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抑郁是真实存在的:在一个城市非裔美国人社区中开展健康传播活动。

Depression Is Real: Developing a Health Communication Campaign in an Urban African American Community.

出版信息

Prog Community Health Partnersh. 2020;14(2):161-172. doi: 10.1353/cpr.2020.0029.

Abstract

BACKGROUND

Depression is the leading cause of disability in the United States. African Americans are disproportionately affected owing to systemic and sociocultural factors. Stigma, denial, and inadequate knowledge on depression are significant barriers to mental help seeking. Addressing mental health literacy can improve mental health knowledge, management, and outcomes. West Louisville, a predominantly African American community, is of particular interest regarding mental health literacy given existing socioeconomic and health disparities. Boot Camp Translation (BCT), a community-based participatory research (CBPR) approach, enables the translation of medical guidelines into culturally relevant messages.

OBJECTIVES

To describe the use of the BCT approach in developing and implementing a culturally tailored health communication campaign designed to measurably increase referral to, and use of, services for depression in West Louisville.

METHODS

Using the BCT approach, a group of academics, community members, and health/public health professionals convened over 6 months to develop and implement a health communication campaign on depression. Process and outcome evaluations were conducted using quantitative and qualitative methods.

RESULTS

Our BCT was effective in engaging stakeholders, activating community members, and designing culturally informed health communication materials on depression. Although limited, our evaluation data suggest a modest increase in the evaluation and treatment of depression in West Louisville.

CONCLUSIONS

BCT offers a structured process for engaging stakeholders in developing culturally tailored health communication campaigns.

摘要

背景

在美国,抑郁症是导致残疾的首要原因。由于系统性和社会文化因素,非裔美国人受其影响的比例不成比例。对抑郁症的污名化、否认和知识不足是寻求心理帮助的重大障碍。提高心理健康素养可以改善心理健康知识、管理和结果。鉴于现有的社会经济和健康差距,路易斯维尔西部,一个以非裔美国人为主的社区,在心理健康素养方面特别值得关注。Boot Camp Translation(BCT)是一种基于社区的参与式研究(CBPR)方法,能够将医学指南转化为具有文化相关性的信息。

目的

描述使用 BCT 方法制定和实施针对抑郁症的文化适应性健康传播活动的情况,该活动旨在可衡量地增加路易斯维尔西部对抑郁症的转诊和使用服务。

方法

使用 BCT 方法,一组学者、社区成员和健康/公共卫生专业人员在六个月内召开会议,制定并实施了一项关于抑郁症的健康传播活动。使用定量和定性方法对过程和结果进行了评估。

结果

我们的 BCT 成功地让利益相关者参与其中,激活了社区成员,并设计了针对抑郁症的具有文化意识的健康传播材料。尽管数据有限,但我们的评估数据表明,路易斯维尔西部对抑郁症的评估和治疗略有增加。

结论

BCT 为利益相关者参与制定文化适应性健康传播活动提供了一个结构化的过程。

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