The Effects of a Community-Based, Multicomponent, Depression Prevention Intervention in Mothers At-Risk

2021 ◽  
pp. 019394592110370
Author(s):  
Rahshida Atkins ◽  
Terri-Ann Kelly ◽  
Sheila J. Linz ◽  
Kathleen J. Jackson ◽  
Manuel CF Pontes ◽  
...  

The purpose of this study was to develop a 12-week multicomponent, depression prevention pilot intervention and evaluate its feasibility and preliminary effects on improving levels and correlates of depressive symptoms, including anger, self-esteem perceived stress, social support, and racism. A quasi-experimental, mixed-methods design and a community-based participatory research (CBPR) approach was employed. University faculty, students and community residents collaborated at a low-income housing complex in a low-resourced, urban community. Fifteen low-income, ethnic minority mothers ages 23–46 years completed the intervention and evaluation surveys. Eight mothers participated in a focus group. The intervention included social group-dance, health education, and socialization. t-Tests, sign-tests, and thematic analysis was employed. Mothers identified barriers and facilitators of program engagement. Depressive symptoms were significantly reduced  ( t(14) = 2.41, p = .030). Self-esteem ( t(14) = 2.28, p = .039) and social support levels ( M = 4.5, p = .035) were significantly increased. This multicomponent intervention is feasible. Preliminary efficacy evidence was mixed.

2016 ◽  
Vol 22 (3) ◽  
pp. 159-178 ◽  
Author(s):  
Dan Reaves ◽  
Caroline M. Clevenger ◽  
MaryEllen Nobe ◽  
Patricia A. Aloise-Young

Reduction of energy consumption in the affordable housing sector is highly impacted by human behavior. However, only limited behavior change research exists that is aimed at reducing energy consumption in this sector. This study seeks to implement the first two phases of the community-based social marketing (CBSM) framework in an affordable housing setting. The goals of the research are to identify the optimal behaviors for energy reduction and to identify the perceived barriers and benefits associated with those behaviors in a low-income housing facility. The results of this study identify five target behaviors along with their barriers and benefits. In addition, the study identifies potential issues and nuances in the CBSM process that researchers should take into consideration during future implementations of CBSM in affordable housing environments.


2021 ◽  
pp. 002214652110410
Author(s):  
Patricia Louie ◽  
Laura Upenieks ◽  
Christy L. Erving ◽  
Courtney S. Thomas Tobin

A central paradox in the mental health literature is the tendency for black Americans to report similar or better mental health than white Americans despite experiencing greater stress exposure. However, black Americans’ higher levels of certain coping resources may explain this finding. Using data from the Nashville Stress and Health Study (n = 1,186), we examine whether black Americans have higher levels of self-esteem, social support, religious attendance, and divine control than white Americans and whether these resources, in turn, explain the black–white paradox in mental health. In adjusted models, the black–white paradox holds for depressive symptoms and any DSM-IV disorder. Findings indicate that black Americans have higher levels of self-esteem, family social support, and religiosity than white Americans. Causal mediation techniques reveal that self-esteem has the largest effect in explaining black–white differences in depressive symptoms, whereas divine control has the largest effect in explaining differences in disorder.


2016 ◽  
Vol 25 (7) ◽  
pp. 2306-2314 ◽  
Author(s):  
Christie Campbell-Grossman ◽  
Diane Brage Hudson ◽  
Kevin A. Kupzyk ◽  
Sara E. Brown ◽  
Kathleen M. Hanna ◽  
...  

2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Hamisu M. Salihu ◽  
Abraham A. Salinas-Miranda ◽  
Wei Wang ◽  
DeAnne Turner ◽  
Estrellita Lo Berry ◽  
...  

<em>Background</em>. Providing practitioners with an intuitive measure for priority setting that can be combined with diverse data collection methods is a necessary step to foster accountability of the decision-making process in community settings. Yet, there is a lack of easy-to-use, but methodologically robust measures, that can be feasibly implemented for reliable decision-making in community settings. To address this important gap in community based participatory research (CBPR), the purpose of this study was to demonstrate the utility, applicability, and validation of a community priority index in a community-based participatory research setting. <br /><em>Design and Methods</em>. Mixed-method study that combined focus groups findings, nominal group technique with six key informants, and the generation of a Community Priority Index (CPI) that integrated community importance, changeability, and target populations. Bootstrapping and simulation were performed for validation. <br /><em>Results</em>. For pregnant mothers, the top three highly important and highly changeable priorities were: stress (CPI=0.85; 95%CI: 0.70, 1.00), lack of affection (CPI=0.87; 95%CI: 0.69, 1.00), and nutritional issues (CPI=0.78; 95%CI: 0.48, 1.00). For non-pregnant women, top priorities were: low health literacy (CPI=0.87; 95%CI: 0.69, 1.00), low educational attainment (CPI=0.78; 95%CI: 0.48, 1.00), and lack of self-esteem (CPI=0.72; 95%CI: 0.44, 1.00). For children and adolescents, the top three priorities were: obesity (CPI=0.88; 95%CI: 0.69, 1.00), low self-esteem (CPI=0.81; 95%CI: 0.69, 0.94), and negative attitudes toward education (CPI=0.75; 95%CI: 0.50, 0.94). <br /><em>Conclusions</em>. This study demonstrates the applicability of the CPI as a simple and intuitive measure for priority setting in CBPR.


2004 ◽  
Vol 32 (5) ◽  
pp. 459-476 ◽  
Author(s):  
Enrique Gracia ◽  
Juan Herrero

This study explores personal (self-esteem, perceived stress, and depressive mood) and situational (undesirable life events) variables as determinants of relationship-specific perceptions of social support. Structural equation analyses from two-wave panel data (N = 583) of adult participants from a community-based urban sample revealed that, after controlling for initial levels of perceived social support, psychological characteristics (high levels of stress and depression, and low levels of self-esteem) and situational determinants (number of undesirable life events) were both negatively related to perceived social support from specific significant relationships over time. Multigroup analyses revealed that these processes generalized across groups of gender, income, and marital status (single vs. married). Implications of these findings are discussed.


Sign in / Sign up

Export Citation Format

Share Document