Evidence map›Paper›PMID 40486076›Full record

ArticleJournal of Appalachian health2025

Finding Freedom in Appalachia: Evaluating a Mental Health Intervention in West Virginia.

Elizabeth A Claydon, Karen Haring, Jessica Haring, Kelsey Riggi, Beth Currence

Abstract read
In one paragraph

Article in Journal of Appalachian health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Elizabeth A ClaydonWest Virginia University.
Karen HaringLibera, Inc.
Jessica HaringLibera, Inc.
Kelsey RiggiLibera, Inc.
Beth CurrenceLibera, Inc.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Rural areas have limited capacity to provide comprehensive mental health treatment and resources. This creates the need for interventions to ensure individuals with mental health concerns have access to resources to improve their mental health. Purpose: The purpose of this mixed-methods evaluation was to assess the effectiveness and impact of Libera, a mental health program tailored for girls and women within the Appalachian region. Methods: Quantitative surveys, including validated measures for depression, anxiety, and eating disorder symptoms, and life satisfaction, were collected pre- and post-Libera intervention for participants. Simultaneously, annual surveys were sent to Listeners in addition to qualitative semi-structured interviews. Data were collected from August 2019 - November 2021. All data were analyzed from December 2021 - March 2022 using SAS JMP 16 for quantitative data and NVivo 14 for qualitative. Results: Participants showed significant improvements in depressive and anxiety symptoms, and life satisfaction following the Libera intervention. Disordered eating symptoms did not significantly improve. Similarly, Listeners showed changes from their training and experiences, with positive reactions, learning, behavior change, and effective results for them and their participants. Implications: This study provides evidence for Libera's use among Appalachian women and girls. Participants experienced many improvements in mental health following completion of the Libera program. Additionally, Listeners leading groups experienced positive changes in learning and behavior. The results also indicate areas to continue strengthening the program with resources and training in specialized topics (such as eating disorders or Safe Zone training).

Indexed as

Appalachiainterventionlay counselingmental health

Identifiers

PMID40486076
PMCPMC12143803

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.