The Effects of a Community-Based, Multicomponent, Depression Prevention Intervention in Mothers At-Risk

West J Nurs Res. 2022 Jan;44(1):66-80. doi: 10.1177/01939459211037042. Epub 2021 Aug 5.

Abstract

The purpose of this study was to develop a 12-week multicomponent, depression prevention pilot intervention and evaluate its feasibility and preliminary effects on improving levels and correlates of depressive symptoms, including anger, self-esteem perceived stress, social support, and racism. A quasi-experimental, mixed-methods design and a community-based participatory research (CBPR) approach was employed. University faculty, students and community residents collaborated at a low-income housing complex in a low-resourced, urban community. Fifteen low-income, ethnic minority mothers ages 23-46 years completed the intervention and evaluation surveys. Eight mothers participated in a focus group. The intervention included social group-dance, health education, and socialization. t-Tests, sign-tests, and thematic analysis was employed. Mothers identified barriers and facilitators of program engagement. Depressive symptoms were significantly reduced (t(14) = 2.41, p = .030). Self-esteem (t(14) = 2.28, p = .039) and social support levels (M = 4.5, p = .035) were significantly increased. This multicomponent intervention is feasible. Preliminary efficacy evidence was mixed.

Keywords: depressive symptoms; family health; health disparities; mental health; prevention; social determinants.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Depression* / prevention & control
  • Ethnicity
  • Female
  • Humans
  • Middle Aged
  • Minority Groups
  • Mothers*
  • Poverty
  • Young Adult