{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T08:47:17Z","timestamp":1785833237612,"version":"3.56.0"},"reference-count":52,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006093","name":"Patient Centered Outcomes Research Institute","doi-asserted-by":"publisher","award":["EACB-24277"],"award-info":[{"award-number":["EACB-24277"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]},{"award":["EACB-24277"],"award-info":[{"award-number":["EACB-24277"]}],"id":[{"id":"https:\/\/ror.org\/014q65q44","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Sci.","Behavioral Sciences"],"abstract":"<jats:p>Introduction: COVID-19 affected nearly every aspect of people\u2019s lives worldwide. In the United States, the consequences of closures and quarantine increased stress, worry, isolation, and mental health and substance use problems, leading to behavioral health (BH) problems. These conditions were exacerbated among Black and Latinx populations by language barriers, lack of mental health access, shortage of mental health providers, inadequate or lack of insurance coverage, and the health care system\u2019s unfamiliarity with Black and Latinx cultures and consequent Black and Latinx distrust in it. Methods: The purpose of this project was to engage with Black and Latinx populations; connect with existing networks of community stakeholders, health providers, and researchers to co-learn about patient-centered outcomes research; and build partnerships with those that work with the communities. The engagement process involved regular focus group meetings and interviews with key stakeholders. Results: The key study\u2019s outcomes resulted from an alliance of patients, caregivers, family members, community, and other stakeholders who learned about behavioral health issues of concern while prioritizing a research agenda. Discussion: The community-based participatory research approach from our study helped guide and build capacity for future patient-centered research among Black and Latinx communities.<\/jats:p>","DOI":"10.3390\/bs16081337","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T08:02:19Z","timestamp":1785830539000},"page":"1337","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Engaging Black and Latinx Communities in Building Capacity for Behavioral Health"],"prefix":"10.3390","volume":"16","author":[{"given":"Hoa B.","family":"Appel","sequence":"first","affiliation":[{"name":"School of Medicine, University of Washington, Seattle, WA 98195, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mabel C.","family":"Ezeonwu","sequence":"additional","affiliation":[{"name":"School of Nursing and Health Studies, University of Washington, Bothell, WA 98011, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damari","family":"Peralez-Long","sequence":"additional","affiliation":[{"name":"Latino Educational Training Institute, Everett, WA 98204, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonor","family":"Bejarano","sequence":"additional","affiliation":[{"name":"Latino Educational Training Institute, Everett, WA 98204, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Hudson","sequence":"additional","affiliation":[{"name":"Seattle African American Men\u2019s Civic Group, Seattle, WA 98118, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roy L.","family":"Szeto","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Washington, Seattle, WA 98195, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"S236","DOI":"10.1037\/tra0000840","article-title":"The psychological impact of preexisting mental and physical health conditions during the COVID-19 pandemic","volume":"12","author":"Alonzi","year":"2020","journal-title":"Psychological Trauma"},{"key":"ref_2","unstructured":"American Society for Quality (2026, April 03). Nominal group technique, Available online: https:\/\/asq.org\/quality-resources\/nominal-group-technique."},{"key":"ref_3","first-page":"301","article-title":"Eliminating racial and ethnic disparities in behavioral health care in the U.S","volume":"5","author":"Appel","year":"2020","journal-title":"Journal of Health and Social Sciences"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1177\/0020764020922269","article-title":"Social isolation in COVID-19: The impact of loneliness","volume":"66","author":"Banerjee","year":"2020","journal-title":"International Journal of Social Psychiatry"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2753","DOI":"10.1016\/j.ajem.2020.04.077","article-title":"Alarming trends in US domestic violence during the COVID-19 pandemic","volume":"38","author":"Boserup","year":"2020","journal-title":"American Journal of Emergency Medicine"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qualitative Research in Psychology"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Brooks, J. M., Patton, C., Maroukel, S., Perez, A. M., and Levanda, L. (2022). The differential impact of COVID-19 on mental health: Implications of ethnicity, sexual orientation, and disability status in the United States. Frontiers in Psychology, 13.","DOI":"10.3389\/fpsyg.2022.902094"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"104699","DOI":"10.1016\/j.chiabu.2020.104699","article-title":"Stress and parenting during the global COVID-19 pandemic","volume":"110","author":"Brown","year":"2020","journal-title":"Child Abuse and Neglect"},{"key":"ref_9","unstructured":"Centers for Disease Control and Prevention (2026, March 28). Risk for COVID-19 infection, hospitalization, and death by race\/ethnicity, Available online: https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/covid-data\/investigations-discovery\/hospitalization-death-by-race-ethnicity.html#footnote01."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"104287","DOI":"10.1016\/j.jpubeco.2020.104287","article-title":"Early evidence of the impacts of COVID-19 on minority employment","volume":"192","author":"Couch","year":"2020","journal-title":"Journal of Public Economics"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Coulter, K., Ingram, M., Lohr, A. M., Bell, M. L., and Carvajal, S. (2020). Examining associations between community health worker-rated health and mental health among Latino adults with chronic disease. International Journal of Environmental Research and Public Health, 18, (1).","DOI":"10.3390\/ijerph18010100"},{"key":"ref_12","unstructured":"Creswell, J. W., and Clark, V. L. P. (2017). Designing and conducting mixed methods research, Sage."