Case Study: Health Promotion Program Proposal: Addressing Depression in Females in Miami, Florida
Depression is still a prevalent mental disorder with an unevenly enormous burden on women. Women in Miami, Florida, face significant socio-economic pressures that translate into psychological problems. The socio-economic divide is vast, and women are more susceptible than men to poverty. 15.7% of women compared to 13.1% of men live in poverty in the 2023 Status of Women Report in Miami-Dade County, and women constitute a higher proportion of people experiencing poverty, at 55.2% (Florida International University, 2024). This economic vulnerability, even in the presence of other social determinants, adds to depression as an entrenched and emerging issue in this region.
Research highlights that women, particularly African American and Hispanic women, experience compounded socio-cultural factors that result in heightened susceptibility to mental health disease. Cultural stigmatization of mental illness, poverty, and single-parent households are some of the socio-cultural factors that make an environment conducive to depression. The Hispanic women, who are predominantly immigrants as well, have such impediments as a lack of trust in healthcare systems and language barriers. These factors limit treatment availability and hinder women from access to care (Reyes et al., 2023). Furthermore, intimate partner violence (IPV), a severe risk factor, has also appeared in several studies as highly correlated with higher rates of depression among women, particularly in these vulnerable groups (Karakurt et al., 2022).
To bridge such gaps, this health promotion program offers evidence-based interventions aimed at reducing depression in Miami women. Prioritizing increased mental health literacy, accessibility of mental health resources, and increased social support systems, the expected outcome is a measurable reduction of depressive symptoms as measured via tools like the PHQ-9 over a six-month intervention. The design of the program will include community-based Cognitive Behavioral Therapy (CBT) and support groups by peers, demonstrated to reduce depression in diverse populations effectively. The incorporation of culturally tailored approaches, modified to suit the unique needs of Miami women, is intended to yield long-term efficacy and sustainability.
PICOT Question:
PICOT Question: In adult women with depression in Miami, Florida (P), what is the effect of a community-based CBT and peer support program (I) on depressive symptom reduction (O) compared to usual care (C) over six months (T)?
This depression symptom reduction health promotion program is focused on a two-pronged approach that employs peer support and community-based Cognitive Behavioral Therapy (CBT)-the population for the program is depressed women, especially those with other socio-economic and cultural problems. Cognitive Behavioral Therapy (CBT) has been established to reduce depression as it works towards modifying maladaptive thinking patterns and coping mechanisms that lead to mental illness problems (Camps-Romero et al., 2021). Additionally, peer support groups offer a platform where women can talk to peers who have experienced comparable challenges, offering emotional support, which has been linked with fewer feelings of loneliness and more psychological strength (Schettini, 2025).
The effectiveness of CBT for depression has also been consistently demonstrated in a range of populations. Camps-Romero et al. (2021), through a systematic review, outlined the central importance of community-based CBT as a method of symptom reduction for depression. CBT allows a person to learn and debunk distorted cognition, substituting it with healthier and more constructive thinking and behavior patterns. This is most suitable for women under stressors that validate mental illness, like poverty or intimate partner violence (IPV). Furthermore, adapting CBT to be culturally attuned to language and social expectations is a recipe for success (Camps-Romero et al., 2021). In Miami, where Hispanic women are in the majority numerically, providing CBT in English and Spanish will make access and admissions into the program easier.
Incorporating peer support groups and implementing them in this program will strengthen it. Peer support groups, according to Schettini (2025), are instrumental in the reduction of depression and isolation in this group. Through the groups, women enjoy the ability to talk about their feelings, disclose their histories, and transition away from the social isolation characteristic of depression. Peer support has been proven to be effective only when combined with evidence-based treatments such as CBT since it contributes to sustained improvement of mental health.
The study will also evaluate its effects on a six-month interval, using various measures to examine depressive symptom change. The Patient Health Questionnaire-9 (PHQ-9) will be mainly used to assess depression severity and track symptom change. PHQ-9 is a validated, established measure that can detect time-dependent changes in depressive symptoms. The intervention will contrast outcomes for the women receiving the peer support intervention and community-based CBT with those receiving usual care, typically minimal or no formal treatment. Social Cognitive Theory (SCT) is the theory basis for this intervention.
SCT teaches us that there are three general determinants of behavior change, i.e., self-efficacy, environment, and observation learning (Sohail, 2021). The emphasis in this theory on developing confidence in oneself and healthy environments concurs with the goals of this program to empower women to take charge of their mental health. Good habits may be acquired through role models, e.g., through peer mentors who recovered from depression. Additionally, incorporating neighborhood community resources, i.e., mental health practitioners and support groups, validates SCT's focus on the environment as a behavior change facilitator.
1. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. Be certain to include a timeline. (2 paragraph. You may use bullets if appropriate). Need Assignment Help?
2. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. (1 paragraph).
3. Provide a detailed plan for evaluation for each outcome. (1 paragraph).
4. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph).
5. Conclude the paper with a Conclusion paragraph. DON'T TYPE the word "Conclusion". Here you will share your insights about this strategy and your expectations regarding achieving your goals. (1 paragraph).
Requirements:
3 Pages
Your must strictly following APA standards and Correct Grammar and Spelling
Remember, your Proposal must be a scholarly demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion.