3 research outputs found
Celestial Indigo
Celestial Indigo
Sherry Haar and Emily Andrews, Kansas State University
Tracey Martin, Threads of Evolution, Scottsdale, AZ
Jeanne Hankerson, SJ Couture, Scottsdale, AZ and Bianca Sanford, FABRIC, Tempe, AZ
Keywords: capping, indigo, fructose, fermentation vat, refashion, sustainability
The dress, Celestial Indigo, was the result of a collaborative effort between a book author, designer, stitcher, and natural dyers. Tracey Martin (2017), author of Sustainable in Stilettos, is passionate about a book cover’s intrinsic messages. Celestial Indigo, created for Martin’s book cover, holds messages of refashioning, versatility, natural color, and collaboration. A halter dress was refashioned by designing a skirt overlay from silk chiffon torn into strips and through coloration with indigo. The indigo vat was a fermentation vat with fructose as the reducing agent and calcium hydroxide for alkalinity. Sustainable advantages of the fructose fermentation vat compared to a chemical vat are no harsh chemicals (i.e., thiourea dioxide and lye) and elimination of heat beyond initial reduction. To protect undyed and dyed areas, as well as manage the gown bulk, fabric sections were capped with plastic and secured with rubber bands and string
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Study protocol for comparing Screening, Brief Intervention, and Referral to Treatment (SBIRT) to referral as usual for depression in African American churches
Background
Depression is a leading cause of disability worldwide. African American adults, compared to White adults, are half as likely to be screened for depression in primary care settings. Disparities in depression screening contribute to poor clinical outcomes, as African Americans with depression are more disabled and sicker longer compared to Whites. African American churches are trusted settings that provide access to supports for depression. Indeed, in the first study of its kind, the investigators found that 20% of adults in African American churches screened positive for depression using the Patient Health Questionnaire-9 (PHQ-9). However, no subjects with a positive screen (PHQ-9 ≥ 10) accepted a treatment referral when offered by research personnel. Community Health Workers, who are trusted paraprofessionals from the target community, may bridge the gap between depression screening and treatment. The investigators have trained and certified 112 Community Health Workers from 45 African American churches in New York City to deliver an evidence-based intervention called Screening, Brief Intervention, and Referral to Treatment (SBIRT). Thus, the aim of the current study is to test the impact of Community Health Worker-delivered depression screening in Black churches on engagement with clinical services.
Methods
Using a hybrid type 1 effectiveness-implementation design, we propose a 2-arm, mixed-methods cluster randomized controlled trial. Church study sites will be randomized to either SBIRT (intervention arm) or referral as usual (usual care arm). This trial will be conducted with 600 church members across 30 churches (300 intervention; 300 usual care). Our primary outcome is treatment engagement, defined as attending a depression-related clinical visit. Secondary outcomes will be changes in Mental Health-Related Quality of Life and depressive symptoms at 3 and 6 months post-screening. Lastly, we will conduct a concurrent, mixed-methods (qualitative-quantitative) process evaluation to assess contextual facilitators and barriers of screening and referral.
Discussion
This is the first randomized trial of a church-placed, community health worker-delivered intervention for depression in African American populations. This study may provide a novel and effective approach to increasing depression identification and treatment linkage in economically disadvantaged populations with high depression rates.
Trial registration
ClinicalTrials.gov
NCT04524767
. Registered on 21 August 2020
Celestial Indigo
Celestial Indigo
Sherry Haar and Emily Andrews, Kansas State University
Tracey Martin, Threads of Evolution, Scottsdale, AZ
Jeanne Hankerson, SJ Couture, Scottsdale, AZ and Bianca Sanford, FABRIC, Tempe, AZ
Keywords: capping, indigo, fructose, fermentation vat, refashion, sustainability
The dress, Celestial Indigo, was the result of a collaborative effort between a book author, designer, stitcher, and natural dyers. Tracey Martin (2017), author of Sustainable in Stilettos, is passionate about a book cover’s intrinsic messages. Celestial Indigo, created for Martin’s book cover, holds messages of refashioning, versatility, natural color, and collaboration. A halter dress was refashioned by designing a skirt overlay from silk chiffon torn into strips and through coloration with indigo. The indigo vat was a fermentation vat with fructose as the reducing agent and calcium hydroxide for alkalinity. Sustainable advantages of the fructose fermentation vat compared to a chemical vat are no harsh chemicals (i.e., thiourea dioxide and lye) and elimination of heat beyond initial reduction. To protect undyed and dyed areas, as well as manage the gown bulk, fabric sections were capped with plastic and secured with rubber bands and string.</p