Trial reportInternational journal of psychiatry in medicine2009
Depression and diabetes among low-income Hispanics: design elements of a socioculturally adapted collaborative care model randomized controlled trial.
Trial report in International journal of psychiatry in medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
46 citing papers in PubMed, 5 syntheses or guidelines pooled it, 99 citations in OpenAlex.
- Collaborative Care for Depression among Patients with Limited English Proficiency: a Systematic Review.Journal of general internal medicine · 2018Pooled it
- Self management interventions for type 2 diabetes in adult people with severe mental illness.The Cochrane database of systematic reviews · 2016Pooled it
- Culturally appropriate health education for people in ethnic minority groups with type 2 diabetes mellitus.The Cochrane database of systematic reviews · 2014Pooled it
- Psychological and pharmacological interventions for depression in patients with diabetes mellitus and depression.The Cochrane database of systematic reviews · 2012Pooled it
- Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012Pooled it
- Impact of an electronic medium delivery of warfarin education in a low income, minority outpatient population: a pilot intervention study.BMC public health · 2019Trial
- Comparative Effectiveness of a Technology-Facilitated Depression Care Management Model in Safety-Net Primary Care Patients With Type 2 Diabetes: 6-Month Outcomes of a Large Clinical Trial.Journal of medical Internet research · 2018Trial
- Trial
- Depression Screening and Education: Options to Reduce Barriers to Treatment (DESEO): protocol for an educational intervention study.BMC health services research · 2016Trial
- Collaborative depression care among Latino patients in diabetes disease management, Los Angeles, 2011-2013.Preventing chronic disease · 2014Trial
- Collaborative care management of major depression among low-income, predominantly Hispanic subjects with diabetes: a randomized controlled trial.Diabetes care · 2010Trial
- Depressive symptom deterioration among predominantly Hispanic diabetes patients in safety net care.PsychosomaticsTrial
- Depression remission, receipt of problem-solving therapy, and self-care behavior frequency among low-income, predominantly Hispanic diabetes patients.General hospital psychiatryTrial
- One-year postcollaborative depression care trial outcomes among predominantly Hispanic diabetes safety net patients.General hospital psychiatryTrial
- Formative qualitative research to guide implementation of the Collaborative Care Model in a low-barrier HIV clinic.AIDS care · 2025Article
- Adaptation models, barriers, and facilitators for cultural safety in telepsychiatry: A systematic scoping review.Journal of telemedicine and telecare · 2024Article
- Risk of Depression according to Cumulative Exposure to a Low-Household Income Status in Individuals with Type 2 Diabetes Mellitus: A Nationwide Population- Based Study.Diabetes & metabolism journal · 2024Article
- Patient Perspectives on Adapting Collaborative Care for Opioid Use Disorder With Depression and/or Post-traumatic Stress Disorder.Progress in community health partnerships : research, education, and action · 2024Article
- A Randomized Controlled Trial to Increase Cancer Screening and Reduce Depression Among Low-Income Women.Journal of prevention and health promotion · 2022Article
- Use of behavioral health care in Medicaid managed care carve-out versus carve-in arrangements.Health services research · 2021Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThis article describes design elements of the Multifaceted Depression and Diabetes Program (MDDP) randomized clinical trial. The MDDP trial hypothesizes that a socioculturally adapted collaborative care depression management intervention will reduce depressive symptoms and improve patient adherence to diabetes self-care regimens, glycemic control, and quality-of-life. In addition, baseline data of 387 low-income, 96% Hispanic, enrolled patients with major depression and diabetes are examined to identify study population characteristics consistent with trial design adaptations.
methodsThe PHQ-9 depression scale was used to identify patients meeting criteria for major depressive disorder (1 cardinal depression symptom + a PHQ-9 score of > or = 10) from two community safety net clinics. Design elements included sociocultural adaptations in recruitment and efforts to reduce attrition and collaborative depression care management.
resultsOf 1,803 diabetes patients screened, 30.2% met criteria for major depressive disorder. Of 387 patients enrolled in the clinical trial, 98% had Type 2 diabetes, and 83% had glycated hemoglobin (HbA1c) levels > or = 7%. Study recruitment rates and baseline data analyses identified socioeconomic and clinical factors that support trial design and intervention adaptations. Depression severity was significantly associated with diabetes complications, medical comorbidity, greater anxiety, dysthymia, financial worries, social stress, and poorer quality-of-life.
conclusionLow-income Hispanic patients with diabetes experience high prevalence of depressive disorder and depression severity is associated with socioeconomic stressors and clinical severity. Improving depression care management among Hispanic patients in public sector clinics should include intervention components that address self-care of diabetes and socioeconomic stressors.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.