used a community-based participatory research (CBPR) approach to develop, implement, and evaluate the intervention. Participants were African American women who had current depressive symptoms and a lifetime history of IPV. They participated in a 6-month intervention where a peer advocate provided education, skills training, and case management services, and used Motivational Interviewing to support self-management behaviors. We conducted pre-intervention and post-intervention assessments using quantitative and qualitative data.

RESULTS

Fifty-nine women participated, with 92 % attending any sessions and 51 % attending at least 6 h of intervention activities. Intervention changes made to better accommodate participants’ unpredictable schedules improved participation rates. Participants noted high levels of satisfaction with the program. There were significant improvements in depression severity (PHQ-9 13.9 to 7.9, p < 0.001), self-efficacy, self-management behaviors, and self-esteem (all p < 0.001), but no increase in use of antidepressants. Common themes related to why the program was helpful included that the program was by and for African American women, that it fostered trust, and that it taught self-management strategies with practical, lasting value.

CONCLUSION

Culturally specific, community-based interventions led by peer advocates may be a promising way to help African American IPV survivors effectively address depression.

Nur mit Berechtigung zugänglich

Carrington SBP, Fletcher J, Richards D, Sutton AJ. Clinical depression in African American women: diagnoses, treatment, and research. J Clin Psychol. 2006;62(7):779–791.PubMedCrossRef

Miranda J, Cooper LA. Disparities in care for depression among primary care patients. J Gen Intern Med. 2004;19(2):120–126.PubMedCrossRef

Cooper LA, Gonzales JJ, Gallo JJ, et al. The acceptability of treatment for depression among African-American, Hispanic, and white primary care patients. Med Care. 2003;41(4):479–489.PubMed

Jackson A. The use of psychiatric medications to treat depressive disorders in African American women. J Clin Psychol. 2006;62(7):793–800.PubMedCrossRef

Young AS, Klap R, Sherbourne CD, Wells KB. The quality of care for depressive and anxiety disorders in the United States. Arch Gen Psychiatry. 2001;58(1):55–61.PubMedCrossRef

Tjaden P, Thoennes, N. Extent, Nature, and Consequences of Intimate Partner Violence: Findings From the National Violence Against Women Survey: National Institute of Justice; Center for Disease Control and Prevention; July 2000.

Rennison M, Welchans S. Intimate Partner Violence. Bureau of Justice Statistics special report. Washington, D.C.: U.S. Department of Justice; May 2000.

Cunradi CB, Caetano R, Schafer J. Alcohol-related problems, drug use, and male intimate partner violence severity among US couples. Alcohol Clin Exp Res. 2002;26(4):493–500.PubMedCrossRef

Sorenson SB, Upchurch DM, Shen H. Violence and injury in marital arguments: risk patterns and gender differences. Am J Public Health. 1996;86(1):35–40.PubMedCrossRef

10.

Marais A, de Villiers PJ, Moller AT, Stein DJ. Domestic violence in patients visiting general practitioners–prevalence, phenomenology, and association with psychopathology. S Afr Med J. 1999;89(6):635–640.PubMed

11.

Roberts GL, Lawrence JM, Williams GM, Raphael B. The impact of domestic violence on women's mental health. Aust N Z Journal of Public Health. 1998;22(7):796–801.CrossRef

12.

Petersen R, Gazmararian J, Andersen Clark K. Partner violence: implications for health and community settings. Women's Health Issues. 2001;11(2):116–125.PubMedCrossRef

13.

Golding JM. Intimate partner violence as a risk factor for mental disorders: a meta-analysis. J Fam Violence. 1999;14(2):99–132.CrossRef

14.

McCauley J, Kern DE, Kolodner K, Derogatis LR, Bass EB. Relation of low-severity violence to women's health. J Gen Intern Med. 1998;13(10):687–691.PubMedCrossRef

15.

McCauley J, Kern DE, Kolodner K, et al. Clinical characteristics of women with a history of childhood abuse: unhealed wounds. JAMA. 1997;277(17):1362–1368.PubMedCrossRef

16.

McCauley J, Kern DE, Kolodner K, et al. The "battering syndrome": prevalence and clinical characteristics of domestic violence in primary care internal medicine practices. Ann Intern Med. 1995;123(10):737–746.PubMed

17.

Nicolaidis C, Curry M, McFarland B, Gerrity M. Violence, mental health, and physical symptoms in an academic internal medicine practice. J Gen Intern Med. 2004;19(8):819–827.PubMedCrossRef

18.

Houry D, Kemball R, Rhodes KV, Kaslow NJ. Intimate partner violence and mental health symptoms in African American female ED patients.[see comment]. Am J Emerg Med. 2006;24(4):444–450.PubMedCrossRef

19.

