دورية أكاديمية
Partnering with community-based organizations to improve equitable access to depression care for underserved older adults in the U.S.: Qualitative formative research.
| العنوان: | Partnering with community-based organizations to improve equitable access to depression care for underserved older adults in the U.S.: Qualitative formative research. |
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| المؤلفون: | Steinman LE; Health Promotion Research Center, Department of Health Systems and Population Health, University of Washington, Seattle, WA, United States., Parrish AT; Health Promotion Research Center, Department of Health Systems and Population Health, University of Washington, Seattle, WA, United States., Kohn MJ; Health Promotion Research Center, Department of Health Systems and Population Health, University of Washington, Seattle, WA, United States., Wu S; Health Promotion Research Center, Department of Health Systems and Population Health, University of Washington, Seattle, WA, United States., Hara-Hubbard KK; Health Promotion Research Center, Department of Health Systems and Population Health, University of Washington, Seattle, WA, United States., Brown L; Southeast Washington Aging and Long-Term Care, Yakima, WA, United States., Imam S; Union for Pan Asian Communities (UPAC) Positive Solutions Program, San Diego, CA, United States., Baquero B; Health Promotion Research Center, Department of Health Systems and Population Health, University of Washington, Seattle, WA, United States., Hannon PA; Health Promotion Research Center, Department of Health Systems and Population Health, University of Washington, Seattle, WA, United States., Snowden MB; Health Promotion Research Center, Department of Health Systems and Population Health, University of Washington, Seattle, WA, United States.; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States. |
| المصدر: | Frontiers in public health [Front Public Health] 2023 Jan 30; Vol. 10, pp. 1079082. Date of Electronic Publication: 2023 Jan 30 (Print Publication: 2022). |
| نوع المنشور: | Journal Article; Research Support, U.S. Gov't, P.H.S. |
| اللغة: | English |
| بيانات الدورية: | Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Lausanne : Frontiers Editorial Office |
| مواضيع طبية MeSH: | Depression*/therapy , COVID-19*, Humans ; Aged ; Qualitative Research ; Washington ; Poverty |
| مستخلص: | Background: Embedding evidenced-based programs (EBPs) like PEARLS outside clinical settings can help reduce inequities in access to depression care. Trusted community-based organizations (CBOs) reach older adults who are underserved; however, PEARLS adoption has been limited. Implementation science has tried to close this know-do gap, however a more intentional focus on equity is needed to engage CBOs. We partnered with CBOs to better understand their resources and needs in order to design more equitable dissemination and implementation (D&I) strategies to support PEARLS adoption. Methods: We conducted 39 interviews with 24 current and potential adopter organizations and other partners (February-September 2020). CBOs were purposively sampled for region, type, and priority older populations experiencing poverty (communities of color, linguistically diverse, rural). Using a social marketing framework, our guide explored barriers, benefits and process for PEARLS adoption; CBO capacities and needs; PEARLS acceptability and adaptations; and preferred communication channels. During COVID-19, interviews also addressed remote PEARLS delivery and changes in priorities. We conducted thematic analysis of transcripts using the rapid framework method to describe the needs and priorities of older adults who are underserved and the CBOs that engage them, and strategies, collaborations, and adaptations to integrate depression care in these contexts. Results: During COVID-19, older adults relied on CBO support for basic needs such as food and housing. Isolation and depression were also urgent issues within communities, yet stigma remained for both late-life depression and depression care. CBOs wanted EBPs with cultural flexibility, stable funding, accessible training, staff investment, and fit with staff and community needs and priorities. Findings guided new dissemination strategies to better communicate how PEARLS is appropriate for organizations that engage older adults who are underserved, and what program components are core and what are adaptable to better align with organizations and communities. New implementation strategies will support organizational capacity-building through training and technical assistance, and matchmaking for funding and clinical support. Discussion: Findings support CBOs as appropriate depression care providers for older adults who are underserved, and suggest changes to communications and resources to better fit EBPs with the resources and needs of organizations and older adults. We are currently partnering with organizations in California and Washington to evaluate whether and how these D&I strategies increase equitable access to PEARLS for older adults who are underserved. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Steinman, Parrish, Kohn, Wu, Hara-Hubbard, Brown, Imam, Baquero, Hannon and Snowden.) |
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| معلومات مُعتمدة: | U48 DP006398 United States DP NCCDPHP CDC HHS |
| فهرسة مساهمة: | Keywords: community-based organizations; depression; dissemination; equity; implementation; older adults |
| تواريخ الأحداث: | Date Created: 20230216 Date Completed: 20230217 Latest Revision: 20230327 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9922751 |
| DOI: | 10.3389/fpubh.2022.1079082 |
| PMID: | 36793362 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2296-2565 |
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| DOI: | 10.3389/fpubh.2022.1079082 |