Citation

Feinberg E, Stein R, Diaz-Linhart Y, Egbert L, Beardslee W, Hegel MT, Silverstein M. Fam. Community Health 2012; 35(1): 57-67.

Affiliation

Boston University School of Public Health (Drs Feinberg and Silverstein, and Mss Diaz-Linhart and Egbert), Boston University School of Medicine (Drs Feinberg and Silverstein), Boston Medical Center (Drs Stein and Silverstein, and Ms Diaz-Linhart), and Harvard Medical School/Children's Hospital Boston (Drs Stein and Beardslee), Massachusetts; and Dartmouth Medical School (Dr Hegel), Hanover, New Hampshire.

Copyright

(Copyright © 2012, Lippincott Williams and Wilkins)

DOI

10.1097/FCH.0b013e3182385d48

PMID

22143488

Abstract

Adapting evidence-based interventions to be more accessible and culturally sensitive to the needs of diverse populations is a potential strategy to address disparities in mental health care. We adapted an evidence-based depression-treatment strategy, Problem-Solving Treatment, to prevent depression among low-income mothers with vulnerable children. Intervention adaptations spanned 3 domains: (1) the intervention's new prevention focus, (2) conducting a parent-focused intervention in venues oriented to children; and (3) cultural competency. The feasibility of adaptations was assessed through 2 pilot-randomized trials (n = 93), which demonstrated high participant adherence, satisfaction, and retention, demonstrating the feasibility of our adaptations.

Language: en