Resilience Against Depression Disparities (RADD): a protocol for a randomised comparative effectiveness trial for depression among predominantly low-income, racial/ethnic, sexual and gender minorities
Introduction Depression is the leading cause of adult disability and common among sexual and gender minority (SGM) adults. The current study builds on findings showing the effectiveness of depression quality improvement (QI) and delivery of cognitive behavioural therapy (CBT) skills provided by comm...
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BMJ Publishing Group
2019-10-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/10/e031099.full |
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| author | Jeanne Miranda Sylvanna Maria Vargas Ashley Wennerstrom Nancy Alfaro Thomas Belin Krystal Griffith Catherine Haywood Felica Jones Mitchell R Lunn Diana Meyers Juno Obedin-Maliver Miranda Pollock Cathy D Sherbourne Benjamin F Springgate Olivia K Sugarman Emily Rey Clarence Williams Pluscedia Williams Bowen Chung |
| author_facet | Jeanne Miranda Sylvanna Maria Vargas Ashley Wennerstrom Nancy Alfaro Thomas Belin Krystal Griffith Catherine Haywood Felica Jones Mitchell R Lunn Diana Meyers Juno Obedin-Maliver Miranda Pollock Cathy D Sherbourne Benjamin F Springgate Olivia K Sugarman Emily Rey Clarence Williams Pluscedia Williams Bowen Chung |
| author_sort | Jeanne Miranda |
| collection | DOAJ |
| description | Introduction Depression is the leading cause of adult disability and common among sexual and gender minority (SGM) adults. The current study builds on findings showing the effectiveness of depression quality improvement (QI) and delivery of cognitive behavioural therapy (CBT) skills provided by community health workers in reducing depression. Depression QI approaches across healthcare and social/community services in safety-net settings have shown improvements in mental wellness, mental health quality of life and depression over 12 months. Further, a randomised study showed improved depression among low-income racial/ethnic minorities enrolled in a CBT-informed resiliency class (Building Resilience and Increasing Community Hope (B-RICH)). The current protocol describes a comparativeness effectiveness study to evaluate whether predominantly low-income, SGM racial/ethnic minority adults randomised to a CBT-informed resiliency class have improvements in depressive symptoms over and above community-engaged QI resources and training only.Methods and analysis The study approached three clusters of four to five programs serving predominantly SGM and racial/ethnic minority communities in the USA: two clusters in Los Angeles, California, and one in New Orleans, Louisiana. Clusters are comprised of one primary care, one mental health and two to three community agencies (eg, faith-based, social services/support, advocacy). All programs received depression QI training. The current study employed a community-partnered participatory research model to adapt the CBT-informed resiliency class, B-RICH+, to SGM communities. Study participants were screened and recruited in person from participating programs, and will complete baseline, 6- and 12-month survey follow-ups. Participants were depressed adults (8-item Patient Health Questionnaire ≥10; ≥18 years of age) who provided contact information. Enrolled participants were individually randomised to B-RICH+ or depression QI alone. Primary outcomes are depressive symptoms; secondary outcomes are mental health quality of life, mental wellness and physical health quality of life. Data collection for this study is ongoing.Ethics and dissemination The current study was approved by the UCLA Institutional Review Board. Study findings will be disseminated through scientific publications and community conferences.Trial registration number https://clinicaltrials.gov/ct2/show/NCT02986126 |
| format | Article |
| id | doaj-art-01cfa7af957d43759ff9d7123d7cdb6e |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-10-01 |
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| spelling | doaj-art-01cfa7af957d43759ff9d7123d7cdb6e2024-12-13T02:45:09ZengBMJ Publishing GroupBMJ Open2044-60552019-10-0191010.1136/bmjopen-2019-031099Resilience Against Depression Disparities (RADD): a protocol for a randomised comparative effectiveness trial for depression among predominantly low-income, racial/ethnic, sexual and gender minoritiesJeanne Miranda0Sylvanna Maria Vargas1Ashley Wennerstrom2Nancy Alfaro3Thomas Belin4Krystal Griffith5Catherine Haywood6Felica Jones7Mitchell R Lunn8Diana Meyers9Juno Obedin-Maliver10Miranda Pollock11Cathy D Sherbourne12Benjamin F Springgate13Olivia K Sugarman14Emily Rey15Clarence Williams16Pluscedia Williams17Bowen Chung18Center for Health Services and Society, University of California Los Angeles, Los Angeles, California, USA1 Psychology, University of Southern California, Los Angeles, California, USA4 School of Medicine, Tulane University, New Orleans, Louisiana, USA2 Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, California, USA2 Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, California, USA2 Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, California, USA7 Tulane Prevention Research Center, Tulane University, New Orleans, Louisiana, USA9 Healthy African American Families II, Los Angeles, California, USA10 Department of Medicine, Stanford University