Trial reportJournal of community health2011
Promotoras as mental health practitioners in primary care: a multi-method study of an intervention to address contextual sources of depression.
Trial report in Journal of community health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05746767 (SUPERA), which is not on this map. Cited by 54 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
SUPERA: Supporting Peer Interactions to Expand Access to Digital Cognitive Behavioral Therapy for Spanish-speaking Safety-Net Patients in Primary Care
Who cites it
54 citing papers in PubMed, 6 syntheses or guidelines pooled it, 97 citations in OpenAlex.
- A Systematic Review and Meta-analysis of Depression, Anxiety, and Sleep Disorders in US Adults with Food Insecurity.Journal of general internal medicine · 2019Pooled it
- Task-Sharing Approaches to Improve Mental Health Care in Rural and Other Low-Resource Settings: A Systematic Review.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2018Pooled it
- Mobilizing Community Health Workers to Address Mental Health Disparities for Underserved Populations: A Systematic Review.Administration and policy in mental health · 2018Pooled it
- Effects of Community-Based Health Worker Interventions to Improve Chronic Disease Management and Care Among Vulnerable Populations: A Systematic Review.American journal of public health · 2016Pooled it
- Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012Pooled it
- Innovative Implementation Studies Conducted in US Safety Net Health Care Settings: A Systematic Review.American journal of medical quality : the official journal of the American College of Medical QualityPooled it
- "Caminando y socializando con Happy Older Latinos are Active (HOLA)": Results of a randomized clinical trial to promote health and prevent depression and anxiety in older Latinos.Journal of consulting and clinical psychology · 2025Trial
- Increasing the Repertoire for Depression Care: Methods and Challenges of a Randomized Controlled Trial of Peer Support for Vulnerable Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023Trial
- Effectiveness of a COVID-19 Testing Outreach Intervention for Latinx Communities: A Cluster Randomized Trial.JAMA network open · 2022Trial
- Trial
- Promotoras de Salud: roles, responsibilities, and contributions in a multisite community-based randomized controlled trial.Hispanic health care international : the official journal of the National Association of Hispanic Nurses · 2013Trial
- Community Health Workers Promoting Physical Activity: Targeting Multiple Levels of the Social Ecological Model.The Journal of ambulatory care managementTrial
- A scoping review of suicide prevention interventions for Latinx adults: strategies, gaps, and future directions.Frontiers in public health · 2025Article
- Evaluating Intensity, Complexity, and Potential for Causal Inference in Social Needs Interventions: A Review of a Scoping Review.JAMA network open · 2024Article
- Trusted Communicators: The Role of Navigation Support in Improving Health and Health Care Access for American Indian Elders.Journal of health care for the poor and underserved · 2024Article
- Racial Health Equity and Social Needs Interventions: A Review of a Scoping Review.JAMA network open · 2023Article
- Peer Approaches to Improve HIV Care Cascade Outcomes: a Scoping Review Focused on Peer Behavioral Mechanisms.Current HIV/AIDS reports · 2022Article
- Familias Divididas [divided families]: Transnational family separation and undocumented Latinx immigrant health.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2022Article
- Understanding Trustful Relationships between Community Health Workers and Vulnerable Citizens during the COVID-19 Pandemic: A Realist Evaluation.International journal of environmental research and public health · 2022Article
- Saving a seat at the table for community members: co-creating an attachment-based intervention for low-income Latinx parent-youth dyads using a promotor/a model.Research in psychotherapy (Milano) · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
We assessed the role of promotoras--briefly trained community health workers--in depression care at community health centers. The intervention focused on four contextual sources of depression in underserved, low-income communities: underemployment, inadequate housing, food insecurity, and violence. A multi-method design included quantitative and ethnographic techniques to study predictors of depression and the intervention's impact. After a structured training program, primary care practitioners (PCPs) and promotoras collaboratively followed a clinical algorithm in which PCPs prescribed medications and/or arranged consultations by mental health professionals and promotoras addressed the contextual sources of depression. Based on an intake interview with 464 randomly recruited patients, 120 patients with depression were randomized to enhanced care plus the promotora contextual intervention, or to enhanced care alone. All four contextual problems emerged as strong predictors of depression (chi square, p < .05); logistic regression revealed housing and food insecurity as the most important predictors (odds ratios both 2.40, p < .05). Unexpected challenges arose in the intervention's implementation, involving infrastructure at the health centers, boundaries of the promotoras' roles, and "turf" issues with medical assistants. In the quantitative assessment, the intervention did not lead to statistically significant improvements in depression (odds ratio 4.33, confidence interval overlapping 1). Ethnographic research demonstrated a predominantly positive response to the intervention among stakeholders, including patients, promotoras, PCPs, non-professional staff workers, administrators, and community advisory board members. Due to continuing unmet mental health needs, we favor further assessment of innovative roles for community health workers.
Indexed as
Identifiers
What OpenQuestion holds
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.