# A Systems-Level Intervention for Rural Adults with Depression

> **NIH NIH K01** · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2020 · $180,361

## Abstract

Abstract
This career development award seeks to prepare the candidate for a career as a mental health intervention
and implementation researcher who adapts and packages evidence-based practices (EBPs) to be accessible,
acceptable, and sustainable in rural communities. Rural Americans experience depression at rates similar to
their urban peers; yet are significantly less likely to receive treatment. Substantial barriers, including a lack of
mental health professionals, cost, travel burden, stigma and preference for informal care, contribute to this
disparity. Research is necessary to adapt and implement EBPs for depression in ways that reduce known
barriers, align with rural residents' help-seeking preferences, and build internal capacity to delivery EBPs within
rural communities. The proposed training goals and mentored research activities will prepare the candidate to
bridge the gap between research and practice by successfully adapting and implementing EPBs in usual care
settings. The candidate seeks to (1) develop expertise in implementation science and research to enhance her
ability to integrate EBPs into usual care settings; (2) enhance her knowledge of community-based participatory
research (CPBR) methods as they relate to adapting and implementing interventions with the best chance for
acceptability and sustainbility in non-mental health settings; (3) increase her knowledge and skills in
intervention development, randomized controlled trial designs, and quantitative analytic techniques; and (4)
build upon her clinical background to enhance her expertise with cognitive behavioral therapy (CBT) for
depression and anxiety through focused training supporting her ability to adapt CBT while retaining core
components, train and supervise non-mental health professionals delivering interventions, and assess fidelity
of adapted interventions. All career development goals are infused with relevant rural-focused content. The
goals will be achieved through a rigorous training plan that includes coursework at the University of Michigan's
(UM) top-ranked Schools of Social Work, Public Health, and Medicine; targeted off-site training and attendance
at national conferences; state-of-the-art clinical training through UM Department of Psychiatry and the Beck
Institute; as well as outstanding mentorship from leaders in mental health intervention and implementation
research; depression and anxiety; and cognitive behavioral therapy (CBT). Training goals are further supported
by mentored research activities facilitated by UM's resource rich scientific environment. The proposed
research, informed by the Replicating Effective Programs framework (REP) and CBPR, seeks to (1) adapt and
package group CBT for depression for implementation in the rural church setting, and conduct an open pilot
test of the adapted intervention; (2) conduct a pilot randomized controlled trial (pRCT) to assess the
intervention's preliminary effect on depression and explore the relationshi...

## Key facts

- **NIH application ID:** 10007898
- **Project number:** 5K01MH110605-04
- **Recipient organization:** UNIVERSITY OF MICHIGAN AT ANN ARBOR
- **Principal Investigator:** Addie Weaver
- **Activity code:** K01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $180,361
- **Award type:** 5
- **Project period:** 2017-09-01 → 2022-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10007898

## Citation

> US National Institutes of Health, RePORTER application 10007898, A Systems-Level Intervention for Rural Adults with Depression (5K01MH110605-04). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10007898. Licensed CC0.

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