Evaluation of a Faith-Based Stress Management Program “Trinity Life Management” In a Rural African-American Community

The Trinity Life Management: A Faith-Based Stress Management intervention was developed by an academic research team in partnership with a rural African-American faith community following the principles of community based participatory research. The purpose of this collaboratively designed intervention is to provide parishioners the techniques and tools they need to effectively cope with stress and minor depression symptoms. This can be done by enhancing their knowledge of the stress-distress-depression continuum, increasing their ability to distinguish between stress and depression, and strengthen their self-efficacy in performing coping behaviors. The intervention is co-led by lay health leaders, Trinity Leaders. The purpose of this feasibility pilot study was to test the protocols, procedures, and processes of the study; track recruitment, retention, and attrition; monitor the fidelity of the intervention; and obtain Trinity Leader and participant evaluations of the study experience. There were a total of 20 participants. The study results suggested that additional leader training would be needed to address beliefs about the causes of depression and stigma. Also, in an effort to reinforce the intervention delivery process and maintain consistency, there should be incorporation of standardized scripts for the lay leaders. In addition, further role plays and practice sessions are needed to enhance facilitation skills. Finally, changes in the recruitment of participants and the inclusion criteria to identify those most in need of the intervention.