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| ID | Type | Description | Link |
|---|---|---|---|
| R15MD010220 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Minority Health and Health Disparities (NIMHD) | NIH |
| University of Texas Southwestern Medical Center | OTHER |
| Columbia University | OTHER |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MBIC + DEF | Experimental | Measurement-Based Integrated Care with Depression Education Fotonovela |
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| MBIC + SE | Experimental | Measurement-Based Integrated Care + Standard Education |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Measurement-Based Integrated Care | Other | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants who engage in depression treatment | baseline to one month post education session | |
| Change in PHQ-9 (depressive symptoms) scores | baseline compared to one year post enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Number of primary care patients screened for depression using the iPad technology | two year participant enrollment period |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Katherine Sanchez, PhD | University of Texas at Arlington | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34949169 | Derived | Sanchez K, Eghaneyan BH, Killian MO, Cabassa LJ, Trivedi MH. Depression education fotonovela for engagement of Hispanic patients in treatment: a randomized clinical trial. BMC Psychiatry. 2021 Dec 23;21(1):635. doi: 10.1186/s12888-021-03641-0. | |
| 28774339 | Derived | Sanchez K, Eghaneyan BH, Killian MO, Cabassa L, Trivedi MH. Measurement, Education and Tracking in Integrated Care (METRIC): 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. Trials. 2017 Aug 3;18(1):363. doi: 10.1186/s13063-017-2109-y. |
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| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| Depression Education Fotonovela | Behavioral | 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 |
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| Standard Education | Behavioral | The the use of a pamphlet to educate people about depression. |
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