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Int J Environ Res Public Health. 2018 Aug 7;15(8). pii: E1683. doi: 10.3390/ijerph15081683.

Community Resilience Learning Collaborative and Research Network (C-LEARN): Study Protocol with Participatory Planning for a Randomized, Comparative Effectiveness Trial.

Author information

1
LSU Health Sciences Center, New Orleans School of Medicine, New Orleans, LA 70112, USA. bspri2@lsuhsc.edu.
2
LSU Health Sciences Center, New Orleans School of Public Health, New Orleans, LA 70112, USA. bspri2@lsuhsc.edu.
3
UCLA Semel Institute for Neuroscience and Human Behavior, Research Center for Health Services and Society, Los Angeles, CA 90024, USA. aarevian@mednet.ucla.edu.
4
Tulane University School of Medicine, New Orleans, LA 70112, USA. awenners@tulane.edu.
5
Center for Sustainable Engagement and Development, New Orleans, LA 70117, USA. ajohnson@sustainthenine.org.
6
David Geffen School of Medicine at UCLA and UCLA Center for Public Health and Disasters, Los Angeles, CA 90095, USA. DEisenman@mednet.ucla.edu.
7
LSU Health Sciences Center, New Orleans School of Medicine, New Orleans, LA 70112, USA. okacsi@lsuhsc.edu.
8
LSU Health Sciences Center, New Orleans School of Public Health, New Orleans, LA 70112, USA. okacsi@lsuhsc.edu.
9
Louisiana Community Health Outreach Network; New Orleans, LA 70119, USA. chaywoo@tulane.edu.
10
LSU Health Sciences Center, New Orleans School of Public Health, New Orleans, LA 70112, USA. etrapi@lsuhsc.edu.
11
The RAND Corporation, Santa Monica, CA 90401, USA. cathyd@rand.org.
12
LSU Health Sciences Center, New Orleans School of Medicine, New Orleans, LA 70112, USA. aevere@lsuhsc.edu.
13
UCLA Semel Institute for Neuroscience and Human Behavior, Research Center for Health Services and Society, Los Angeles, CA 90024, USA. mmccreary@mednet.ucla.edu.
14
St. Anna's Episcopal Church, New Orleans, LA 70116, USA. diana@stannanola.org.
15
UCLA Semel Institute for Neuroscience and Human Behavior, Research Center for Health Services and Society, Los Angeles, CA 90024, USA. skataoka@mednet.ucla.edu.
16
UCLA Semel Institute for Neuroscience and Human Behavior, Research Center for Health Services and Society, Los Angeles, CA 90024, USA. ltang@mednet.ucla.edu.
17
LSU Health Sciences Center, New Orleans School of Medicine, New Orleans, LA 70112, USA. jsato@tulane.edu.
18
UCLA Semel Institute for Neuroscience and Human Behavior, Research Center for Health Services and Society, Los Angeles, CA 90024, USA. kwells@mednet.ucla.edu.
19
The RAND Corporation, Santa Monica, CA 90401, USA. kwells@mednet.ucla.edu.

Abstract

This manuscript presents the protocol and participatory planning process for implementing the Community Resilience Learning Collaborative and Research Network (C-LEARN) study. C-LEARN is designed to determine how to build a service program and individual client capacity to improve mental health-related quality of life among individuals at risk for depression, with exposure to social risk factors or concerns about environmental hazards in areas of Southern Louisiana at risk for events such as hurricanes and storms. The study uses a Community Partnered Participatory Research (CPPR) framework to incorporate community priorities into study design and implementation. The first phase of C-LEARN is assessment of community priorities, assets, and opportunities for building resilience through key informant interviews and community agency outreach. Findings from this phase will inform the implementation of a two-level (program-level and individual client level) randomized study in up to four South Louisiana communities. Within communities, health and social-community service programs will be randomized to Community Engagement and Planning (CEP) for multi-sector coalition support or Technical Assistance (TA) for individual program support to implement evidence-based and community-prioritized intervention toolkits, including an expanded version of depression collaborative care and resources (referrals, manuals) to address social risk factors such as financial or housing instability and for a community resilience approach to disaster preparedness and response. Within each arm, the study will randomize individual adult clients to one of two mobile applications that provide informational resources on services for depression, social risk factors, and disaster response or also provide psychoeducation on Cognitive Behavioral Therapy to enhance coping with stress and mood. Planned data collection includes baseline, six-month and brief monthly surveys for clients, and baseline and 12-month surveys for administrators and staff.

KEYWORDS:

community resilience; disaster resilience; mental health; social determinants of health

PMID:
30720791
PMCID:
PMC6121437
DOI:
10.3390/ijerph15081683
[Indexed for MEDLINE]
Free PMC Article

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