Community engagement compared with technical assistance to disseminate depression care among low-income, minority women: A randomized controlled effectiveness study

V.K. Ngo, C. Sherbourne, B. Chung, L. Tang, A.L. Wright, Y. Whittington, K. Wells and J. Miranda

American Journal of Public Health, 2016, vol. 106, issue 10, 1833-1841

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.

Keywords: California; controlled study; depression; ethnic group; female; human; mental health service; middle aged; minority group; participatory research; poverty; procedures; randomized controlled trial; socioeconomics; utilization, Community Mental Health Services; Community-Based Participatory Research; Depression; Ethnic Groups; Female; Humans; Los Angeles; Middle Aged; Minority Groups; Poverty; Socioeconomic Factors (search for similar items in EconPapers)
Date: 2016
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2016.303304_2

DOI: 10.2105/AJPH.2016.303304

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