McGuigan WM, Middlemiss W. Sexual abuse in childhood and interpersonal violence in adulthood: a cumulative impact on depressive symptoms in women. J Interpersonal Violence. 2005;20(10):1271–1287.CrossRef

20.

Scholle SH, Rost KM, Golding JM. Physical abuse among depressed women. J Gen Intern Med. 1998;13(9):607–613.PubMedCrossRef

21.

Wahab S, Trimble J, Mejia A, et al. Motivational Interviewing at the Intersection of depression and intimate partner violence among African American women. J Evid Based Social Work. In press.

22.

Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: translating evidence into action. Heal Aff. 2001;20(6):64–78.CrossRef

23.

Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. JAMA. 2002;288(14):1775–1779.PubMedCrossRef

24.

Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, Part 2. JAMA. 2002;288(15):1909–1914.PubMedCrossRef

25.

Williams J Jr, Gerrity M, Holsinger T, Dobscha S, Gaynes B, Dietrich A. Systematic review of multifaceted interventions to improve depression care. Gen Hosp Psychiatry. 2007;29(2):91–116.PubMedCrossRef

26.

Gilbody SBP, Fletcher J, Richards D, Sutton AJ. Collaborative care for depression: a cumulative meta-analysis and review of longer-term outcomes. Arch Intern Med. 2006;166(21):2314–2321.PubMedCrossRef

27.

Israel BA, Schulz AJ, Parker EA, Becker AB. Review of community-based research: assessing partnership approaches to improve public health. Annu Rev Public Health. 1998;19:173–202.PubMedCrossRef

28.

Nicolaidis CTV, Thomas MJ, et al. "You Don't Go Tell White People Nothing": African American women's perspectives on the influence of violence and race on depression and depression care. Am J Public Health. 2010;100(8):1470–1476.PubMedCrossRef

29.

Nicolaidis C, Perez M, Mejia A, et al. "Guardarse las cosas adentro" (keeping things inside): Latina violence survivors' perceptions of depression. J Gen Intern Med. 2011;26(10):1131–1137.PubMedCrossRef

30.

Hanson WE, Creswell JW, Clark VLP, Petska KS, Creswell JD. Mixed methods research designs in counseling psychology. J Couns Psychol. 2005;52(2):224.CrossRef

31.

Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–613.PubMedCrossRef

32.

Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient health questionnaire. JAMA. 1999;282(18):1737–1744.PubMedCrossRef

33.

Spitzer RL, Williams JB, Kroenke K, Hornyak R, McMurray J. Validity and utility of the PRIME-MD patient health questionnaire in assessment of 3000 obstetric-gynecologic patients: the PRIME-MD Patient Health Questionnaire Obstetrics-Gynecology Study. Am J Obstet Gynecol. 2000;183(3):759–769.PubMedCrossRef

34.

Smith PH, Earp JA, DeVellis R. Measuring battering: development of the Women's Experience with Battering (WEB) Scale. Women's Health. 1995;1(4):273–288.PubMed

35.

Thombs BD, Bernstein DP, Ziegelstein RC, Bennett W, Walker EA. A brief two-item screener for detecting a history of physical or sexual abuse in childhood. Gen Hosp Psychiatry. 2007;29(1):8–13.PubMedCrossRef

36.

Pitzner JK, Drummond PD. The reliability and validity of empirically scaled measures of psychological/verbal control and physical/sexual abuse: relationship between current negative mood and a history of abuse independent of other negative life events. J Psychosom Res. 1997;43(2):125–142.PubMedCrossRef

37.

Bradley KA, DeBenedetti AF, Volk RJ, Williams EC, Frank D, Kivlahan DR. AUDIT-C as a brief screen for alcohol misuse in primary care. Alcohol Clin Exp Res. 2007;31(7):1208–1217.PubMedCrossRef

38.

Cottler LB, Robins LN, Grant BF, et al. The CIDI-core substance abuse and dependence questions: cross-cultural and nosological issues. The WHO/ADAMHA Field Trial. Br J Psychiatry. 1991;159(5):653–658.PubMedCrossRef

39.

Straus MA, Hamby SI, Boney-McCoy S, Sugarman D. The revised Conflict Tactics Scale (CTS2). J Fam Issues. 1996;17:283–316.CrossRef

40.

Moyers T, Martin T, Manuel JK, Miller WR. Motivational Interviewing Treatment Integrity (MITI) code 3.0. http://casaa.unm.edu/code/miti.html. Accessed October 15, 2012.

41.

Cooper LA, Brown C, Vu HT, et al. Primary care patients' opinions regarding the importance of various aspects of care for depression. Gen Hosp Psychiatry. 2000;22(3):163–173.PubMedCrossRef

42.

