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

Ngo, VK, Sherbourne, C, Chung, B et al. (2016). Community engagement compared with technical assistance to disseminate depression care among low-income, minority women: A randomized controlled effectiveness study . AMERICAN JOURNAL OF PUBLIC HEALTH, 106(10), 1833-1841. 10.2105/AJPH.2016.303304

cited authors

  • Ngo, VK; Sherbourne, C; Chung, B; Tang, L; Wright, AL; Whittington, Y; Wells, K; Miranda, J

authors

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.

publication date

  • October 1, 2016

published in

Digital Object Identifier (DOI)

start page

  • 1833

end page

  • 1841

volume

  • 106

issue

  • 10