LSU Health Sciences Center, New Orleans School of Medicine, New Orleans, LA 70112, USA.
LSU Health Sciences Center, New Orleans School of Public Health, New Orleans, LA 70112, USA.
Int J Environ Res Public Health. 2018 Aug 7;15(8):1683. doi: 10.3390/ijerph15081683.
This manuscript presents the protocol and participatory planning process for implementing the Community Resilience Learning Collaborative and Research Network (C-LEARN) study. C-LEARN is designed to determine how to build a service program and individual client capacity to improve mental health-related quality of life among individuals at risk for depression, with exposure to social risk factors or concerns about environmental hazards in areas of Southern Louisiana at risk for events such as hurricanes and storms. The study uses a Community Partnered Participatory Research (CPPR) framework to incorporate community priorities into study design and implementation. The first phase of C-LEARN is assessment of community priorities, assets, and opportunities for building resilience through key informant interviews and community agency outreach. Findings from this phase will inform the implementation of a two-level (program-level and individual client level) randomized study in up to four South Louisiana communities. Within communities, health and social-community service programs will be randomized to Community Engagement and Planning (CEP) for multi-sector coalition support or Technical Assistance (TA) for individual program support to implement evidence-based and community-prioritized intervention toolkits, including an expanded version of depression collaborative care and resources (referrals, manuals) to address social risk factors such as financial or housing instability and for a community resilience approach to disaster preparedness and response. Within each arm, the study will randomize individual adult clients to one of two mobile applications that provide informational resources on services for depression, social risk factors, and disaster response or also provide psychoeducation on Cognitive Behavioral Therapy to enhance coping with stress and mood. Planned data collection includes baseline, six-month and brief monthly surveys for clients, and baseline and 12-month surveys for administrators and staff.
本手稿介绍了实施社区韧性学习协作和研究网络 (C-LEARN) 研究的方案和参与式规划过程。C-LEARN 的目的是确定如何建立一个服务项目和个人客户能力，以提高在面临社会风险因素或对路易斯安那州南部地区环境危害（如飓风和风暴）风险的个人的心理健康相关生活质量。该研究采用社区伙伴参与式研究 (CPPR) 框架，将社区优先事项纳入研究设计和实施。C-LEARN 的第一阶段是通过关键知情人访谈和社区机构外展评估社区的优先事项、资产和建立韧性的机会。这一阶段的发现将为在多达四个路易斯安那州南部社区实施两级（项目级和个人客户级）随机研究提供信息。在社区内，健康和社会社区服务项目将随机分配给社区参与和规划 (CEP) 以获得多部门联盟支持或技术援助 (TA) 以获得个人项目支持，以实施基于证据和社区优先事项的干预工具包，包括扩大版的抑郁协作护理和资源（转介、手册），以解决财务或住房不稳定等社会风险因素，并采取社区韧性方法进行备灾和应对。在每个分支中，研究将随机分配个体成年客户到两个移动应用程序之一，这些应用程序提供有关抑郁、社会风险因素和灾害应对服务的信息资源，或提供关于认知行为疗法的心理教育，以增强应对压力和情绪的能力。计划的数据收集包括客户的基线、六个月和简短的每月调查，以及管理员和工作人员的基线和 12 个月调查。
