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Journal of Clinical Psychology in Medical Settings
Published in: Journal of Clinical Psychology in Medical Settings 3/2011

01-09-2011

“Mama just won’t accept this”: Adult Perspectives on Engaging Depressed African American Teens in Clinical Research and Treatment

Authors: Alfiee M. Breland-Noble, Carl C. Bell, Antoinette Burriss, AAKOMA Project Adult Advisory Board

Published in: Journal of Clinical Psychology in Medical Settings | Issue 3/2011

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Abstract

This manuscript focuses on qualitative data collected for AAKOMA Project, a 2-phase treatment engagement intervention trial for depressed African American adolescents and families. Data are presented from our phase I study of adult perspectives on African American adolescent depression, depression treatment, and research engagement. The research team conducted four focus groups (N = 24) and generated major themes from the data including ideas regarding the manifestations of depression in African American youth and psychosocial barriers to participation in depression research and treatment. Findings indicate that success in recruiting and retaining African American youth in depression research and treatment may include using innovative means to overcome the culturally embedded attributions of depression to non-biological causes, beliefs about the cultural insensitivity of treatments and challenges in the logistics of obtaining care. Adults report that encouraging youth and familial involvement in treatments and research should include targeted, community-partnered activities involving diverse staff in leadership roles and including community members as equal partners.
Literature
Alegria, M., Canino, G., Rios, R., Vera, M., Calderon, J., Rusch, D., et al. (2002). Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. Psychiatric Services, 53, 1547–1555.PubMedCrossRef
Anglin, D. M., Alberti, P. M., Link, B. G., & Phelan, J. C. (2008). Racial differences in beliefs about the effectiveness and necessity of mental health treatment. American Journal of Community Psychology, 42, 17–24.PubMedCrossRef
Bell, C., & McKay, M. (2004). Constructing a children’s mental health infrastructure using community psychiatry principles. Journal of Legal Medicine, 25, 5–22.PubMedCrossRef
Blank, M. B., Mahmood, M., Fox, J. C., & Guterbock, T. (2002). Alternative mental health services: The role of the black church in the South. American Journal of Public Health, 92, 1668–1672.PubMedCrossRef
Breland-Noble, A. M., Bell, C. C., Burriss, A., Poole, H. K., & The AAKOMA Project Adult Advisory Board. (in press). The significance of strategic community engagement in recruiting African American youth & families for clinical research. Journal of Child and Family Studies. doi:10.​1007/​s10826-011-9472-1.
Breland-Noble, A. M., Bell, C., & Nicolas, G. (2006). Family first: The development of an evidence-based family intervention for increasing participation in psychiatric clinical care and research in depressed African American adolescents. Family Process, 45, 153–169.PubMedCrossRef
Breland-Noble, A. M., Burriss, A., & Poole, H. K. (2010). Engaging depressed African American adolescents in treatment: Lessons from The AAKOMA Project. Journal of Clinical Psychology, 66, 868–879.PubMedCrossRef
Breland-Noble, A. M., Burriss, F. A., Roley, M., Doyle, O., & AAKOMA Project Advisory Board. (2008). Research and treatment engagement with African American adolescents and families: Evidence from the AAKOMA Project. In NIH Summit: The Science of Eliminating Health Disparities: Proceedings of the NIH Summit, National Harbor, MD.
Breland-Noble, A. M., Poole, H. K., Burriss, F. A., Roley, M., Doyle, O., King, J., et al. (2009). Culturally relevant, community based participatory research: Evidence from the AAKOMA project. Paper presented at the 117th Annual Convention of the American Psychological Association, Toronto, Ontario, Canada.
Brown, M., & Moyer, A. (2010). Predictors of awareness of clinical trials and feelings about the use of medical information for research in a nationally representative US sample. Ethnicity and Health, 15, 223–236.PubMedCrossRef
