Ignite Creation Date:
2024-05-05 @ 12:07 PM
Last Modification Date:
2024-10-26 @ 9:20 AM
Study NCT ID:
NCT00243425
Status:
UNKNOWN
Last Update Posted:
2005-10-24
First Post:
2005-10-21
Brief Title:
Patient-Centered Depression Care for African Americans
Sponsor:
Agency for Healthcare Research and Quality AHRQ
Organization:
Agency for Healthcare Research and Quality AHRQ
Study Overview
Official Title:
Patient-Centered Depression Care for African Americans
Status:
UNKNOWN
Status Verified Date:
2005-10
Last Known Status:
RECRUITING
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The investigators propose to answer the following research question Does a multifaceted culturally tailored intervention that focuses on the specific concerns and preferences of African American patients with depression and their primary care providers improve the processes and outcomes of care for African Americans to a greater degree than a standard state-of-the art depression intervention
This study will determine whether two new educational programs can improve the care for depression in African Americans These programs may include visits with a depression case manager and access to educational materials such as a videotape a calendar pamphlets and books One program is a standard quality improvement program for depression that has been shown to be effective in most patients The other program is similar but has materials that focus more on the patients specific culture beliefs values and preferences
This study will determine whether two new educational programs can improve the care for depression in African Americans These programs may include visits with a depression case manager and access to educational materials such as a videotape a calendar pamphlets and books One program is a standard quality improvement program for depression that has been shown to be effective in most patients The other program is similar but has materials that focus more on the patients specific culture beliefs values and preferences
Detailed Description:
Several studies document underutilization of outpatient specialty mental health services by African Americans However African Americans with depression are just as likely as whites to receive care in primary care settings Despite their use of primary care services African American patients are less likely than whites to be recognized as depressed offered pharmacotherapy and to initiate or complete pharmacotherapy or psychotherapy for depression Compared to whites African American patients express stronger preferences for counseling and more negative attitudes toward antidepressant medication the most common form of treatment of depression used by primary care physicians African Americans are also more likely to see depression and its treatment through a spiritual or religious framework Studies show that African Americans receive less optimal technical and interpersonal health care than whites for many conditions Depression is a common chronic condition that results in substantial morbidity functional disability and resource use Despite the proven efficacy of pharmacotherapy and psychotherapy for treatment of depression the gap between research findings and clinical practice is wide for management of depression in primary care Recent intervention work has shown that quality improvement strategies for depression in primary care are effective Research also shows that cultural adaptations can improve adherence and retention in care for ethnic minority patients We have created a patient-centered adaptation that includes many of the components of recent successful quality improvement interventions for depression in primary care The proposed study compares a standard depression intervention for patients delivered by a depression case manager and physicians review of guidelines and structured mental health consultation to a patient-centered intervention for patients incorporates patient activation individual preferences and cultural sensitivity and physicians incorporates participatory communication skills training with individualized feedback on interactive CD-ROM Thirty physicians and 250 patients will be randomized to either the standard interventions or the culturally tailored interventions The main hypothesis is that patients in the patient-centered culturally tailored intervention group will have higher remission rates from depression and lower levels of depressive symptoms at 12 months than patients in the standard intervention care group Secondary outcomes will include patient receipt of guideline concordant care patient and physician satisfaction with care patient-physician communication behaviors patient and physician attitudes towards depression and self-efficacy in managing depression This study will add to knowledge about how to effectively engage African American patients in care of depression and serve as a prototype of how to incorporate patient-centeredness in programs to reduce racial and ethnic disparities in health care for common conditions
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None