Reducing depressive symptoms through behavioral activation in churches: A Hybrid-2 randomized effectiveness-implementation design

Haynes, Tiffany; Turner, J. Rick; Smith, Johnny; Curran, Geoffrey M.; Bryant-Moore, Keneshia; Ounpraseuth, Songthip; Kramer, Teresa L.; Harris, Kimberly; Hutchins, Ellen; Yeary, Karen

doi:10.1016/j.cct.2017.11.010

Cited by 5 publications

(5 citation statements)

References 37 publications

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“…[87] организовали в Шотландии движение церковных приходских медсестер (на основе более ранней американской модели Westberg [88], в которой медсестра-специалист нанимается на работу в приход, членом которого он или она является). Аналогичный проект (Hybrid-2) также существует в США [89]. До последнего времени эта работа ограничена христианскими группами, исследований в отношении других религиозных общин не проводили.…”

Section: обзорыunclassified

The influence of religiosity on depressive disorders and suicidal behavior

Kopeyko

Borisova

Gedevani

et al. 2020

Z. nevrol. psikhiatr. im. S.S. Korsakova

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Резюме В обзоре представлены данные мировой научной литературы, отражающей положительное влияние религиозности на процесс восстановления после перенесенных депрессивных состояний, а также протективную роль религиозного фактора в отношении суицидальной активности. Несмотря на разнородные данные относительно роли религиозности в терапии психических заболеваний, к настоящему моменту накоплен достаточно большой объем литературы, свидетельствующей о благоприятном влиянии фактора религиозности, описаны конкретные терапевтические подходы и программы по профилактике самоубийств. Ключевые слова: депрессивные расстройства, суицидальное поведение, протективная роль религиозности, религиозные копингстратегии, внутренняя религиозная ориентация, общее благополучие.

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Section: обзорыunclassified

The influence of religiosity on depressive disorders and suicidal behavior

Kopeyko

Borisova

Gedevani

et al. 2020

Z. nevrol. psikhiatr. im. S.S. Korsakova

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“…Clergy are willing to partner in efforts to respond to the HIV epidemic [ 33 – 37 ] and are aware of their powerful influence to addressing stigma related to HIV [ 33 , 38 , 39 ]. Recent research finds that clergy report a moral obligation and willingness to promote HIV screening and support HIV related biomedical interventions and anti-stigma efforts [ 33 ].…”

Section: Introductionmentioning

confidence: 99%

African American Clergy Recommendations to Enhance the Federal Plan to End the HIV Epidemic: A Qualitative Study

et al. 2021

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African Americans in the southern United States continue to be disproportionately affected by HIV. Although faith-based organizations (FBOs) play important roles in the social fabric of African American communities, few HIV screening, care, and PrEP promotion efforts harness the power of FBOs. We conducted 11 focus groups among 57 prominent African American clergy from Arkansas, Mississippi, and Alabama. We explored clergy knowledge about the Ending the HIV Epidemic: A Plan for America (EHE); normative recommendations for how clergy can contribute to EHE; and how clergy can enhance the HIV care continua and PrEP. We explored how clergy have responded to the COVID-19 crisis, and lessons learned from pandemic experiences that are relevant for HIV programs. Clergy reported a moral obligation to participate in the response to the HIV epidemic and were willing to support efforts to expand HIV screening, treatment, PrEP and HIV care. Few clergy were familiar with EHE, U = U and TasP. Many suggested developing culturally tailored messages and were willing to lend their voices to social marketing efforts to destigmatize HIV and promote uptake of biomedical interventions. Nearly all clergy believed technical assistance with biomedical HIV prevention and care interventions would enhance their ability to create partnerships with local community health centers. Partnering with FBOs presents important and unique opportunities to reduce HIV disparities. Clergy want to participate in the EHE movement and need federal resources and technical assistance to support their efforts to bridge community activities with biomedical prevention and care programs related to HIV. The COVID-19 pandemic presents opportunities to build important infrastructure related to these goals.

