Evidence map›Paper›PMID 24660674›Full record

Trial reportJournal of consulting and clinical psychology2014

Treatment engagement and response to CBT among Latinos with anxiety disorders in primary care.

Denise A Chavira, Daniela Golinelli, Cathy Sherbourne, Murray B Stein, Greer Sullivan, Alexander Bystritsky, Raphael D Rose, Ariel J Lang, Laura Campbell-Sills, Stacy Welch and 5 more

2 registry-linked trialsOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
9.4field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT00347269 phase4completednot on this map

Coordinated Anxiety Learning and Management (CALM): Improving Primary Care Anxiety Outcomes

TypeinterventionalSponsorUniversity of WashingtonRan2006 to 2009Enrolled1,004ConditionsPost-traumatic Stress Disorder, Generalized Anxiety Disorder, Panic Disorder, Social Anxiety DisorderArmsCognitive-behavioral therapy, Psychotropic medication optimization, Treatment as Usual
NCT05746767 naenrolling by invitationnot on this mapstarted 2024, after this paper: background citation

SUPERA: Supporting Peer Interactions to Expand Access to Digital Cognitive Behavioral Therapy for Spanish-speaking Safety-Net Patients in Primary Care

TypeinterventionalSponsorUniversity of California, IrvineRan2024 to 2028Enrolled426ConditionsDepression, AnxietyArmsSupported dCBT, Unsupported dCBT
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
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  9. Frontiers in psychology · 2026
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  17. Knowledge about Treatment (KaT) in Mental Health Services.Measurement and evaluation in counseling and development : the official publication of the Association for Measurement and Evaluation in Counseling and Development · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 1 country.

Denise A ChaviraDepartment of Psychology, University of California-Los Angeles.
Daniela GolinelliRAND Corporation.
Cathy SherbourneRAND Corporation.
Murray B SteinDepartment of Psychiatry, University of California-San Diego.
Greer SullivanDepartment of Psychiatry, University of Arkansas for Medical Sciences.
Alexander BystritskyDepartment of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California-Los Angeles.
Raphael D RoseDepartment of Psychology, University of California-Los Angeles.
Ariel J LangVeterans Affairs San Diego Health Care System Center of Excellence for Stress and Mental Health.
Laura Campbell-SillsDepartment of Psychiatry, University of California-San Diego.
Stacy WelchDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine.
Kristin BumgardnerDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine.
Daniel GlennDepartment of Psychology, University of California-Los Angeles.
Velma BarriosLos Angeles County Department of Mental Health.
Peter Roy-ByrneDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine.
Michelle CraskeDepartment of Psychology, University of California-Los Angeles.
University of California, Los Angeles · USUniversity of Washington · USRAND Corporation · USUniversity of California San Diego · USLos Angeles County Department of Mental Health · USUniversity of Arkansas for Medical Sciences · USVA San Diego Healthcare System · US

Funding

CALM: Improving Primary Care Anxiety OutcomesU01MH057835 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STEIN, MURRAY B. · 2005 to 2009
$3.3M
CALM: Improving Primary Care Anxiety OutcomesU01MH058915 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CRASKE, MICHELLE G · 2005 to 2009
$3.0M
CALM: Improving Primary Care OutcomesU01MH057858 · NIMH · UNIVERSITY OF WASHINGTON · PI ROY-BYRNE, PETER PAUL · 2005 to 2009
$2.4M
CALM: Improving Primary Care Anxiety OutcomesU01MH070022 · NIMH · UNIV OF ARKANSAS FOR MED SCIS · PI SULLIVAN, JAN GREER · 2005 to 2009
$2.3M
IMPROVING CARE OF PANIC DISORDER IN PRIMARY CARER01MH058915 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CRASKE, MICHELLE G · 1999 to 2002
$1.8M
Improving Patient Outcomes in Anxiety DisordersK24MH064122 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STEIN, MURRAY B. · 2001 to 2011
$1.3M
IMPROVING CARE FOR PANIC DISORDER IN PRIMARY CARER01MH057835 · NIMH · UNIVERSITY OF CALIFORNIA SAN DIEGO · PI STEIN, MURRAY B. · 1999 to 2002
$1.0M
IMPROVING CARE FOR PANIC DISORDER IN PRIMARY CARER01MH057858 · NIMH · UNIVERSITY OF WASHINGTON · PI ROY-BYRNE, PETER P · 1999 to 2002
$950k
Improving Care for Anxiety in Pediatric SettingsK01MH072952 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CHAVIRA, DENISE A · 2006 to 2010
$806k
NIMH NIH HHS K01 MH072952NIMH NIH HHS K24 MH064122NIMH NIH HHS K24 MH64122NIMH NIH HHS R01 MH057835NIMH NIH HHS R01 MH057858NIMH NIH HHS R01 MH058915NIMH NIH HHS U01 MH057835NIMH NIH HHS U01 MH057858NIMH NIH HHS U01 MH058915NIMH NIH HHS U01 MH 070022NIMH NIH HHS U01 MH070022
6 · The paper itself

Abstract

objectiveIn the current study, we compared measures of treatment outcome and engagement for Latino and non-Latino White patients receiving a cognitive behavioral therapy (CBT) program delivered in primary care.

methodParticipants were 18-65 years old and recruited from 17 clinics at 4 different sites to participate in a randomized controlled trial for anxiety disorders, which compared the Coordinated Anxiety Learning and Management (CALM) intervention (consisting of CBT, medication, or both) with usual care. Of those participants who were randomized to the intervention arm and selected CBT (either alone or in combination with medication), 85 were Latino and 251 were non-Latino White; the majority of the Latino participants received the CBT intervention in English (n = 77). Blinded assessments of clinical improvement and functioning were administered at baseline and at 6, 12, and 18 months after baseline. Measures of engagement, including attendance, homework adherence, understanding of CBT principles, and commitment to treatment, were assessed weekly during the CBT intervention.

resultsFindings from propensity-weighted linear and logistic regression models revealed no statistically significant differences between Latinos and non-Latino Whites on symptom measures of clinical improvement and functioning at almost all time points. There were significant differences on 2 of 7 engagement outcomes, namely, number of sessions attended and patients' understanding of CBT principles.

conclusionsThese findings suggest that CBT can be an effective treatment approach for Latinos who are primarily English speaking and likely more acculturated, although continued attention should be directed toward engaging Latinos in such interventions.

Indexed as

Cognitive Behavioral TherapyPrimary Health CareAdultAgedAnxietyAnxiety DisordersFemaleHispanic or LatinoHumansLanguageLinear ModelsLogistic ModelsMaleMiddle AgedTreatment OutcomeWhite People

Identifiers

PMID24660674
PMCPMC4303048
OpenAlexW2089082545

What OpenQuestion holds

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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.