Minority Health and Health Equity Archive

Permanent URI for this collectionhttp://hdl.handle.net/1903/21769

Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.

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Author: search.filters.author.Ford, AngelaSubject: search.filters.subject.Mental Health

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    Racial preferences for participation in a depression prevention trial involving problem-solving therapy.
    (2010) Kasckow, John; Brown, Charlotte; Morse, Jennifer Q; Karpov, Irina; Bensasi, Salem; Thomas, Stephen B; Ford, Angela; Reynolds, Charles
    OBJECTIVES: This study compared African Americans' and Caucasians' willingness to participate in an indicated intervention to prevent depression with problem-solving therapy. It also examined participants' problem-solving skills. Hypotheses stated that there would be no racial differences in consent rates and that social problem-solving coping skills would be lower among African Americans than Caucasians. METHODS: Proportions of African Americans and Caucasians who consented were compared, as were Social Problem Solving Inventory scores between the groups. RESULTS: Of 2,788 individuals approached, 82 (4%) of 1,970 Caucasians and 46 (6%) of 818 African Americans signed consent, and the difference was not significant (p=.09). Racial differences were observed in neither Social Problem Solving Inventory scores nor in the relationship between problem-solving skills and depressive symptoms. CONCLUSIONS: African Americans with depression demonstrated a willingness to participate in an indicated trial of depression prevention. Furthermore, both groups would appear to benefit from the problem-solving process.
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    Managing Depression in African Americans: Consumer and Provider Perspectives
    (2007) Brown, Charlotte; Taylor, Jerome; Lee, Brenda E.; Thomas, Stephen B.; Ford, Angela
    The purpose of this project was to examine pathways to depression care and preceived barriers to care amoung African Americans who have experienced a recent depressive episode. The framework for developing specific aims and focus group questions is informed by collaborative models of care. The foundation of collaborative models of care lies in a shared understanding between consumer and provider of the nature of the problem, and agreement on treatment options and treatment plans. With this in mind, we examine factors influencing the provider-consumer encounter by evaluating the sociocultural meaning of depression for both consumers and providers. Expanding our knowledge about consumers' perception of depression, its treatment, and life-circumstances that may influence treatment-seeking behavior will enable us to inform providers about the culturally meaningful perceptions of depression that consumers bring to the encounter. Given that prior research has suggested that providers and consumers often focus on different elements of care, it is particularly important to examine the congruence between consumers and providers on perceptions of depression and its treatment. Information regarding consumers' perception of depression and its treatment, and divergence between consumers and providers can help us to develop more effective collaborative approaches for engaging depressed African Americans in treatment.