Results from a community mental health assessment in a historically black church: A call for action

Ormond, Ashley; Barbour, Randy; Lewis, Robin J.; Montgomery, Annie; Ponds, Andrea

doi:10.1080/10852352.2019.1654257

Cited by 5 publications

(4 citation statements)

References 32 publications

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“…This is consistent with literature that highlights the importance of informal social networks to share knowledge and resources for childhood ADHD (Bussing et al, 2012). In addition, reliance on faith‐based groups, such as Christian churches, have been cited in the literature to provide social support and spiritual connection for minoritized youth and families (Dempsey et al, 2016; Ormond et al, 2019). Online support groups were a novel finding in the study and illustrate the need for social networking opportunities for caregivers.…”

Section: Discussionmentioning

confidence: 99%

Caregivers' perspectives on the contextual influences within family management for ethnically diverse children with ADHD

Paidipati

Deatrick

Eiraldi

et al. 2021

Specialist Pediatric Nursing

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Purpose: Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder affecting over 9% of children in the United States. Family caregivers are often responsible for the management of their child's ADHD. Contextual influences, such as healthcare providers, systems, and resources, are factors contributing to the ease or difficulty of family management. The purpose of this article is to qualitatively describe the major contextual influences that impact family management for ethnically diverse children with ADHD.Design And Methods: This analysis is part of a mixed methods study using a concurrent nested design (QUAL + quant) to understand the phenomenon of family management from a contextual and socioecological perspective. In this analysis, cross-sectional data from caregivers of children with ADHD (N = 50) within a large northeastern city in the United States were collected, analyzed, and interpreted in the qualitative descriptive tradition. Semistructured interviews were conducted with participants to understand the contextual influences within family management.Conventional content analysis resulted in the emergence of barrier and facilitator domains and subdomains.Results: Caregivers were predominantly female (98%) and between 24 and 61 years with a mean age of 37.54 (SD = 1.18). Caregivers identified their children as Black or African American (56%), White (26%), Multi-Racial (16%), Hispanic or Latinx (8%), and Asian (2%). Contextual influences within family management emerged as barrier or facilitator domains. Barrier domains included: (1) family, (2) healthcare systems,(3) educational systems, (4) stigma, and (5) financial, insurance, and policy issues. Facilitator domains included: (1) family and community, (2) healthcare providers, and (3) educational providers. Subdomains within each domain are expanded in the article.Practice Implications: Specialists in pediatric nursing should consider contextual influences within family management for ethnically diverse children with ADHD. As healthcare providers, it is important to recognize system-level barriers or facilitators for caregivers and their children and find creative ways to overcome obstacles and leverage strengths within families, communities, and care systems. Another important area for pediatric specialists to consider is understanding how stigma

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Section: Discussionmentioning

confidence: 99%

Caregivers' perspectives on the contextual influences within family management for ethnically diverse children with ADHD

Paidipati

Deatrick

Eiraldi

et al. 2021

Specialist Pediatric Nursing

View full text Add to dashboard Cite

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“… 16 Furthermore, there is promising but limited evidence on the use of faith-based settings to improve mental health and psychosocial wellbeing among racial/ethnic minority and rural adults. 17 , 18 , 19 , 20 …”

Section: Introductionmentioning

confidence: 99%

Fostering spirituality and psychosocial health through mind-body practices in underserved populations

Bhuiyan

McNeill

Bopp

et al. 2022

Integrative Medicine Research

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Background This study examined changes in spirituality and psychosocial outcomes among African American and rural adults participating in a culturally-adapted mind-body intervention. Methods African American ( n = 22) and rural ( n = 38) adults in Harmony & Health attended mind-body sessions twice a week for eight weeks and completed questionnaires on spirituality and psychosocial distress at baseline and post-intervention. Linear regression and repeated measures analyses were used to examine associations between intervention attendance and spirituality. Results Attendance was significantly associated with increased spirituality ( β =0.168, p = 013). Repeated measures analyses revealed a significant three-way interaction between attendance, spirituality, and study site ( F (9,31)=2.891, p = 013). Urban African American participants who attended ≥75% of sessions reported greater increases in spirituality. Conclusion Findings suggest that mind-body practices may foster spirituality in urban African American adults. Additional adaptations are needed to strengthen spirituality in rural residents and to improve psychosocial health and wellbeing in this underserved population.

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“…(3) Experts suggest mental health promotion interventions prioritizing Black and African American community members should include the following components: mental health literacy and education, screening, resource referral, leadership involvement, and activating motivation to seek professional mental healthcare (Ormond et al, 2019).…”

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

confidence: 99%

“…. Further, they reported that of those African Americans diagnosed with a mental health condition, only 25% are engaged in formal treatment compared to 53% of white Americans with similar rates of mental illness (Ormond et al, 2019). Research suggests that formal treatment engagement in Black communities is limited due to significant barriers, including stigma (Conner et al, 2010).…”

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confidence: 99%

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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Results from a community mental health assessment in a historically black church: A call for action

Cited by 5 publications

References 32 publications

Caregivers' perspectives on the contextual influences within family management for ethnically diverse children with ADHD

Caregivers' perspectives on the contextual influences within family management for ethnically diverse children with ADHD

Fostering spirituality and psychosocial health through mind-body practices in underserved populations

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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