Breland-Noble Alfiee M
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
J Clin Psychol Med Settings. 2012 Mar;19(1):41-8. doi: 10.1007/s10880-011-9281-0.
This manuscript focuses on the recruitment efforts and pilot testing of a culturally tailored motivational interviewing intervention associated with the AAKOMA Project, a 2-phase treatment engagement intervention trial for depressed African American adolescents and families. The research team used strategic community engagement as reported in other research derived from AAKOMA. For the pilot study, the research team recruited 23 youth, enrolled 17 youth and randomized 16 of those youth to either the intervention or a delayed control group. Findings indicated that success in recruiting and retaining African American youth was sustained from earlier strategic engagement during Phase I of the project and that schools and self referrals were the largest referral sources. Pilot intervention findings highlight the preliminary utility of the intervention (100% of youth completing the intervention initiated depression treatment compared to 75% of the delayed control group) and factors that support the recruitment and engagement of a typically difficult to reach population (depressed African American youth and families). Overall, findings set the stage for further intervention development and testing in larger samples.
本手稿聚焦于与AAKOMA项目相关的文化适应性动机访谈干预措施的招募工作和试点测试，AAKOMA项目是一项针对抑郁非裔美国青少年及其家庭的两阶段治疗参与干预试验。研究团队采用了在源自AAKOMA的其他研究中所报道的战略社区参与方式。在试点研究中，研究团队招募了23名青少年，使17名青少年入组，并将其中16名青少年随机分为干预组或延迟对照组。研究结果表明，从项目第一阶段早期的战略参与开始，招募和留住非裔美国青少年的工作就取得了成效，学校和自我推荐是最大的推荐来源。试点干预结果突出了该干预措施的初步效用（完成干预的青少年中有100%开始接受抑郁症治疗，而延迟对照组这一比例为75%）以及支持招募和接触通常难以触及人群（抑郁的非裔美国青少年及其家庭）的因素。总体而言，研究结果为在更大样本中进一步开展干预措施的开发和测试奠定了基础。
