Clinical trial NCT02702596: METRIC: Measurement, Education and Tracking in Integrated Care
Official title: METRIC: Measurement, Education and Tracking in Integrated Care: Strategies to Increase Patient Engagement and Reduce Mental Health Disparities Among Hispanics
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Depression
Lead sponsor: The University of Texas at Arlington
Sponsor class: OTHER
Collaborators: name: National Institute on Minority Health and Health Disparities (NIMHD)
name: University of Texas Southwestern Medical Center
name: Columbia University
First posted: 2016-03-08
Enrollment: 150
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* Adult primary care patients
* Hispanic
* Meets diagnostic criteria for depression

Exclusion Criteria:

* currently in treatment for depression

Primary outcomes:
measure: Number of participants who engage in depression treatment
timeFrame: baseline to one month post education session
measure: Change in PHQ-9 (depressive symptoms) scores
timeFrame: baseline compared to one year post enrollment
Secondary outcomes:
measure: Number of primary care patients screened for depression using the iPad technology
timeFrame: two year participant enrollment period
Other outcomes:
Locations:
Study officials:
affiliation: University of Texas at Arlington
name: Katherine Sanchez, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.
citation: 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.