Access, Use and Completion of a Brief Disaster Mental Health Intervention among Hispanics, African-Americans and Whites Affected by Hurricane Ike
Open accessAbstract
African-Americans and Hispanics are disproportionally affected by disasters. We evaluated differences in the use and completion of a web-based mental health intervention, Disaster Recovery Web (DRW), by White, African-American and Hispanic adults in the aftermath of Hurricane Ike. Approximately one year after the hurricane, a telephone survey was carried out with adults from Galveston and Chambers counties. A total of 1249 adults participated in the survey (80% White, 14% African-American and 6% Hispanic). Mental health and mental health service utilization were assessed. Whites were more likely to have previously used the Internet to obtain general health information than African-Americans or Hispanics (P < 0.001). A logistic regression was used to identify differences in the use of the Internet intervention after controlling for covariates. There were no differences in rates of non-use and dropout attrition between Whites, African-Americans and Hispanics. Thus the findings suggest that web-based mental health interventions can be used to reach African-American, Hispanic and White adults at similar rates after a disaster.
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A pre-post-test study without a control group conducted after Hurricane Ike in Texas with N = 1249 adult survivors found no significant reduction in depressive symptoms or PTSD symptoms 4 months post-intervention.
“A pre–post-test study without a control group conducted after Hurricane Ike in Texas with N = 1249 adult survivors [27] found no significant reduction in depressive symptoms or PTSD symptoms 4-months post-intervention.”
From Promoting Recovery from Disasters, Pandemics, and Trauma: A Systematic Review of Brief Psychological Interventions to Reduce Distress in Adults, Children, and Adolescents (2023) · cites this paper as [27]
The Methods (Participants and Procedures; page not provided) report 1,249 adult survey participants after Hurricane Ike and a four-month interval between baseline and follow-up interviews. The Results report differences in intervention use and completion, not pre–post changes in depression or PTSD. Thus the cited paper does not support the claim that symptoms showed no significant reduction. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe long-term effectiveness of some interventions cannot be assessed because ten completed studies on these interventions did not report follow-up measurements.
“Furthermore, the long-term effectiveness of some interventions cannot be assessed because ten completed studies on these interventions did not report follow-up measurements [21,27,35,36,37,40,41,47,53,57].”
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- Authors
- Price, M., Davidson, T. M., Andrews, J. O., & Ruggiero, K. J.
- Affiliations
- Medical University of South Carolina (US)
- Corresponding author
- Andrews, Jeannette O
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2013-02
- Volume
- 19
- Issue
- 2
- Pages
- 70-74
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- PMC
- PMC3676648
- OpenAlex
- W2087091053
- Cited by
- 28
- References
- 13
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 4 · 2020: 2 · 2019: 3 · 2017: 3 · 2016: 1 · 2015: 1 · 2014: 3 · 2013: 4
- FWCI
- 4.49
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (P60MH082598, R01MH081056, R34MH077149, T32MH018869)
- National Center for Research Resources (UL1RR029882)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- Hurricane Ike, disaster mental health, racial and ethnic disparities, African Americans, Hispanic Americans, White adults, intervention completion, attrition, mental health service utilization, disaster recovery, Galveston
- MeSH terms
- Adult, Black or African American, Disasters, Ethnicity, Female, Health Services Accessibility, Hispanic or Latino, Humans, Male, Mental Health Services, Middle Aged, United States, Logistic Models, Internet, White People, Cyclonic Storms
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