ArticlePsychological services2014
Uptake of depression treatment recommendations among Latino primary care patients.
Article in Psychological services, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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Who cites it
4 citing papers in PubMed.
- Racial and ethnic disparities in care for health system-affiliated physician organizations and non-affiliated physician organizations.Health services research · 2020Article
- Stepped Care Interpersonal Psychotherapy Treatment for Depressed Adolescents: A Pilot Study in Pediatric Clinics.Administration and policy in mental health · 2018Article
- Knowledge and Preferences Regarding Antidepressant Medication Among Depressed Latino Patients in Primary Care.The Journal of nervous and mental disease · 2017Article
- Removing Obstacles To Eliminating Racial And Ethnic Disparities In Behavioral Health Care.Health affairs (Project Hope) · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundPrimary care providers (PCP) are the entry point for public sector depression treatment for many Latino patients. However, many Latino patients do not initiate their PCPs' recommended treatment, which likely contributes to ethnic disparities in depression treatment. This study examined factors related to Latino patients' uptake of their PCPs' recommendations for depression treatment.
methodNinety Latino primary care patients who received a depression treatment recommendation from their PCP participated in a telephone interview. Patients rated their working alliance with their PCP and their PCP's cultural competence. They also reported their treatment preference, the type of recommendation, and their intended and actual uptake of the recommendation. Patients were contacted at two time points (Time 1: M = 14 days after PCP appointment; Time 2: M = 84 days after PCP appointment) to report their uptake status.
resultsAt Time 1, 23% of patients had initiated uptake of the treatment recommendation, increasing to 53% at Time 2. Patients who received a medication recommendation were more likely to have followed though on the recommendation, compared with patients who received a psychotherapy recommendation. The working alliance was positively associated with intention to follow up on a treatment recommendation, and also mediated the relationship between cultural competence and intention of following up on the recommendation.
conclusionPCP's treatment recommendation and the PCP-patient alliance play a role in Latino primary care patients intention to follow a treatment recommendation for depression. An improved understanding of this role could enhance efforts to improve depression treatment uptake.
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