Culturally-focused Consultation for Asian Americans and Latino Americans

NCT01239407 | Completed

• 1 other identifier: 2009-P-000954
• Study Type: interventional
• Target: 122
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine if a culturally focused psychiatric (CFP) consultation service can improve depressive symptoms and increase diagnosis and treatment of depression in Asian American and Latino American primary care patients at the Massachusetts General Hospital.

Conditions

Depression

Outcome Measures

Primary Outcomes (1)

• To determine if a culturally focused psychiatric (CFP) consultation service can improve depressive symptoms and increase diagnosis and treatment of depression in Asian American and Latino American primary care patients at MGH.

  6 months after baseline assessment

Secondary Outcomes (1)

• To determine the feasibility and cost associated with implementing a CFP consultation service within a primary care setting at MGH.

  Two years after study enrollment began

Study Arms (2)

Treatment as usual

NO INTERVENTION

The treatment as usual arm consists of two phone or in-person interviews: 1. Patients are asked questions about their mental health, their views of mental health, and how they cope with their mental health (including any treatment they might be receiving). 2. Patients are asked the same questions 6 months after the initial interview.

Culturally focused psychiatric consultation

EXPERIMENTAL

The consultation is comprised of 3 visits: 1a. Psychiatric diagnostic interview, self-rated questionnaires (in-person consultation). 1b. Intervention focused on learning about depression and how to treat it using culturally relevant resources. 2\. Follow-up visit two weeks later to go over patients' questions, homework if applicable, and patients' ability to meet the goals outlined in the first visit (in-person or phone visit). 3\. 6-month follow up: 6 months after the initial consultation, patients are asked about mental health symptoms and mental health treatment they might be receiving (phone visit unless patient requests in-person).

Behavioral: Culturally focused psychiatric consultation

Interventions

Culturally focused psychiatric consultation BEHAVIORAL

The consultation is comprised of 3 visits: 1a. Psychiatric diagnostic interview, self-rated questionnaires (in-person consultation). 1b. Intervention focused on learning about depression and how to treat it using culturally relevant resources. 2\. Follow-up visit two weeks later to go over patients' questions, homework if applicable, and patients' ability to meet the goals outlined in the first visit (in-person or phone visit). 3\. 6-month follow up: 6 months after the initial consultation, patients are asked about mental health symptoms and mental health treatment they might be receiving (phone visit unless patient requests in-person).

Culturally focused psychiatric consultation

Eligibility Criteria

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

You may qualify if:

• Capable of giving informed consent
• Adults 18 years of age or older
• Members of either Asian American or Latino American minority groups
• Currently experiencing depressive symptoms

You may not qualify if:

• Active unstable, untreated psychiatric illness precluding participation in study

Sponsors & Collaborators

• Massachusetts General Hospital: lead
• Robert Wood Johnson Foundation: collaborator

Study Sites (1)

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

Related Publications (4)

• Kirmayer LJ, Thombs BD, Jurcik T, Jarvis GE, Guzder J. Use of an expanded version of the DSM-IV outline for cultural formulation on a cultural consultation service. Psychiatr Serv. 2008 Jun;59(6):683-6. doi: 10.1176/ps.2008.59.6.683.

  PMID: 18511590 BACKGROUND

• Yeung A, Yu SC, Fung F, Vorono S, Fava M. Recognizing and engaging depressed Chinese Americans in treatment in a primary care setting. Int J Geriatr Psychiatry. 2006 Sep;21(9):819-23. doi: 10.1002/gps.1566.

  PMID: 16955440 BACKGROUND

• Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003 Nov;41(11):1284-92. doi: 10.1097/01.MLR.0000093487.78664.3C.

  PMID: 14583691 BACKGROUND

• Trinh NH, Bedoya CA, Chang TE, Flaherty K, Fava M, Yeung A. A study of a culturally focused psychiatric consultation service for Asian American and Latino American primary care patients with depression. BMC Psychiatry. 2011 Oct 13;11:166. doi: 10.1186/1471-244X-11-166.

  PMID: 21995514 DERIVED

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• Nhi-Ha Trinh, M.D., MPH

  Massachusetts General Hospital

  PRINCIPAL INVESTIGATOR

• Andres Bedoya, PhD

  Massachusetts General Hospital

  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: Staff psychiatrist

Study Record Dates

• First Submitted: November 10, 2010
• First Posted: November 11, 2010
• Study Start: December 1, 2009
• Primary Completion: August 1, 2011
• Study Completion: August 1, 2011
• Last Updated: October 30, 2014

Record last verified: 2012-04

Locations

US (1)