The proposed study seeks to establish the feasibility of universal screening for depression in an adult primary care safety net setting, measure 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, multi-disciplinary treatment and culturally tailored care management strategies.
Full Title of Study: “METRIC: Measurement, Education and Tracking in Integrated Care: Strategies to Increase Patient Engagement and Reduce Mental Health Disparities Among Hispanics”
- Study Type: Interventional
- Study Design
- Allocation: Randomized
- Intervention Model: Parallel Assignment
- Primary Purpose: Treatment
- Masking: None (Open Label)
- Study Primary Completion Date: January 15, 2019
Specific Aim 1: Examine the specific effects of a Depression Education Fotonovela (DEF) to increase knowledge of depression, reduce stigma and increase engagement in depression treatment among Hispanic patients.
Specific Aim 2: Evaluate the impact of Measurement-Based Integrated Care (MBIC) for the treatment of depression in one community-based Federally Qualified Health Centers (FQHC) in North Texas whose patient population is majority Hispanic.
Specific Aim 3: Examine the feasibility of universal screening and accurate detection of depression among adult primary care patients utilizing innovative iPad Depression Screening technology.
- Other: Measurement-Based Integrated Care
- Measurement-Based Integrated Care (MBIC) synthesizes the science of integrated health care and incorporates the strategies of measurement-based care. concept of MBIC for the treatment of depression includes: systematic assessment of symptoms, antidepressant treatment side effects and medication adherence and incorporation of a Depression Care Manager (DCM) to track patients and keep them engaged in care using behavioral interventions
- Behavioral: Depression Education Fotonovela
- Depression education that uses a unique, culturally adapted depression fotonovela titled “Secret Feelings” developed by Cabassa, Molina and Baron (2012). The fotonovela is a popular comic-book style pamphlet that portrays a dramatic story using photographs and dialogue bubbles, which has become an effective tool for engaging Hispanic audiences and increasing knowledge about specific health issues
- Behavioral: Standard Education
- The the use of a pamphlet to educate people about depression.
Arms, Groups and Cohorts
- Experimental: MBIC + DEF
- Measurement-Based Integrated Care with Depression Education Fotonovela
- Experimental: MBIC + SE
- Measurement-Based Integrated Care + Standard Education
Clinical Trial Outcome Measures
- Number of participants who engage in depression treatment
- Time Frame: baseline to one month post education session
- Change in PHQ-9 (depressive symptoms) scores
- Time Frame: baseline compared to one year post enrollment
- Number of primary care patients screened for depression using the iPad technology
- Time Frame: two year participant enrollment period
Participating in This Clinical Trial
- Adult primary care patients
- Meets diagnostic criteria for depression
- currently in treatment for depression
Gender Eligibility: All
Minimum Age: 18 Years
Maximum Age: N/A
Are Healthy Volunteers Accepted: No
- Lead Sponsor
- The University of Texas at Arlington
- National Institute on Minority Health and Health Disparities (NIMHD)
- Provider of Information About this Clinical Study
- Overall Official(s)
- Katherine Sanchez, PhD, Principal Investigator, University of Texas at Arlington
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