INTERVENTION & EVALUATION RESEARCH

CURRENT PROJECTS

RISE Study ("Resist, Intervene, Support, Empower"): Feasibility/Acceptability of an MHealth Intervention Targeting Transgender Women Facing Gender-Based Violence and Mental Health Disorders in Brazil

The research will adapt and test a novel, scaleable and potentially cost- efficient mHealth intervention to improve violence reporting, identification of mental health needs and referral to care among transgender women. This includes adapting the existing “UNI-FORM” mobile application to the Brazilian context, pilot testing, and evaluating its feasibility and acceptability.

Building and Sustaining Interventions for Children (BASIC)

The BASIC project aims to evaluate the scaling-up of task sharing the delivery of mental health care for orphaned children in Bungoma County, Kenya. More specifically, it will investigate suggestions from previous studies that partnering with two government sectors, education and health, could be a low-cost and sustainable strategy to implement Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in this population.

Project Uplift

Project Uplift is a SAMHSA funded project focusing on improving health outcomes for LGBTQ+ people ages 18-35 in the Charlotte, NC and Durham, NC areas by reducing barriers and offering a variety of affirming services catered to the community - with a particular focus on mental health and substance use. Services are free of charge regardless of income and insurance status.

Community Resources for Education and Wellness (CREW)

CREW is a SAMHSA funded project to determine whether a comprehensive outpatient behavioral health treatment program is beneficial in improving health outcomes including behavioral health (substance use prevention/reduction and mental health) and use of medical services for people 18 years of age or older, living with HIV and/or identify as LGBTQ+.

Duke Teen Health Club

The Duke Teen Health Club is an CHPIR-based initiative that includes two projects providing comprehensive sexuality education to youth in North Carolina. These projects are funded by the NC DHHS Teen Pregnancy Preventions Initiatives under Personal Responsibility Education Program (PREP) grants. While both projects utilize an evidence-based, CDC best practice intervention to reduce teen pregnancy, STI, and HIV among youth, they also serve youth in various counties around the state.

In Craven County, North Carolina, the intervention is often used in 9th grade health classes, as well as with the Boys and Girls Club of the Coastal Plain. The other project, PREP Youth in Out of Home Care, provides youth involved in the juvenile justice system, who live in transitional homes, with comprehensive sexuality education in Montgomery and Vance counties. Adult preparation subjects (APS) are also a part of PREP. APS topics include:  Affirmative Consent, Healthy Relationships, Financial Literacy, Mindfulness for Stress Reduction and Reproductive Anatomy.

 

Personal Responsibility Education Program (PREP) for Youth in Out of Home Care

This program offers an evidenced-based, best practice intervention to facilitate positive youth development, prevent teen pregnancy and prevent the transmission of HIV/STIs with adjudicated adolescents, ages 10-19, residing in out of home care, transitional, and multi-purpose residential housing in Vance and Montgomery counties in North Carolina.

Seminary to Ministry

The Seminary to Ministry Study is a longitudinal mixed-methods study of one graduating and three entering classes of Duke Divinity students. This study will collect a variety of social, psychological, and contextual data on seminarians during their training and into the first several years of their careers.  It aims to help both academic and professional audiences better understand the professional formation of divinity students.

Selah Stress Reduction Intervention

This study will pilot four stress reduction interventions tailored to clergy. The two or three interventions found most acceptable by clergy will be brought forward to a clinical trial with a randomly assigned waitlist control. The primary outcomes are self-reported stress symptoms and heart rate variability; positive mental health will be explored as a moderator and outcome.

Clergy Health Initiative

The Duke Clergy Health Initiative began in 2007. Its mission is to understand and improve the holistic health of United Methodist clergy in North Carolina. The Initiative has developed, conducted, and tested 3 interventions, including an intervention targeting metabolic syndrome and depression tested with over 1,100 clergy in a randomized controlled trial design. The Initiative includes a longitudinal panel survey on health and well-being conducted in 2008, 2010, 2012, 2014, and 2016, as well as a mixed methods study seeking to determine how some pastors sustain high positive mental health. Recent work has focused on analysis and dissemination of intervention results, positive mental health findings, and contributions to the literature on the interplay between physical and mental health and spiritual well-being.

Coping Together

The aim of this project is to develop an intervention that can be delivered by lay providers that reduces conflict and improves problem-solving, connection and supportiveness within families. Team members will develop an approach that a) serves families experiencing high levels of relationship distress coupled with other socioeconomic vulnerabilities and b) is feasible and scalable in areas with low access to mental healthcare including rural communities

To Heal the Wounded Soul

To Heal the Wounded Soul provides relief and support to clergy who are Black, Indigenous and People of Color (BIPOC) acknowledging the particular impact of the pandemic on communities of color.  The program offers restorative retreats, peer support and the promotion of positive mental health models for pastors and the congregations they serve, and assess the changes in on clergy job satisfaction, burnout, anxiety and depressive symptoms.

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