TY - JOUR
T1 - Measurement, Education and Tracking in Integrated Care (METRIC)
T2 - Use of a culturally adapted education tool versus standard education to increase engagement in depression treatment among Hispanic patients: Study protocol for a randomized control trial
AU - Sanchez, Katherine
AU - Eghaneyan, Brittany H.
AU - Killian, Michael O.
AU - Cabassa, Leopoldo
AU - Trivedi, Madhukar H.
N1 - 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., 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 content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
PY - 2017/8/3
Y1 - 2017/8/3
N2 - Background: Significant mental health disparities exist for Hispanic populations, especially with regard to depression treatment. Stigma and poor communication between patients and their providers result in low use of antidepressant medications and early treatment withdrawal. Cultural factors which influence treatment decisions among Hispanics include fears about the addictive and harmful properties of antidepressants, worries about taking too many pills, and the stigma attached to taking medications. Primary care settings often are the gateway to identifying undiagnosed or untreated mental health disorders, particularly for people with co-morbid physical health conditions. Hispanics, in particular, are more likely to receive mental healthcare in primary care settings. Recent recommendations from the U.S. Preventive Services Task Force are that primary care providers screen adult patients for depression only if systems are in place to ensure adequate treatment and follow-up. Methods: We are conducting a randomized controlled trial among 150 depressed adult Hispanics in a primary care safety net setting, testing 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, multidisciplinary treatment and culturally tailored care management strategies. Discussion: This study protocol represents the first randomized control trial of the culturally adapted depression education fotonovela, Secret Feelings, among Hispanics in a primary care setting. The education intervention will be implemented after diagnosis using an innovative screening technology and enrolled in measurement-based integrated care for the treatment of depression, which will help build the evidence around cultural adaptations in treatment to reduce mental health disparities. Trial registration: ClinicalTrials.gov, NCT02702596. Registered on 20 March 2016.
AB - Background: Significant mental health disparities exist for Hispanic populations, especially with regard to depression treatment. Stigma and poor communication between patients and their providers result in low use of antidepressant medications and early treatment withdrawal. Cultural factors which influence treatment decisions among Hispanics include fears about the addictive and harmful properties of antidepressants, worries about taking too many pills, and the stigma attached to taking medications. Primary care settings often are the gateway to identifying undiagnosed or untreated mental health disorders, particularly for people with co-morbid physical health conditions. Hispanics, in particular, are more likely to receive mental healthcare in primary care settings. Recent recommendations from the U.S. Preventive Services Task Force are that primary care providers screen adult patients for depression only if systems are in place to ensure adequate treatment and follow-up. Methods: We are conducting a randomized controlled trial among 150 depressed adult Hispanics in a primary care safety net setting, testing 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, multidisciplinary treatment and culturally tailored care management strategies. Discussion: This study protocol represents the first randomized control trial of the culturally adapted depression education fotonovela, Secret Feelings, among Hispanics in a primary care setting. The education intervention will be implemented after diagnosis using an innovative screening technology and enrolled in measurement-based integrated care for the treatment of depression, which will help build the evidence around cultural adaptations in treatment to reduce mental health disparities. Trial registration: ClinicalTrials.gov, NCT02702596. Registered on 20 March 2016.
KW - Care management
KW - Depression
KW - Education
KW - Fotonovela
KW - Hispanics
KW - IPad screening
KW - Measurement-based integrated care
KW - Primary care
KW - Stigma
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U2 - 10.1186/s13063-017-2109-y
DO - 10.1186/s13063-017-2109-y
M3 - Article
C2 - 28774339
AN - SCOPUS:85026779773
VL - 18
JO - Trials
JF - Trials
SN - 1745-6215
IS - 1
M1 - 363
ER -