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Rehabilitation Research and Practice
Volume 2013 (2013), Article ID 649875, 15 pages
Research Article

Healing Pathways: A Program for Women with Physical Disabilities and Depression

1School of Nursing, Oregon Health & Science University, 3455 SW US Veteran’s Hospital Road, Portland, OR 97239, USA
2School of Public Health and Preventive Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, CB 669, USA
3Regional Research Institute, Portland State University, 600 SW 4th Avenue, Suite 900, Portland, OR 97201, USA

Received 20 December 2012; Revised 7 April 2013; Accepted 10 April 2013

Academic Editor: Francois Prince

Copyright © 2013 Dena Hassouneh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. The objective of this study was to test the efficacy of the Healing Pathways (HP) program in reducing clinically significantly depressive symptoms in women with physical disabilities (WPD). Healing Pathways is a peer-implemented group mental health treatment program targeting WPD who have clinically significant cooccurring depressive symptoms. Participants. Eighty women were randomized in this trial. Design. This study used a community-based participatory intervention research design. Using community-based recruiting methods, participants were recruited from Centers for Independent Living, local disability service organizations, via Craig's list as well as other community locations such as grocery stores and bus stops. Women participated in the HP program for 14 weeks. Results. The primary outcome variable for this study was reduction in depressive symptoms as measured by the Center for Epidemiologic Depression Scale (CES-D). We found that there was a significant interaction effect of treatment by time on depression scores, F(3,210) = 9.51, , partial . Investigation of the predicted mean profile over time in the intervention group demonstrated that depression scores decreased greatly from baseline to the first posttest and remained stable in the two followups, whereas there was a little change in the mean profile over time in the control group. Conclusion. The HP program has demonstrated initial efficacy in reducing depressive symptoms in women with physical disabilities.