Caldwell, C. H., Kohn-Wood, L. P., Schmeelk-Cone, K. H., Chavous, T. M., & Zimmerman, M. A. (2004). Racial discrimination and racial identity as risk or protective factors for violent behaviors in African American young adults. American Journal of Community Psychology, 33, 91–105.PubMedCrossRef
Campbell, M. K., Hudson, M. A., Resnicow, K., Blakeney, N., Paxton, A., & Baskin, M. (2007). Church-based health promotion interventions: Evidence and lessons learned. Annual Review of Public Health, 28, 213–234.PubMedCrossRef
Cardemil, E. V., Kim, S., Pinedo, T. M., & Miller, I. W. (2005). Developing a culturally appropriate depression prevention program: The Family Coping Skills Program. Cultural Diversity and Ethnic Minority Psychology, 11, 99–112.PubMedCrossRef
Carpenter-Song, E., Chu, E., Drake, R. E., Ritsema, M., Smith, B., & Alverson, H. (2010). Ethno-cultural variations in the experience and meaning of mental illness and treatment: Implications for access and utilization. Transcultural Psychiatry, 47, 224–251.PubMedCrossRef
Cauce, A. M., Domenech Rodriguez, M., Paradise, M., Cochran, B. N., Shea, J. M., Srebnik, D., et al. (2002). Cultural and contextual influences in mental health help seeking: A focus on ethnic minority youth. Journal of Consulting and Clinical Psychology, 70, 44–55.PubMedCrossRef
Chandra, A., Scott, M. M., Jaycox, L. H., Meredith, L. S., Tanielian, T., & Burnam, A. (2009). Racial/ethnic differences in teen and parent perspectives toward depression treatment. Journal of Adolescent Health, 44, 546–553.PubMedCrossRef
Coffey, A., & Atkinson, P. (1996). Making sense of qualitative data: Complementary research strategies. Thousand Oaks: Sage Publications.
Connell, C. M., Shaw, B. A., Holmes, S. B., & Foster, N. L. (2001). Caregivers’ attitudes toward their family members’ participation in Alzheimer disease research: Implications for recruitment and retention. Alzheimer Disease and Associated Disorders, 15, 137–145.PubMedCrossRef
Corbie-Smith, G. M. (2004). Minority recruitment and participation in health research. North Carolina Medical Journal, 65, 385–387.PubMed
Corrigan, P. W., Watson, A. C., Otey, E., Westbrook, A. L., Gardner, A. L., Lamb, T. A., et al. (2007). How do children stigmatize people with mental illness? Journal of Applied Social Psychology, 37, 1405–1417.CrossRef
Farrell, J. L., & Goebert, D. A. (2008). Collaboration between psychiatrists and clergy in recognizing and treating serious mental illness. Psychiatric Services, 59, 437–440.PubMedCrossRef
Flay, B. R., Snyder, F., & Petraitis, J. (2009). The theory of triadic influence. In R. J. DiClemente, M. C. Kegler, & R. A. Crosby (Eds.), In emerging theories in health promotion practice and research (2nd ed., pp. 451–510). New York: Jossey-Bass.
Gary, F. A. (2005). Stigma: Barrier to mental health care among ethnic minorities. Issues in Mental Health Nursing, 26, 979–999.PubMedCrossRef
Glaser, B. G. (1992). Basics of grounded theory analysis: Emergence vs. forcing. Mill Valley: Sociology Press.
Glesne, C. (1999). Becoming qualitative researchers: An introduction (2nd ed.). New York: Longman.
Guion, L. A. (2002). Triangulation: Establishing the validity of qualitative studies, Retrieved February 18, 2005.
Katz, R. V., Green, B. L., Kressin, N. R., Kegeles, S. S., Wang, M. Q., James, S. A., et al. (2008). The legacy of the Tuskegee Syphilis Study: Assessing its impact on willingness to participate in biomedical studies. Journal of Health Care for the Poor and Underserved, 19, 1168–1180.PubMedCrossRef
Kendrick, L., Anderson, N. L., & Moore, B. (2007). Perceptions of depression among young African American men. Family & Community Health, 30, 63–73.
King, C. A., Klaus, N., Kramer, A., Venkataraman, S., Quinlan, P., & Gillespie, B. (2009). The youth-nominated support team—version II for suicidal adolescents: A randomized controlled intervention trial. Journal of Consulting and Clinical Psychology, 77, 880–893.PubMedCrossRef
Kohn-Wood, L. (2008). Heterogeneity in course: Considering race and ethnicity. In S. Avenevoli (Ed.), NIMH research roundtable on heterogeneity in child and adolescent depression (p. 2). Washington, DC: National Institute of Mental Health.
