Mark and Robyn Jones College of Nursing, Montana State University, Bozeman, MT, United States.
College of Health and Human Development, Montana State University, Bozeman, MT, United States.
JMIR Res Protoc. 2024 Sep 12;13:e57343. doi: 10.2196/57343.
Community health workers (CHWs) are effective in delivering behavioral activation (BA), especially in low-resource settings. In an area with a lack of Spanish-speaking mental health counselors, such as southwest Montana, CHWs can provide needed care.
The goal of this pilot study protocol is to test the feasibility, acceptability, and preliminary efficacy of a model of care that engages CHWs as providers of BA.
We will train 2 CHWs in BA methodology. We will enroll 20 participants who screen positive for depression in a 12-week telephone intervention for BA. Preliminary efficacy will be tested in pre- and postscores of the Beck Depression Inventory and semistructured interviews. Feasibility and acceptability will be measured through participant retention and treatment adherence. The Therapeutic Alliance with Clinician Scale will be used to measure the strength of the therapeutic relationship. Descriptive statistics will measure alliances and repeated measures ANOVA will measure trends and changes in depression scores.
Enrollment began in October 2023. A total of 12 participants completed at least 10 BA sessions and all study measures by the time the study concluded in May 2024. In August 2024, data analysis occurred with an anticipated manuscript to be submitted for publication in October 2024.
Results from this study will inform future studies into the implementation of an evidence-based mental health intervention in a limited resource setting for Latino people with limited English proficiency.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/57343.
社区卫生工作者（CHW）在提供行为激活（BA）方面非常有效，尤其是在资源匮乏的环境中。在像蒙大拿州西南部这样缺乏讲西班牙语的心理健康顾问的地区，CHW 可以提供所需的护理。
本试点研究方案的目标是测试一种将 CHW 作为 BA 提供者的护理模式的可行性、可接受性和初步疗效。
我们将培训 2 名 CHW 进行 BA 方法学培训。我们将招募 20 名在 12 周的电话 BA 干预中筛查出抑郁阳性的参与者。初步疗效将通过贝克抑郁量表的前后评分和半结构化访谈进行测试。可行性和可接受性将通过参与者保留率和治疗依从性来衡量。治疗联盟与临床医生量表将用于衡量治疗关系的强度。描述性统计将衡量联盟，重复测量 ANOVA 将衡量抑郁评分的趋势和变化。
招募工作于 2023 年 10 月开始。到 2024 年 5 月研究结束时，共有 12 名参与者至少完成了 10 次 BA 疗程和所有研究措施。2024 年 8 月，进行数据分析，预计在 2024 年 10 月提交论文。
这项研究的结果将为未来在资源有限的环境中为英语水平有限的拉丁裔人群实施基于证据的心理健康干预提供信息。
国际注册报告标识符（IRRID）：DERR1-10.2196/57343。
