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Bowen Chung, MD, MSHS, Loretta Jones, MA, Andrea Jones, Charles E. Corbett, BA, Theodore Booker, Kenneth B. Wells, MD, MPH and Barry Collins, PhD

Bowen Chung and Kenneth B. Wells are with the RAND Corporation, Santa Monica, CA, and the NPI-Semel Institute, Department of Psychiatry, David Geffen School of Medicine, University of California, Los Angeles. Loretta Jones, Andrea Jones, Charles E. Corbett, and Theodore Booker are with Healthy African American Families II, Los Angeles. Loretta Jones is also with the Department of Research, College of Medicine, Charles Drew University, Los Angeles. Barry Collins is with the Department of Psychology, University of California, Los Angeles.

Correspondence: Requests for reprints should be sent to Bowen Chung, MD, MSHS, Health Services Research Center, NPI-Semel Institute, Department of Psychiatry, David Geffen School of Medicine, University of California, 10920 Wilshire Blvd, Suite 300, Los Angeles, CA 90024 (e-mail: bchung{at}mednet.ucla.edu).

Objectives. We used community-partnered participatory research (CPPR) to measure collective efficacy and its role as a precursor of community engagement to improve depression care in the African American community of South Los Angeles.

Methods. We collected survey data from participants at arts events sponsored by a CPPR workgroup. Both exploratory (photography exhibit; n = 747) and confirmatory (spoken word presentations; n = 104) structural equation models were developed to examine how knowledge and attitudes toward depression influenced community engagement.

Results. In all models, collective efficacy to improve depression care independently predicted community engagement in terms of addressing depression (B = 0.64–0.97; P < .001). Social stigma was not significantly associated with collective efficacy or community engagement. In confirmatory analyses, exposure to spoken word presentations and previous exposure to CPPR initiatives increased perceived collective efficacy to improve depression care (B = 0.19–0.24; P < .05).

Conclusions. Enhancing collective efficacy to improve depression care may be a key component of increasing community engagement to address depression. CPPR events may also increase collective efficacy. Both collective efficacy and community engagement are relevant constructs in the South Los Angeles African American community.

This article has been cited by other articles:

				K. Wells and L. Jones "Research" in Community-Partnered, Participatory Research JAMA, July 15, 2009; 302(3): 320 - 321. [Full Text] [PDF]