Patient navigation for depressed mothers in Head Start

A pilot study of intervention mechanism

Datos Bibliográficos

ID11044671
AutoresMichael Silverstein (0000-0001-5497-3578, Boston Medical Center, autor de correspondencia), Yaminette Diaz-Linhart (0000-0003-1380-713X, Boston Medical Center), Nancy K Grote (University of Washington), Nancy Grote (University of Washington), Lynn Cadena (Boston Medical Center), Howard J Cabral (0000-0002-1185-8331, Boston University), Howard Cabral (0000-0002-0320-9411, Boston University School of Public Health), Emily Feinberg (0000-0002-1424-4087, Boston Medical Center)
Año2017
Volumen45
Número4
Páginas564-570
Fecha de publicación2017-05-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Community Psychology (JOURNAL)
Identificadores de la revistaISSN: 0090-4392 • E-ISSN: 1520-6629
EditorialWiley (PUBLISHER • GB)
DOI10.1002/jcop.21861
OpenAlexW2586290565
IdiomaEN
Citas recibidas4
Referencias citadas14

We sought to assess potential mechanisms of action of a patient navigation intervention in Head Start, designed to help depressed mothers engage with mental health care. We employed mixed methods, linking qualitative interviews (n = 21) to a randomized intervention pilot (n = 47). Early in follow-up, navigated mothers had lower mean depressive symptom scores than non-navigated mothers (9.61 vs. 12.95, p = 0.03). These differences attenuated but preceded a greater likelihood of engaging with care among navigated mothers. Navigated mothers reported greater self-esteem (score 21.45 vs. 18.60, p = 0.05) and greater confidence in their ability to self-manage depression (7.65 vs. 5.67, p = 0.01). In qualitative interviews, navigated mothers linked decreased symptom burden to feeling activated; they communicated optimism toward the future and a willingness to work toward symptom improvement by trying something new. Early symptom relief, behavioral activation, self-esteem, self-management, and optimism represent plausible navigation mechanisms of action. These constructs require formal testing

Brief intervention · Depression (economics) · Feeling · Intervention (counseling) · Mental health · Optimism · Psychiatry · Psychotherapist · Qualitative research · Attachment and Relationship Dynamics · Clinical Psychology · Health, psychology, and well-being · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Psychology · Social Psychology