‘Sharing things with people that I don’t even know’: help-seeking for psychological symptoms in injured Black men in Philadelphia

Jacoby, Sara F.; Rich, John A.; Webster, Jessica L.; Richmond, Therese S.

doi:10.1080/13557858.2018.1455811

Cited by 27 publications

(23 citation statements)

References 50 publications

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“…Although black individuals have the highest lifetime prevalence of PTSD, 48,53 injured black men admitted to a Level I trauma center cited financial constraints and limited access to and fear of judgment from mental health care professionals as primary obstacles to seeking treatment. 54 As such, access to a private selfmanagement tool such as PTSD Coach may be viewed more positively by vulnerable populations; by nature, an app-based tool eliminates the stigma and implicit bias (from both patient and provider) associated with face-to-face encounters, and subjects may be more receptive to its content. Furthermore, black individuals are more likely than white individuals to use smartphones as their primary mode of Internet access.…”

Section: Usability and Acceptabilitymentioning

confidence: 99%

A Pilot Randomized Controlled Trial of the PTSD Coach App Following Motor Vehicle Crash–related Injury

Pacella

Suffoletto

Kuhn

et al. 2020

Academic Emergency Medicine

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Objective: Posttraumatic stress disorder (PTSD) symptoms (PTSS) are common after minor injuries and can impair recovery. We sought to understand whether an evidence-based mobile phone application with self-help tools (PTSD Coach) could be useful to improve recovery after acute trauma among injured emergency department (ED) patients. This pilot study examined the feasibility, acceptability, and potential benefit of using PTSD Coach among acutely injured motor vehicle crash (MVC) patients. Methods: From September 2017 to September 2018, we recruited adult patients within 24 hours post-MVC from the EDs of two Level I trauma centers in the United States. We randomly assigned 64 injured adults to either the PTSD Coach (n = 33) or treatment as usual (TAU; n = 31) condition. We assessed PTSS and associated symptoms at 1 month (83% retained) and 3 months (73% retained) postenrollment. Results: Enrollment was feasible (74% of eligible subjects participated) but usability and engagement were low (67% used PTSD Coach at least once, primarily in week 1); 76% of those who used it rated the app as moderately to extremely helpful. No differences emerged between groups in PTSS outcomes. Exploratory analyses among black subjects (n = 21) indicated that those in the PTSD Coach condition (vs. TAU) reported marginally lower PTSS (95% CI = À0.30 to 37.77) and higher PTSS coping self-efficacy (95% CI = À58.20 to À3.61) at 3 months. Conclusions: We demonstrated feasibility to recruit acutely injured ED patients into an app-based intervention study, yet mixed evidence emerged for the usability and benefit of PTSD Coach. Most patients used the app once and rated it favorably in regard to satisfaction with and helpfulness, but longitudinal engagement was low. This latter finding may explain the lack of overall effects on PTSS. Additional research is warranted regarding whether targeting more symptomatic patients and the addition of engagement and support features can improve efficacy.

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Section: Usability and Acceptabilitymentioning

confidence: 99%

A Pilot Randomized Controlled Trial of the PTSD Coach App Following Motor Vehicle Crash–related Injury

Pacella

Suffoletto

Kuhn

et al. 2020

Academic Emergency Medicine

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show abstract

“…Acknowledging the increased demands, it is important to consider cultural considerations in psychotherapeutic services [2]. It has been noted that clients of color have substantial barriers to seeking psychological services [3][4][5], are less likely to receive expected benefits of counseling, report poorer quality of care [6,7], and are at a greater risk of prematurely discontinuing counseling services [8][9][10]. Furthermore, low-income ethnic minority individuals have accessibility barriers that decrease the likelihood of seeking and completing mental health treatment [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and perceived importance of racial matching in the psychotherapeutic dyad: a national survey of addictions treatment clinical practices

Steinfeldt

Clay

Priester

2020

Subst Abuse Treat Prev Policy

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Background Despite conflicting results in the literature concerning its efficacy in practice, racial matching has been identified as a component of culturally sensitive treatment. Methods This study examined the perceived importance and prevalence of racial matching by surveying a national sample of substance use disorder (SUD) centers from the Substance Abuse and Mental Health Services Administration (SAMHSA). Results Using univariate statistical analysis, results for the prevalence of racial matching revealed that in 58% of the clinics, there was the potential to match a counselor with a racially similar client, while in 39% of the clinics, there was no potential to provide such a match. Among the agencies that displayed a potential for racial matching, 26% of the respondents indicated that they never racially matched clients and therapists, 71% reported that they sometimes practice racial matching, 15% indicated that they usually racially match, and only 7% purported to always racially match clients and therapists. Results for the perceived importance of racial matching revealed that in both situations where treatment centers had the potential for racial matching and did not have the potential for racial matching, supervisors reported that it was relatively important to provide culturally sensitive treatment but that it was not as important to match clients in SUD centers with racially/ethnically similar counselors. Conclusion The topic of racial matching can be very complex and has shown variation amongst SUD centers; however, this study emphasizes the importance of providing culturally sensitive treatment and an appreciation of differences among members within each racial group.

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“…al, 2013). It has been noted that clients of color have substantial barriers to seeking psychological services (Arnett & Brody, 2008;Jacoby et. al, 2018; Mendez et.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and perceived importance of racial matching in the psychotherapeutic dyad: A national survey of addictions treatment clinical practices

Steinfeldt

Clay

Priester

2020

Preprint

View full text Add to dashboard Cite

Background: Despite conflicting results in the literature concerning its efficacy in practice, racial matching has been identified as a component of culturally sensitive treatment. Methods: This study examined the perceived importance and prevalence of racial matching by surveying a national sample of substance use disorder (SUD) centers from the Substance Abuse and Mental Health Services Administration (SAMHSA). Results: Using univariate statistical analysis, results for the prevalence of racial matching revealed that in 58% of the clinics, there was the potential to match a counselor with a racially similar client, while in 39% of the clinics, there was no potential to provide such a match. Among the agencies that displayed a potential for racial matching, 26% of the respondents indicated that they never racially matched clients and therapists, 71% reported that they sometimes practice racial matching, 15% indicated that they usually racially match, and only 7% purported to always racially match clients and therapists. Results for the perceived importance of racial matching revealed that in both situations where treatment centers had the potential for racial matching and did not have the potential for racial matching, supervisors reported that it was relatively important to provide culturally sensitive treatment but that it was not as important to match clients in SUD centers with racially/ethnically similar counselors. Conclusion: The topic of racial matching can be very complex and has shown variation amongst SUD centers; however, this study emphasizes the importance of providing culturally sensitive treatment and an appreciation of differences among members within each racial group.

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‘Sharing things with people that I don’t even know’: help-seeking for psychological symptoms in injured Black men in Philadelphia

Abstract: Research is needed to inform or identify interventions that diminish the impact of barriers to care, and identify from whom, where, and how professional mental health help might be more effectively offered to injured Black men in recovery environments like Philadelphia.

Cited by 27 publications

References 50 publications

A Pilot Randomized Controlled Trial of the PTSD Coach App Following Motor Vehicle Crash–related Injury

A Pilot Randomized Controlled Trial of the PTSD Coach App Following Motor Vehicle Crash–related Injury

Prevalence and perceived importance of racial matching in the psychotherapeutic dyad: a national survey of addictions treatment clinical practices

Prevalence and perceived importance of racial matching in the psychotherapeutic dyad: A national survey of addictions treatment clinical practices

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