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Toward reducing the duration of untreated psychosis in a Latinx community.
Journal of Consulting and Clinical Psychology ( IF 4.5 ) Pub Date : 2022-05-19 , DOI: 10.1037/ccp0000729
Steven Regeser López 1 , Alex Kopelowicz 2 , Jodie Ullman 1 , Doe Mayer 3 , Maria Magdalena Santos 1 , Maya Kratzer 4 , William A Vega 5 , Concepcion Barrio 5 , Vanessa Calderon 1
Affiliation  

OBJECTIVE To carry out and evaluate a communications campaign (La CLAve) to reduce the duration of untreated psychosis (DUP) in a U.S. Latinx community. METHOD We employed evidence-based messaging in multiple media outlets. We recruited 132 Latinxs with first-episode psychosis (FEP) and caregivers seeking mental health care within a high-density Latinx community. We evaluated the campaign's dissemination, the extent to which the community received the campaign message, and the campaign outcome. We tested whether DUP (number of weeks) changed across three time periods (16-month baseline, 2-year campaign, and 16-month postcampaign) and whether participants' language background (primarily Spanish speaking or English speaking) moderated change in DUP. RESULTS The campaign was disseminated widely. During the height of the campaign over a 1-year period, our team distributed 22,039 brochures and performed 740 workshops. The campaign message was received by the community as noted for example by increases in the number of unduplicated weekly calls to the campaign's 1-800 number. Applying square root transformations to DUP, we found a significant main effect for language background but not for campaign period nor their interaction. The unadjusted mean DUP for Spanish-speaking persons with FEP was more than twice as high as the mean DUP for English-speaking persons with FEP. CONCLUSION Spanish-speaking Latinxs with FEP are especially in need of early psychosis treatment. The campaign reached the community but additional steps are needed to reduce treatment delay. Greater attention is needed to increase access to early intervention services for communities of color. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译:

旨在减少拉丁裔社区中未经治疗的精神病的持续时间。

目标 开展并评估一项沟通活动 (La CLAve),以减少美国拉丁裔社区未经治疗的精神病 (DUP) 的持续时间。方法 我们在多个媒体渠道采用了基于证据的消息传递。我们招募了 132 名患有首发精神病 (FEP) 的拉丁裔以及在高密度拉丁裔社区中寻求心理健康护理的护理人员。我们评估了活动的传播情况、社区接收活动信息的程度以及活动结果。我们测试了 DUP(周数)在三个时间段(16 个月基线、2 年活动和 16 个月活动后)中是否发生变化,以及参与者的语言背景(主要是西班牙语或英语)是否调节了 DUP 的变化。结果 该活动得到了广泛传播。在一年多的活动高峰期间,我们的团队分发了 22,039 份小册子并举办了 740 场研讨会。社区收到了该活动信息,例如,每周拨打该活动 1-800 号码的重复呼叫数量有所增加。将平方根变换应用于 DUP,我们发现语言背景有显着的主效应,但对竞选时期及其互动没有显着的主效应。患有 FEP 的西班牙语人士的未经调整的平均 DUP 是患有 FEP 的英语人士的平均 DUP 的两倍多。结论 患有 FEP 的讲西班牙语的拉丁裔尤其需要早期精神病治疗。该活动深入社区,但还需要采取额外措施来减少治疗延误。需要更加关注增加有色人种社区获得早期干预服务的机会。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。
更新日期:2022-05-19
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