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“…However, due to the prevalence of stigma, some church members voiced discomfort in attending group-based workshops, fearing that their concealable stigmatized identity (a person with depressive symptoms) would be made public simply through attendance. In addition, the authors state that their programming required more cultural tailoring, specifically addressing barriers that stem from cultural misunderstandings of depression, treatment, and medication options (Haynes et al, 2018). In order to improve intervention efficacy, they suggest that researchers include anti-stigma messaging within any mental health intervention (Haynes et al, 2018).…”

Section: Faith-based Health Initiatives For Church-affiliated Black A...mentioning

confidence: 99%

“…In addition, the authors state that their programming required more cultural tailoring, specifically addressing barriers that stem from cultural misunderstandings of depression, treatment, and medication options (Haynes et al, 2018). In order to improve intervention efficacy, they suggest that researchers include anti-stigma messaging within any mental health intervention (Haynes et al, 2018).…”

Section: Faith-based Health Initiatives For Church-affiliated Black A...mentioning

confidence: 99%

“…(1) Interventions should consider incorporating anti-stigma messaging explicitly when addressing mental health (Haynes et al, 2018). Doing so may increase engagement and address barriers that stem from cultural misunderstandings and medical racial bias resulting from deeply entrenched racial prejudice and discriminatory healthcare practices.…”

Section: Recommendations For Cultural Tailoring Mental Health Promoti...mentioning

confidence: 99%

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Co-design and evaluation of a smartphone-based mental health promotion and anti-stigma embodied conversational agent for church-affiliated Black adults

O'Leary

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Depression is the leading cause of disability worldwide, with significant racial and ethnic disparities in diagnosis and treatment. Although Black adults in the United States are disproportionately exposed to psychosocial stressors, only one in four Black adults who need mental healthcare receive it, partly due to mental health stigma. This dissertation investigates using a smartphone-based Embodied Conversational Agent (ECA) counselor to reduce mental health stigma in the community to support mental health care-seeking intentions. Given the importance of religion in the lives of many African Americans and pre-existing close social relationships, this work was centered in predominately Black and African American faith communities. My dissertation research is the culmination of four years of community-engaged work in predominantly Black churches in Boston.During initial formative work, I created unique co-design methodologies to facilitate participant design contributions as a mechanism for designing technical innovations that reflect community goals, priorities, and cultural values. During this phase, participants identified their communities' assets and their most pressing health concerns, contributed to early design concepts and modalities, and emphasized the importance of creating features that address multiple facets of well-being. This work culminated in a field deployment that evaluated an initial version of an ECA-based mHealth application intervening on physical, social, and spiritual well-being.Leveraging these findings from earlier phases of this research, I synthesized a set of guiding design principles for developing digital mental health promotion interventions for predominantly Black church communities. In conjunction with principles from stigma theory and counseling psychology, I developed and evaluated an ECA-facilitated depression and stigmareduction intervention in a 14-day field deployment with 12 church members. The primary aim of this work was to develop a smartphone-based ECA to promote mental health and build a culture of community support for those experiencing mental illness.Participants found the mental health and stigma-reduction intervention acceptable, providing a range of satisfaction ratings significantly above neutral. Qualitative findings revealed how the application facilitated shifts in attitudes toward mental health and illness, primed care-seeking behaviors, and was used to support members experiencing mental illness.iii Acknowledgements Dear reader, if I have learned one thing during this academic journey, it would be that research and dissertations are never done alone. Over the last five years, I have had the invaluable support of mentors, lab mates, family, friends and participants. I'm lucky to have such a large community of people who have rallied around me.First, this work was conducted alongside and in collaboration with a team of investigators, support staff, and other PhD students. This work could not have come to fruition without these folks, and I'm grateful for th...

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Reducing depressive symptoms through behavioral activation in churches: A Hybrid-2 randomized effectiveness-implementation design

Abstract: NCT02860741. Registered August 5, 2016.

Cited by 5 publications

References 37 publications

The influence of religiosity on depressive disorders and suicidal behavior

The influence of religiosity on depressive disorders and suicidal behavior

African American Clergy Recommendations to Enhance the Federal Plan to End the HIV Epidemic: A Qualitative Study

Co-design and evaluation of a smartphone-based mental health promotion and anti-stigma embodied conversational agent for church-affiliated Black adults

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