Kramer, T., Blevins, D., Miller, T., Phillips, M., Davis, V., & Burris, B. (2007). Ministers perceptions of depression: A model to understand and improve care. Journal of Religion and Health, 46, 123–139.CrossRef
Krueger, R. A. (1998). Analyzing and reporting focus group results (Vol. 6). Thousand Oaks: Sage Publications.
May, D. E., Hallin, M. J., Kratochvil, C. J., Puumala, S. E., Smith, L. S., Reinecke, M. A., et al. (2007). Factors associated with recruitment and screening in the treatment for adolescents with depression study (TADS). Journal of the American Academy of Child & Adolescent Psychiatry, 46, 801–810.CrossRef
Mays, N., & Pope, C. (1995). Rigour and qualitative research. British Medical Journal (Clinical Research Edition), 311, 109–112.
Merikangas, K. R., He, J.-P., Brody, D., Fisher, P. W., Bourdon, K., & Koretz, D. S. (2010). Prevalence and treatment of mental disorders among US children in the 2001–2004 NHANES. Pediatrics, 125, 75–81.PubMedCrossRef
Molock, S. D. (2008). Providing peace through the storm: Suicide interventions in African American churches. Paper presented at the 10th annual meeting of the national association of people of color against suicide, Los Angeles, CA.
Molock, S. D., Barksdale, C., Matlin, S., Puri, R., Cammack, N., & Spann, M. (2007). Qualitative study of suicidality and help-seeking behaviors in African American adolescents. American Journal of Community Psychology, 40, 52–63.PubMedCrossRef
Molock, S. D., Matlin, S., Barksdale, C., Puri, R., & Lyles, J. (2008). Developing suicide prevention programs for African American youth in African American churches. Suicide and Life-Threatening Behavior, 38, 323–333.PubMedCrossRef
Morgan, D., & Krueger, R. (1998). Focus group kit. Thousand Oaks: Sage.
Okello, E. S., & Neema, S. (2007). Explanatory models and help-seeking behavior: Pathways to psychiatric care among patients admitted for depression in Mulago Hospital, Kampala, Uganda. Qualitative Health Research, 17, 14–25.PubMedCrossRef
Ryan, G., & Bernard, H. R. (2003). Techniques to identify themes. Field Methods, 15, 85–109.CrossRef
Schulz, A., Caldwell, C., & Foster, S. (2003). “What are they going to do with the information?” Latino/Latina and African American perspectives on the human genome project. Health Education and Behavior, 30, 151–169.PubMedCrossRef
Schwitzer, A. M., Griffin, O. T., Ancis, J. R., & Thomas, C. R. (1999). Social adjustment experiences of African American college students. Journal of Counseling and Development, 77, 189–197.
Silverman, D. (2001). Interpreting qualitative data: Methods for analysing talk, text, and interaction (2nd ed.). London: Sage.
Smedley, B. D., Stith, A. Y., & Nelson, A. R. (2002). Unequal treatment: Confronting racial and ethnic disparities in health care. In Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care (Ed.) (pp. 782). Washington, D.C.: National Academies Press.
Snowden, L. R., & Yamada, A. M. (2005). Cultural differences in access to care. Annual Review of Clinical Psychology, 1, 143–166.PubMedCrossRef
Treatment for Adolescents with Depression Study Team. (2003). Treatment for Adolescents with Depression Study (TADS): Rationale, design, and methods. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 531–542.CrossRef
U.S. Department of Health and Human Services, P. H. S., Office of the Surgeon General. (2001). Mental health: Culture, race, and ethnicity—A supplement to mental health: A report of the Surgeon General (pp. 203). Rockville, MD: U.S. Department of Health and Human Services.
Wu, P., Hoven, C. W., Cohen, P., Liu, X. H., Moore, R. E., Tiet, Q., et al. (2001). Factors associated with use of mental health services for depression by children and adolescents. Psychiatric Services, 52, 189–195.PubMedCrossRef
Metadata
Title
“Mama just won’t accept this”: Adult Perspectives on Engaging Depressed African American Teens in Clinical Research and Treatment
Authors
Alfiee M. Breland-Noble
Carl C. Bell
Antoinette Burriss
AAKOMA Project Adult Advisory Board
Publication date
01-09-2011
Publisher
Springer US
Published in
Journal of Clinical Psychology in Medical Settings / Issue 3/2011
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-011-9235-6

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