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1037\/hea0000721","article-title":"Can patient-centered communication reduce the effects of medical mistrust on patients\u2019 decision making?","volume":"38","author":"Cuevas","year":"2019","journal-title":"Health Psychology"},{"key":"ref_14","unstructured":"Curtis, P., Slaughter-Mason, S., Thielke, A., Gordon, C., Pettinari, C., and Ryan, K. (2012). PCORI expert interviews project: Final report, Patient-Centered Outcomes Research Institute."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.15585\/mmwr.mm6932a1","article-title":"Mental health, substance use, and suicidal ideation during the COVID-19 pandemic\u2014United States, 24\u201330 June 2020","volume":"69","author":"Czeisler","year":"2020","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1177\/002188637100700404","article-title":"A group process model for problem identification and program planning","volume":"7","author":"Delbecq","year":"1971","journal-title":"Journal of Applied Behavioral Science"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"113557","DOI":"10.1016\/j.socscimed.2020.113557","article-title":"How do state policies shape experiences of household income shocks and mental health during the COVID-19 pandemic?","volume":"269","author":"Donnelly","year":"2021","journal-title":"Social Science and Medicine"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1111\/famp.12578","article-title":"Expanding possibilities: Flexibility and solidarity with under-resourced immigrant families during the COVID-19 pandemic","volume":"59","author":"Falicov","year":"2020","journal-title":"Family Process"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/s11136-017-1581-x","article-title":"Methods and impact of engagement in research, from theory to practice and back again: Early findings from the Patient-Centered Outcomes Research Institute","volume":"27","author":"Forsythe","year":"2018","journal-title":"Quality of Life Research"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.jadohealth.2020.10.008","article-title":"Job insecurity and symptoms of anxiety and depression among U.S. young adults during COVID-19","volume":"68","author":"Ganson","year":"2021","journal-title":"Journal of Adolescent Health"},{"key":"ref_21","unstructured":"Health Resources Services Administration (2026, March 15). Behavioral health workforce report, Available online: https:\/\/bhw.hrsa.gov\/sites\/default\/files\/bureau-health-workforce\/data-research\/Behavioral-Health-Workforce-Brief-2025.pdf."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1136\/injuryprev-2020-044050","article-title":"Adolescent mental health, COVID-19, and the value of school-community partnerships","volume":"27","author":"Hertz","year":"2021","journal-title":"Injury Prevention"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/02791072.2020.1836435","article-title":"Loneliness, mental health, and substance use among US young adults during COVID-19","volume":"53","author":"Horigan","year":"2021","journal-title":"Journal of Psychoactive Drugs"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"e048086","DOI":"10.1136\/bmjopen-2020-048086","article-title":"Temporal trends in the association of social vulnerability and race\/ethnicity with county-level COVID-19 incidence and outcomes in the USA: An ecological analysis","volume":"11","author":"Islam","year":"2021","journal-title":"BMJ Open"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.2337\/dc07-2182","article-title":"Association of acculturation levels and prevalence of diabetes in the multi-ethnic study of atherosclerosis (MESA)","volume":"31","author":"Kandula","year":"2008","journal-title":"Diabetes Care"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"313","DOI":"10.2217\/cer.13.11","article-title":"Engaging hard-to-reach patients in patient-centered outcomes research","volume":"2","author":"Kauffman","year":"2013","journal-title":"Journal of Comparative Effectiveness Research"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1007\/s11606-007-0163-y","article-title":"Association between length of residence and cardiovascular disease risk factors among an ethnically diverse group of United States immigrants","volume":"22","author":"Koya","year":"2007","journal-title":"Journal of General Internal Medicine"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1080\/10503307.2015.1051163","article-title":"A mixed-method investigation of patient monitoring and enhanced feedback in routine practice: Barriers and facilitators","volume":"25","author":"Lucock","year":"2015","journal-title":"Psychotherapy Research"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1097\/YCO.0000000000000223","article-title":"Can anxiety damage the brain?","volume":"29","author":"Mah","year":"2016","journal-title":"Current Opinion in Psychiatry"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1177\/1049732315617444","article-title":"Sample size in qualitative interview studies: Guided by information power","volume":"26","author":"Malterud","year":"2016","journal-title":"Qualitative Health Research"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1177\/1098214014531068","article-title":"Evaluating collaboration for effectiveness: Conceptualization and measurement","volume":"36","author":"Marek","year":"2015","journal-title":"American Journal of Evaluation"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1007\/s11606-021-07104-w","article-title":"Understanding the influence and impact of stakeholder engagement in patient-centered outcomes research: A qualitative study","volume":"37","author":"Maurer","year":"2022","journal-title":"Journal of General Internal Medicine"},{"key":"ref_33","unstructured":"Miller, G. (2026, March 12). Social distancing prevents infections, but it can have unintended consequences, Available online: https:\/\/www.science.org\/content\/article\/we-are-social-species-how-will-social-distancing-affect-us."