Ludman E, Katon W, Bush T, et al. Behavioural factors associated with symptom outcomes in a primary care-based depression prevention intervention trial. Psychol Med. 2003;33(6):1061–1070.PubMedCrossRef

43.

Curry MA. The interrelationships between abuse, substance use, and psychosocial stress during pregnancy. JOGNN. 1998;27(6):692–699.PubMedCrossRef

44.

Curry MA, Burton D, Fields J. The Prenatal Psychosocial Profile: a research and clinical tool. Res Nurs Heal. 1998;21(3):211–219.CrossRef

45.

Curry MA, Campbell RA, Christian M. Validity and reliability testing of the Prenatal Psychosocial Profile. Res Nurs Heal. 1994;17(2):127–135.CrossRef

46.

Braun VCV. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.CrossRef

47.

Kroenke K, Spitzer RL. The PHQ-9: a new depression diagnostic and severity measure. Psychiatr Ann. 2002;32(9):1–7.

48.

Bell CC, Mattis J. The importance of cultural competence in ministering to African American victims of domestic violence. Violence Against Women. 2000;6(5):515–532.CrossRef

49.

Bent-Goodley TB. Health disparities and violence against women: why and how cultural and societal influences matter. Trauma Violence Abuse. 2007;8(2):90–104.PubMedCrossRef

50.

Freedman TG. "Why don't they come to Pike Street and ask us"?: Black American women's health concerns. Soc Sci Med. 1998;47(7):941–947.PubMedCrossRef

51.

Feder GS, Hutson M, Ramsay J, Taket AR. Women exposed to intimate partner violence: expectations and experiences when they encounter health care professionals: a meta-analysis of qualitative studies. Arch Intern Med. 2006;166(1):22–37.PubMedCrossRef

52.

Nicolaidis C, Gregg J, Galian H, McFarland B, Curry M, Gerrity M. "You always end up feeling like you're some hypochondriac": intimate partner violence survivors' experiences addressing depression and pain. J Gen Intern Med. 2008;23(8):1157–1163.PubMedCrossRef

53.

Halbert CH, Armstrong K, Gandy OH, Shaker L. Racial differences in trust in health care providers. Arch Intern Med. 2006;166:896–901.PubMedCrossRef

54.

LaVeist TA, Nickerson KJ, Bowie JV. Attitudes about racism, medical mistrust, and satisfaction with care among African American and white cardiac patients. Med Care Res Rev. 2000;57:146–161.PubMed

55.

Boulware LE, Cooper LA, Ratner LE, LaVeist TA, Powe NR. Race and trust in the health care system. Public Health Rep. 2003;118(4):358–365.PubMed

Titel: The Interconnections Project: Development and Evaluation of a Community-Based Depression Program for African American Violence Survivors
verfasst von: Christina Nicolaidis, MD, MPH
Stéphanie Wahab, MSW, PhD
Jammie Trimble, MA
Angie Mejia, MA
S. Renee Mitchell, MBA
Dora Raymaker, MS
Mary Jo Thomas
Vanessa Timmons
A. Star Waters
Publikationsdatum: 01.04.2013
Verlag: Springer-Verlag
Erschienen in: Journal of General Internal Medicine / Ausgabe 4/2013
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-012-2270-7

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

19.04.2024 | Vorhofflimmern | Nachrichten

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

The Interconnections Project: Development and Evaluation of a Community-Based Depression Program for African American Violence Survivors

ABSTRACT

BACKGROUND

OBJECTIVES

METHODS

RESULTS

CONCLUSION

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Parodontalbehandlung verbessert Prognose bei Katheterablation

Prostatakarzinom: EU initiiert neues Screeningkonzept

Blasenkarzinom – Biomarker statt Zytologie?

Antihypertensiva schützen auch alte Menschen noch vor Demenz

Update Innere Medizin

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

ABSTRACT

BACKGROUND

OBJECTIVES

METHODS

RESULTS

CONCLUSION

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2013

Capsule Commentary on True et al., Open Access in the Patient Centered Medical Home: Lessons from the Veterans Health Administration

A Systematic Review of Communication Quality Improvement Interventions for Patients with Advanced and Serious Illness

Learning by Doing: Effectively Incorporating Ethics Education into Residency Training

Lichen Sclerosus in a Breast Cancer Survivor on an Aromatase Inhibitor: A Case Report

Transient Idiopathic Isolated Unilateral Hypoglossal Nerve Palsy

Continuity in a Changing Health Care Environment

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Parodontalbehandlung verbessert Prognose bei Katheterablation

Prostatakarzinom: EU initiiert neues Screeningkonzept

Blasenkarzinom – Biomarker statt Zytologie?

Antihypertensiva schützen auch alte Menschen noch vor Demenz

Update Innere Medizin