School of Medicine, Stanford, California, USA12 Saint Anna’s Episcopal Church, New Orleans, Louisiana, USA10 Department of Medicine, Stanford University School of Medicine, Stanford, California, USA14 Section of Community and Population Medicine, Department of Medicine, Louisiana State University School of Medicine, New Orleans, Louisiana, USA15 RAND Corporation, Los Angeles, California, USA14 Section of Community and Population Medicine, Department of Medicine, Louisiana State University School of Medicine, New Orleans, Louisiana, USA14 Section of Community and Population Medicine, Department of Medicine, Louisiana State University School of Medicine, New Orleans, Louisiana, USA18 LGBT Community Center, New Orleans, Louisiana, USA9 Healthy African American Families II, Los Angeles, California, USA9 Healthy African American Families II, Los Angeles, California, USA2 Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, California, USAIntroduction Depression is the leading cause of adult disability and common among sexual and gender minority (SGM) adults. The current study builds on findings showing the effectiveness of depression quality improvement (QI) and delivery of cognitive behavioural therapy (CBT) skills provided by community health workers in reducing depression. Depression QI approaches across healthcare and social/community services in safety-net settings have shown improvements in mental wellness, mental health quality of life and depression over 12 months. Further, a randomised study showed improved depression among low-income racial/ethnic minorities enrolled in a CBT-informed resiliency class (Building Resilience and Increasing Community Hope (B-RICH)). The current protocol describes a comparativeness effectiveness study to evaluate whether predominantly low-income, SGM racial/ethnic minority adults randomised to a CBT-informed resiliency class have improvements in depressive symptoms over and above community-engaged QI resources and training only.Methods and analysis The study approached three clusters of four to five programs serving predominantly SGM and racial/ethnic minority communities in the USA: two clusters in Los Angeles, California, and one in New Orleans, Louisiana. Clusters are comprised of one primary care, one mental health and two to three community agencies (eg, faith-based, social services/support, advocacy). All programs received depression QI training. The current study employed a community-partnered participatory research model to adapt the CBT-informed resiliency class, B-RICH+, to SGM communities. Study participants were screened and recruited in person from participating programs, and will complete baseline, 6- and 12-month survey follow-ups. Participants were depressed adults (8-item Patient Health Questionnaire ≥10; ≥18 years of age) who provided contact information. Enrolled participants were individually randomised to B-RICH+ or depression QI alone. Primary outcomes are depressive symptoms; secondary outcomes are mental health quality of life, mental wellness and physical health quality of life. Data collection for this study is ongoing.Ethics and dissemination The current study was approved by the UCLA Institutional Review Board. Study findings will be disseminated through scientific publications and community conferences.Trial registration number https://clinicaltrials.gov/ct2/show/NCT02986126https://bmjopen.bmj.com/content/9/10/e031099.full |
| spellingShingle | Jeanne Miranda Sylvanna Maria Vargas Ashley Wennerstrom Nancy Alfaro Thomas Belin Krystal Griffith Catherine Haywood Felica Jones Mitchell R Lunn Diana Meyers Juno Obedin-Maliver Miranda Pollock Cathy D Sherbourne Benjamin F Springgate Olivia K Sugarman Emily Rey Clarence Williams Pluscedia Williams Bowen Chung Resilience Against Depression Disparities (RADD): a protocol for a randomised comparative effectiveness trial for depression among predominantly low-income, racial/ethnic, sexual and gender minorities BMJ Open |
| title | Resilience Against Depression Disparities (RADD): a protocol for a randomised comparative effectiveness trial for depression among predominantly low-income, racial/ethnic, sexual and gender minorities |
| title_full | Resilience Against Depression Disparities (RADD): a protocol for a randomised comparative effectiveness trial for depression among predominantly low-income, racial/ethnic, sexual and gender minorities |
| title_fullStr | Resilience Against Depression Disparities (RADD): a protocol for a randomised comparative effectiveness trial for depression among predominantly low-income, racial/ethnic, sexual and gender minorities |
| title_full_unstemmed | Resilience Against Depression Disparities (RADD): a protocol for a randomised comparative effectiveness trial for depression among predominantly low-income, racial/ethnic, sexual and gender minorities |
| title_short | Resilience Against Depression Disparities (RADD): a protocol for a randomised comparative effectiveness trial for depression among predominantly low-income, racial/ethnic, sexual and gender minorities |
| title_sort | resilience against depression disparities radd a protocol for a randomised comparative effectiveness trial for depression among predominantly low income racial ethnic sexual and gender minorities |
| url | https://bmjopen.bmj.com/content/9/10/e031099.full |
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