Proyecto Interconexiones : A Pilot Test of a Community-Based Depression Care Program for Latina Violence Survivors
Open accessAbstract
BACKGROUND: Latina intimate partner violence (IPV) survivors often face great barriers to depression care. We sought to use a community-based participatory research (CBPR) approach to create and evaluate a community-based depression care program for Latina IPV survivors. METHODS: We created a multifaceted, culturally tailored intervention, based on principles of chronic illness management. A promotora provided case management services and led 12 weekly group sessions. Participants completed surveys at baseline and 6 months and participated in open-ended exit interviews. RESULTS: Ten Spanish-speaking Latina women participated in the intervention. The program had excellent attendance, with 100% of women attending at least 10 group sessions, and high satisfaction. We found a large decrease in depression severity (Patient Health Questionnaire [PHQ]-9, 17.3-7.2; p = .001), as well as improvements in depression self-efficacy, self-esteem, and stress. CONCLUSION: This study offers promising preliminary data to support the use of community-based approaches to reducing depression disparities in Latina IPV survivors.
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The three studies by Kelly et al., McWhirter et al., and Nicolaidis et al. reported significant reductions in severity of depression and PTSD, as well as an increase in social support and self-efficacy for the women involved.
“These studies reported significant reductions in severity of mental health conditions like depression and PTSD, as well as an increase in social support and self-efficacy for the women who were involved in the study.”
From A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors (2020) · cites this paper as [38]
The Results (Health and Healthcare Outcomes; page not provided) report a significant reduction in depression severity and a significant increase in depression self-efficacy among participants. This paper does not report a reduction in PTSD severity or an increase in social support. Its Discussion also cautions that the uncontrolled pilot cannot establish whether the intervention caused the observed changes. (LLM, conf=0.88)
Experimental — accuracy not yet measuredNine of the reviewed studies (3 RCTs, 3 pre-post evaluations, 3 qualitative research) consisted of community-based interventions.
“9 (3 RCTs, 3 pre-post evaluations, 3 qualitative research) of the studies we reviewed consisted of interventions described as being community-based [34–42].”
From A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors (2020) · cites this paper as [38]
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- Authors
- Nicolaidis, C., Mejia, A., Perez, M., Alvarado, A., Celaya-Alston, R., Quintero, Y., & Aguillon, R.
- Affiliations
- Oregon Health & Science University (US)
- Portland State University (US)
- Venue
- Progress in Community Health Partnerships: Research, Education, and Action
- Publisher
- Project MUSE
- Published
- 2013-12
- Volume
- 7
- Issue
- 4
- Pages
- 395-401
- ISSN
- 1557-0541 (ISSN-L)
- 1557-055X
- PMC
- PMC4845956
- OpenAlex
- W2098896892
- Cited by
- 19
- References
- 27
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2020: 5 · 2019: 2 · 2018: 3 · 2016: 1 · 2015: 2
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Progress in community health partnerships (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- PDXScholar (Portland State University) (submittedVersion)
- Funders
- Northwest Health Foundation
- Kaiser Permanente
- National Institute of Mental Health (K23MH073008)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- Hispanic women, intimate partner violence, depression care, promotoras, case management, culturally tailored interventions, chronic disease management, self-esteem, stress, Spanish-speaking women, group intervention
- MeSH terms
- Adult, Aged, Depression, Female, Hispanic or Latino, Humans, Interviews as Topic, Middle Aged, Pilot Projects, Surveys and Questionnaires, Self Concept, Stress, Psychological, Program Development, Patient Satisfaction, Domestic Violence, Survivors, Self Efficacy, Community-Based Participatory Research
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