Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
University of Maryland Global Campus (UMGC), Adelphi, USA.
J Gen Intern Med. 2023 Oct;38(13):2879-2887. doi: 10.1007/s11606-023-08288-z. Epub 2023 Jul 27.
The Prime Time Sister Circles®, a randomized controlled trial (PTSC-RCT), assessed the impact of a community-based peer support program on hypertension management among African American women 40-75 years of age. While the PTSC-RCT was designed to evaluate changes in blood pressure control, subsequent sub-analyses revealed a high proportion of self-reported depressive symptoms in our sample. Accordingly, we conducted an ancillary investigation of the PTSC intervention on depression to ascertain its impact on reduced depressive symptoms in the study population.
Depressive symptoms were measured using an adapted version of the Center for Epidemiologic Studies Depression Scale Revised (CES-D-10). We used unadjusted and adjusted fixed effect models. Data for this study came from the PTSC-RCT. We collected data between 2017 and 2018 in Washington, DC. We used a balanced analytical sample of 172 African American, English-speaking women between 40 to 75 years old with uncontrolled hypertension.
The intervention group participated in a 2-h, peer-based support group once a week for 13 weeks. A trained PTSC facilitator facilitated sessions with experts who delivered content on various topics, including psychosocial wellness (e.g., stress, depressive symptoms, anxiety management, and self-esteem), physical health (e.g., hypertension, inflammation, and heart disease), physical activity, and healthy nutrition.
Results from the fixed-effects models indicated that participants in the PTSC program exhibited a greater reduction in CES-D-10 score at three months (Coeff: -1.99, 95% CI: -3.49, -0.49) and at 15 months (Coeff: -2.38, 95% CI: -3.94, -0.83), as compared to those in the control group.
Evidence suggests that the Prime Time Sister Circles® intervention reduced depressive symptoms among African American women with low socioeconomic status and hypertension.
NCT04371614.
“黄金时段姐妹圈”（Prime Time Sister Circles®）是一项随机对照试验（PTSC-RCT），评估了一项基于社区的同伴支持计划对 40-75 岁非裔美国女性高血压管理的影响。虽然 PTSC-RCT 的设计目的是评估血压控制的变化，但随后的亚分析显示，我们的样本中自我报告的抑郁症状比例很高。因此，我们对 PTSC 干预措施进行了辅助调查，以确定其对研究人群中抑郁症状减轻的影响。
使用经过修订的流行病学研究中心抑郁量表（Center for Epidemiologic Studies Depression Scale Revised，CES-D-10）的改编版来衡量抑郁症状。我们使用未经调整和调整后的固定效应模型。这项研究的数据来自 PTSC-RCT。我们于 2017 年至 2018 年在华盛顿特区收集数据。我们使用了一个平衡的分析样本，其中包括 172 名年龄在 40 至 75 岁之间、讲英语、患有未控制高血压的非裔美国女性。
干预组每周参加一次时长为 2 小时的基于同伴的支持小组，共 13 周。一名经过培训的 PTSC 协调员与专家一起主持会议，内容涉及各种主题，包括心理社会健康（例如压力、抑郁症状、焦虑管理和自尊）、身体健康（例如高血压、炎症和心脏病）、身体活动和健康营养。
固定效应模型的结果表明，与对照组相比，参加 PTSC 计划的参与者在三个月（Coeff：-1.99，95%CI：-3.49，-0.49）和 15 个月（Coeff：-2.38，95%CI：-3.94，-0.83）时 CES-D-10 评分的降低更为明显。
证据表明，“黄金时段姐妹圈”干预措施降低了社会经济地位较低且患有高血压的非裔美国女性的抑郁症状。
NCT04371614。
