TY - JOUR
T1 - Depression education fotonovela for engagement of Hispanic patients in treatment
T2 - a randomized clinical trial
AU - Sanchez, Katherine
AU - Eghaneyan, Brittany H.
AU - Killian, Michael O.
AU - Cabassa, Leopoldo J.
AU - Trivedi, Madhukar H.
N1 - Funding Information:
This project was funded by a grant from the National Institute of Health (NIH) National Institute on Minority Health and Health Disparities (NIMHD, 1R15MD010220–01). The REDCap research database was supported by the National Center for Advancing Translational Sciences (NCATS) of the NIH under award number UL1TR001105 via consortium partner UT Southwestern Center for Translational Medicine Service Package Grant (Number: SPG2016–017). The funding bodies had no role in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
Funding Information:
The authors would like to thank the producers of the fotonovela , ?Secret Feelings,? Mel Baron, Pharm.D. and Gregory Molina from the University of Southern California School of Pharmacy. The authors also wish to acknowledge Michael Killian, Ph.D. for statistical consultation regarding the sample size.
Publisher Copyright:
© 2021, The Author(s).
PY - 2021/12
Y1 - 2021/12
N2 - Background: We report the primary outcomes from a randomized clinical trial testing a novel culturally-adapted patient education intervention to increase engagement of Hispanic patients in depression treatment. The Depression Education Fotonovela (DEF), Secret Feelings, incorporates popular images, cultural norms, and vivid pictures embedded within a soap opera narrative to increase depression knowledge and dispel myths about treatment. We then assessed engagement in a integrated care treatment model in response to the education intervention and subsequent changes in depression symptoms in a large community-based clinic whose patient population is majority Hispanic. Method: The sample included 150 adult Hispanic patients with a confirmed diagnosis of depression who were randomly assigned to either: [1] integrated care + fotonovela; or [2] integrated care + standard education. Differences between treatment groups were examined as were changes in depression, anxiety, depression knowledge, and stigma scores over time and engagement in treatment. Results: Results indicated that while depression scores significantly decreased over time for participants (F [2.811, 416.054] = 197.69, p <.001, η2 =.572), no differences between the two education groups were found (F [1, 148] = 0.70, p =.403, η2 =.005). At 12-month follow-up, 101 patients (80.8%) reported a 50% of greater reduction in depression scores from baseline. Conclusions: We found little difference between the two education groups, suggesting that either may helpful for engaging Hispanic patients into care. Better tailoring of patient education, with the fotonovela or similarly adapted tools, will require more directly addressing the stigma associated with antidepressant medication. Trial registration: The study was registered with www.clinicaltrials.gov: NCT02702596, on 03/20/2016. Retrospectively registered.
AB - Background: We report the primary outcomes from a randomized clinical trial testing a novel culturally-adapted patient education intervention to increase engagement of Hispanic patients in depression treatment. The Depression Education Fotonovela (DEF), Secret Feelings, incorporates popular images, cultural norms, and vivid pictures embedded within a soap opera narrative to increase depression knowledge and dispel myths about treatment. We then assessed engagement in a integrated care treatment model in response to the education intervention and subsequent changes in depression symptoms in a large community-based clinic whose patient population is majority Hispanic. Method: The sample included 150 adult Hispanic patients with a confirmed diagnosis of depression who were randomly assigned to either: [1] integrated care + fotonovela; or [2] integrated care + standard education. Differences between treatment groups were examined as were changes in depression, anxiety, depression knowledge, and stigma scores over time and engagement in treatment. Results: Results indicated that while depression scores significantly decreased over time for participants (F [2.811, 416.054] = 197.69, p <.001, η2 =.572), no differences between the two education groups were found (F [1, 148] = 0.70, p =.403, η2 =.005). At 12-month follow-up, 101 patients (80.8%) reported a 50% of greater reduction in depression scores from baseline. Conclusions: We found little difference between the two education groups, suggesting that either may helpful for engaging Hispanic patients into care. Better tailoring of patient education, with the fotonovela or similarly adapted tools, will require more directly addressing the stigma associated with antidepressant medication. Trial registration: The study was registered with www.clinicaltrials.gov: NCT02702596, on 03/20/2016. Retrospectively registered.
KW - Depression
KW - Education, Hispanics
KW - Fotonovela
KW - Integrated care
KW - Stigma
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UR - http://www.scopus.com/inward/citedby.url?scp=85121643262&partnerID=8YFLogxK
U2 - 10.1186/s12888-021-03641-0
DO - 10.1186/s12888-021-03641-0
M3 - Article
C2 - 34949169
AN - SCOPUS:85121643262
VL - 21
JO - BMC Psychiatry
JF - BMC Psychiatry
SN - 1471-244X
IS - 1
M1 - 635
ER -