Immigrant Well-being Project: Transdisciplinary Ecological Mental Health Intervention for Mexican Immigrants

NCT03926247 | Completed Results DMC

• 2 other identifiers: 22217U54MD004811
• Study Type: interventional
• Target: 56
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study is to test a transdisciplinary ecological approach to reducing mental health disparities among Mexican immigrants by adapting and integrating a multilevel community-based advocacy, learning, and social support intervention (Immigrant Well-being Project, IWP) into existing efforts at three community partner organizations that focus on mental health, education, legal, and civil rights issues for Mexican immigrants. This research is innovative and significant because it employs cutting edge strategies to address social-structural determinants of mental health and examines the community-engaged process of adapting and testing the impact of a multilevel intervention originally designed for refugees. The IWP intervention emphasizes a sustainable and replicable partnership model between community-based organizations and universities that involves Mexican immigrants and undergraduate advocates working together to: a) increase immigrants' abilities to navigate their communities; b) improve immigrants' access to community resources; c) enhance meaningful social roles by valuing immigrants' culture, experiences, and knowledge; d) reduce immigrants' social isolation; and e) increase communities' responsiveness to immigrants through changes in policy and practice. The IWP is administered by university students enrolled in a service learning course, and has two elements: 1) Learning Circles, which involve cultural exchange and one-on-one learning opportunities, and; 2) Advocacy, which involves collaborative efforts to mobilize community resources related to health, housing, employment, education, and legal issues. Studies of the intervention model with refugees demonstrated feasibility, appropriateness, acceptability, and evidence that the intervention decreased participants' psychological distress and increased protective factors, and impacted changes in system-wide policies and practices. After completing in-depth ethnographic interviews with 24 Mexican immigrant adults to elucidate their mental health needs, stressors, current political/economic/social context, and local solutions, and a process of community engagement and intervention adaptation, a mixed methods strategy with data collected from 90 participants at four time points over a period of 14 months will be used to test the impact of the 6-month intervention on reducing psychological distress, increasing protective factors (access to resources, English proficiency, environmental mastery, and social support), and achieving system-level changes in organizational, local, and state policies and practices that impact Mexican immigrants' well-being. Mechanisms of intervention effectiveness will be explored by testing mediating relationships between protective factors and psychological distress. Qualitative data will explore feasibility and acceptability of the intervention, participants' experiences in the intervention, and unexpected impacts; document multilevel changes and the context of implementation at each site; and inform interpretation of quantitative data. Quantitative and qualitative data on the quality of the CBPR partnerships and their relationship to multilevel outcomes will also be examined.

Conditions

Mental Health

Keywords

pilot study; mental health; immigrant; within-group longitudinal design

Outcome Measures

Primary Outcomes (3)

• Linear Change From Baseline to 14-month Follow-up in Depression/Anxiety Symptom Score Assessed by the Hopkins Symptom Checklist-25

  Hopkins Symptom Checklist-25 (HSC-25). Minimum=1.00, Maximum=4.00. Lower scores indicate better outcome (lower levels of depression/anxiety symptoms).

  Timepoints used in calculation: baseline, 3 months (mid), 6 months (post), 14 months (follow-up)

• Linear Change From Baseline to 14-month Follow-up in PTSD Symptom Score Assessed by the PTSD Symptom Checklist (Civilian Version)

  PTSD Symptom Checklist (Civilian Version, PCL-C). Minimum=17.00, Maximum=85.00. Lower scores indicate better outcome (lower levels of PTSD symptoms).

  Timepoints used in calculation: baseline, 3 months (mid), 6 months (post), 14 months (follow-up)

• Linear Change From Baseline to 14-month Follow-up in Stress Assessed by the Abbreviated Hispanic Stress Inventory Scale - Culturally-Specific Distress

  Abbreviated Hispanic Stress Inventory. Minimum=0.00, Maximum=3.00. Lower scores indicate better outcome (lower levels of stress). We adapted this measure for our study - based on community member input, we reduced response choices to 4 (from 5).

  Timepoints used in calculation: baseline, 3 months (mid), 6 months (post), 14 months (follow-up)

Secondary Outcomes (4)

• Linear Change From Baseline to 14-month Follow-up in Social Support Assessed by the Multi-Sector Social Support Inventory

  Timepoints used in calculation: baseline, 3 months (mid), 6 months (post), 14 months (follow-up)

• Linear Change From Baseline to 14-month Follow-up in Access to Resources Assessed by the Satisfaction With Resources Scale

  Timepoints used in calculation: baseline, 3 months (mid), 6 months (post), 14 months (follow-up)

• Linear Change From Baseline to 14-month Follow-up in Access to Resources Assessed by the Difficulty Accessing Resources Scale

  Timepoints used in calculation: baseline, 3 months (mid), 6 months (post), 14 months (follow-up)

• Linear Change From Baseline to 14-month Follow-up in Quality of Life Assessed by the World Health Organization Quality of Life Assessment

  Timepoints used in calculation: baseline, 3 months (mid), 6 months (post), 14 months (follow-up)

Study Arms (1)

Immigrant Well-being Project Intervention

OTHER

Intervention

Behavioral: Immigrant Well-Being Project

Interventions

Immigrant Well-Being Project BEHAVIORAL

The IWP intervention emphasizes a sustainable and replicable partnership model between community-based organizations and universities that involves Mexican immigrants and undergraduate advocates working together to: a) increase immigrants' abilities to navigate their communities; b) improve immigrants' access to community resources; c) enhance meaningful social roles by valuing immigrants' culture, experiences, and knowledge; d) reduce immigrants' social isolation; and e) increase communities' responsiveness to immigrants through changes in policy and practice. The IWP is administered by university students enrolled in a service learning course, and has two elements: 1) Learning Circles, which involve cultural exchange and one-on-one learning opportunities, and; 2) Advocacy, which involves collaborative efforts to mobilize community resources related to health, housing, employment, education, and legal issues.

Immigrant Well-being Project Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Mexican immigrant
• Residing in Bernalillo County, New Mexico

You may not qualify if:

• Severe cognitive functioning problems
• Imminent suicide risk
• Mental illness that is so severe as to impede participation in a group and that warrants immediate individual treatment

Sponsors & Collaborators

• University of New Mexico: lead
• National Institutes of Health (NIH): collaborator
• National Institute on Minority Health and Health Disparities (NIMHD): collaborator

Study Sites (1)

University of New Mexico

Albuquerque, New Mexico, 87131, United States

Location

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Results Point of Contact

• Title: Dr. Jessica Goodkind
• Organization: University of New Mexico

jgoodkin@unm.edu

505-277-2501

Study Officials

• Jessica R Goodkind, PhD

  University of New Mexico

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Sociology

Model Details: This is a pilot study of an intervention with a within-group longitudinal design. All participants will participate in the intervention.

Study Record Dates

• First Submitted: April 12, 2019
• First Posted: April 24, 2019
• Study Start: March 13, 2018
• Primary Completion: February 15, 2022
• Study Completion: February 15, 2022
• Last Updated: October 15, 2024
• Results First Posted: October 15, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)