Depression
Conditions
Brief summary
The proposed study seeks to establish the feasibility of universal screening for depression in an adult primary care safety net setting, measure the effectiveness of a culturally appropriate depression education intervention to reduce stigma and increase uptake in depression treatment among Hispanics, and implement a Measurement-Based Integrated Care (MBIC) model with collaborative, multi-disciplinary treatment and culturally tailored care management strategies.
Detailed description
Specific Aim 1: Examine the specific effects of a Depression Education Fotonovela (DEF) to increase knowledge of depression, reduce stigma and increase engagement in depression treatment among Hispanic patients. Specific Aim 2: Evaluate the impact of Measurement-Based Integrated Care (MBIC) for the treatment of depression in one community-based Federally Qualified Health Centers (FQHC) in North Texas whose patient population is majority Hispanic. Specific Aim 3: Examine the feasibility of universal screening and accurate detection of depression among adult primary care patients utilizing innovative iPad Depression Screening technology.
Interventions
OTHERMeasurement-Based Integrated Care
Measurement-Based Integrated Care (MBIC) synthesizes the science of integrated health care and incorporates the strategies of measurement-based care. concept of MBIC for the treatment of depression includes: systematic assessment of symptoms, antidepressant treatment side effects and medication adherence and incorporation of a Depression Care Manager (DCM) to track patients and keep them engaged in care using behavioral interventions
BEHAVIORALDepression Education Fotonovela
Depression education that uses a unique, culturally adapted depression fotonovela titled Secret Feelings developed by Cabassa, Molina and Baron (2012). The fotonovela is a popular comic-book style pamphlet that portrays a dramatic story using photographs and dialogue bubbles, which has become an effective tool for engaging Hispanic audiences and increasing knowledge about specific health issues
BEHAVIORALStandard Education
The the use of a pamphlet to educate people about depression.
Sponsors
National Institute on Minority Health and Health Disparities (NIMHD)
University of Texas Southwestern Medical Center
Columbia University
The University of Texas at Arlington
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult primary care patients * Hispanic * Meets diagnostic criteria for depression
Exclusion criteria
* currently in treatment for depression
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of participants who engage in depression treatment | baseline to one month post education session |
| Change in PHQ-9 (depressive symptoms) scores | baseline compared to one year post enrollment |
Secondary
| Measure | Time frame |
|---|---|
| Number of primary care patients screened for depression using the iPad technology | two year participant enrollment period |
Outcome results
None listed