Determining Depression Treatment Preferences of Low-Income Latinos in Primary Care Settings

NCT00260169 | Completed

• 2 other identifiers: R01MH067949DSIR 82-SEPC
• Study Type: interventional
• Target: 432
• Locations: 1 country
• Sites: 3

Brief Summary

This study will determine ways to make depression care more responsive to the needs of consumers in primary care clinics serving low-income Latinos.

Conditions

Depression

Keywords

Treatment Preferences; Public sector; Latino

Outcome Measures

Primary Outcomes (1)

• Depression treatment preferences as measured by a conjoint analysis survey and qualitative interviews

  Measured at Week 16

Secondary Outcomes (1)

• Depression outcomes as measured by the Patient Health Questionnaire-9

  Measured at Week 16

Study Arms (2)

1

EXPERIMENTAL

Participants will receive collaborative care

Behavioral: Collaborative care treatment

2

ACTIVE COMPARATOR

Participants will receive enhanced usual care

Behavioral: Enhanced usual care

Interventions

Collaborative care treatment BEHAVIORAL

Patients receiving collaborative care treatment choose 12 weeks of CBT and/or medication management (antidepressants prescribed by patients' primary care provider) from the study depression care specialist (DCS).

1

Enhanced usual care BEHAVIORAL

Usual care participants are assigned to a 16-week wait-list for the study treatment, during which they are free to receive treatment elsewhere. A letter is given to participants' primary care providers (PCP) that indicates they screened positive for depression. In addition, patients receive an information booklet about depression and a community resource list.

2

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• For Participating Patients:
• Attending one of the study clinics for primary care
• English or Spanish-speaking
• Screens positive for major depressive disorder or dysthymia
• For Providers:
• All primary care providers providing at least one day of services at one of the study clinics
• For Administrators:
• Administrative, medical, and nursing directors from each study site and directors of affiliated local mental health clinics

You may not qualify if:

• For Participating Patients:
• Acutely suicidal
• Screens positive for bipolar disorder, psychotic disorder, or cognitive impairment

Sponsors & Collaborators

• University of Southern California: lead
• National Institute of Mental Health (NIMH): collaborator

Study Sites (3)

H. Claude Hudson Comprehensive Health Center

Los Angeles, California, 90007, United States

Location

USC Family Practice Center at California Hospital

Los Angeles, California, 90015, United States

Location

LAC+USC Outpatient Department

Los Angeles, California, 90033, United States

Location

Related Publications (1)

• Dwight-Johnson M, Lagomasino IT, Hay J, Zhang L, Tang L, Green JM, Duan N. Effectiveness of collaborative care in addressing depression treatment preferences among low-income Latinos. Psychiatr Serv. 2010 Nov;61(11):1112-8. doi: 10.1176/ps.2010.61.11.1112.

  PMID: 21041350 RESULT

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• Isabel T. Lagomasino, MD, MSHS

  University of Southern California

  PRINCIPAL INVESTIGATOR

• Megan Dwight-Johnson, MD, MPH

  VA Medical Center-West Los Angeles

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Study Principal Investigator

Study Record Dates

• First Submitted: November 29, 2005
• First Posted: December 1, 2005
• Study Start: November 1, 2005
• Primary Completion: October 1, 2007
• Study Completion: January 1, 2009
• Last Updated: December 10, 2013

Record last verified: 2013-12

Locations

US (3)