title: Adaptation of problem-solving treatment for prevention of depression among low-income, culturally diverse mothers.
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.
authors.affiliation: Boston University School of Public Health, Boston, Massachusetts 02118, USA. emfeinbe@bu.edu
authors.forename: Emily
authors.initials: E
authors.lastname: Feinberg
authors.forename: Rachel
authors.initials: R
authors.lastname: Stein
authors.forename: Yaminette
authors.initials: Y
authors.lastname: Diaz-Linhart
authors.forename: Lucia
authors.initials: L
authors.lastname: Egbert
authors.forename: William
authors.initials: W
authors.lastname: Beardslee
authors.forename: Mark T
authors.initials: MT
authors.lastname: Hegel
authors.forename: Michael
authors.initials: M
authors.lastname: Silverstein
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D055812:Community-Based Participatory Research; D054521:Cultural Competency; D018864:Cultural Diversity; D019052:Depression, Postpartum / Q000208:ethnology / Q000517:prevention & control*; D019317:Evidence-Based Medicine; D005260:Female; D054624:Health Status Disparities; D054625:Healthcare Disparities; D006801:Humans; D009035:Mothers / Q000193:education / Q000523:psychology*; D010865:Pilot Projects; D011203:Poverty / Q000208:ethnology / Q000523:psychology; D011247:Pregnancy; D011340:Problem Solving; D018794:Problem-Based Learning / Q000379:methods*; D036301:Qualitative Research