Rush University Medical Center
This project tests whether a health outreach intervention that promotes engagement in rewarding, community-based recreational and social activities can produce greater improvements in depressive symptoms, adiposity, and physical activity among people from underresourced communities than traditional health outreach approaches.
Underresourced communities are affected by structural barriers and detrimental conditions that contribute to disparities in mental and physical health. People living in these communities may also face financial and logistical barriers to engaging in meaningful and rewarding activities in their community, which is linked to risk for depression and cardiometabolic disease in emerging health behavior models. There is also evidence that depression, physical inactivity, and reward-driven overeating exhibit reciprocal causal relationships that promote cardiometabolic disease through multiple pathway…
Inclusion Criteria: 1. Member of an underserved population defined by either of the following: 1. Received health care at a federally qualified health center within the past 2 years 2. Living in a neighborhood with an Area Deprivation Index ≤ 20th percentile 2. Elevated depressive symptoms (10-item CES-D score≥10)94,95 3. One or both of the following modifiable cardiometabolic risk factors: 1. Excess adiposity (body mass index ≥ 28.0 kg/m2) 2. Physically inactive according to the 2018 U.S. Physical Activity Guidelines:96 less than 150 minutes of moderate intensity, 75 minutes of…
ARCH is a 4-month health outreach intervention that includes the following components: * Screening and referral to address social determinants of health * A 12-session adaptation of Behavioral Activation Treatment for Depression * Weekly contacts from an outreach worker * Optional resources aimed at promoting physical activity and weight management
The Traditional Health Outreach comparator is a 4-month health outreach intervention that includes the following components: * Screening and referral to address social determinants of health * Support calls from an outreach worker at least once every 3 weeks
Arctuva estimate
Actual pay is set by the research site.
Verify or correct the compensation shown for this listing.