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1609406917733847","DOI":"10.1177\/1609406917733847","article-title":"Thematic analysis: Striving to meet the trustworthiness criteria","volume":"16","author":"Nowell","year":"2017","journal-title":"International Journal of Qualitative Methods"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"7281405","DOI":"10.1155\/2018\/7281405","article-title":"Impact of participatory health research: A test of the community-based participatory research conceptual model","volume":"2018","author":"Oetzel","year":"2018","journal-title":"BioMed Research International"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1146\/annurev-publhealth-040119-094220","article-title":"Partnerships, processes, and outcomes: A health equity-focused scoping meta-review of community-engaged scholarship","volume":"41","author":"Ortiz","year":"2020","journal-title":"Annual Review of Public Health"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1007\/s10488-013-0528-y","article-title":"Purposeful sampling for qualitative data collection and analysis in mixed method implementation research","volume":"42","author":"Palinkas","year":"2015","journal-title":"Administrative Policy Mental Health"},{"key":"ref_38","unstructured":"PCORI (n.d.). Research fundamentals: Preparing you to successfully contribute to research [On-demand training], Available online: https:\/\/www.pcori.org\/engagement\/research-fundamentals."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1007\/s10880-020-09702-y","article-title":"Racism, mental health, healthcare provider trust, and medication adherence among Black patients in safety-net primary care","volume":"28","author":"Pugh","year":"2021","journal-title":"Journal of Clinical Psychology in Medical Settings"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1186\/s13690-025-01553-z","article-title":"Minority health social vulnerability index and long COVID illness among a statewide, population-based study of adults with polymerase chain reaction-confirmed SARS-CoV-2","volume":"83","author":"Ryu","year":"2025","journal-title":"Archives of Public Health"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1111\/1467-9566.13628","article-title":"Getting back to normal? Identity and role disruptions among adults with long COVID","volume":"45","author":"Spence","year":"2023","journal-title":"Sociology of Health & Illness"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"483","DOI":"10.3109\/08039488.2015.1005023","article-title":"The course of PTSD in naturalistic long-term studies: High variability of outcomes. A systematic review","volume":"69","author":"Steinert","year":"2015","journal-title":"Nordic Journal of Psychiatry"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1584","DOI":"10.2105\/AJPH.2022.307018","article-title":"Associations of 4 geographic social vulnerability indices with US COVID-19 incidence and mortality","volume":"112","author":"Tipirneni","year":"2022","journal-title":"American Journal of Public Health"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"113098","DOI":"10.1016\/j.psychres.2020.113098","article-title":"Psychological outcomes associated with stay-at-home orders and the perceived impact of COVID-19 on daily life","volume":"289","author":"Tull","year":"2020","journal-title":"Psychiatry Research"},{"key":"ref_45","unstructured":"United States Census Bureau (2026, March 15). Quick facts: Snohomish County, King County, Washington, Available online: https:\/\/www.census.gov\/quickfacts\/fact\/table\/snohomishcountywashington,kingcountywashington,WA\/PST045219."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1111\/inm.12726","article-title":"The COVID-19 pandemic and mental health impacts","volume":"29","author":"Usher","year":"2020","journal-title":"International Journal of Mental Health Nursing"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"S40","DOI":"10.2105\/AJPH.2009.184036","article-title":"Community-based participatory research contributions to intervention research: The intersection of science and practice to improve health equity","volume":"100","author":"Wallerstein","year":"2010","journal-title":"American Journal of Public Health"},{"key":"ref_48","unstructured":"Washington State Department of Health (2026, March 30). COVID-19 morbidity and mortality by race, ethnicity and spoken language in Washington state, Available online: https:\/\/doh.wa.gov\/sites\/default\/files\/2022-02\/COVID-19MorbidityMortalityRaceEthnicityLanguageWAState.pdf."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Wolfson, J. A., and Leung, C. W. (2020). Food insecurity and COVID-19: Disparities in early effects for US adults. Nutrients, 12, (6).","DOI":"10.3390\/nu12061648"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"e19867","DOI":"10.2196\/19867","article-title":"Pediatric mental and behavioral health in the period of quarantine and social distancing with COVID-19","volume":"3","author":"Ye","year":"2020","journal-title":"JMIR Pediatrics & Parenting"},{"key":"ref_51","first-page":"E95","article-title":"Self-perceived poor\/fair health, frequent mental distress, and health insurance status among working-aged US adults","volume":"15","author":"Zao","year":"2018","journal-title":"Preventing Chronic Disease"},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Zhou, Y., MacGeorge, E. L., and Myrick, J. G. (2020). Mental health and its predictors during the early months of the COVID-19 pandemic experience in the United States. International Journal of Environmental Research and Public Health, 17.","DOI":"10.3390\/ijerph17176315"}],"container-title":["Behavioral Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-328X\/16\/8\/1337\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T08:33:37Z","timestamp":1785832417000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-328X\/16\/8\/1337"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,4]]},"references-count":52,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["bs16081337"],"URL":"https:\/\/doi.org\/10.3390\/bs16081337","relation":{},"ISSN":["2076-328X"],"issn-type":[{"value":"2076-328X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,4]]}}}