Evidence map›Paper›PMID 25310525›Full record

Trial reportMedical care2014

Effectiveness of the Engagement and Counseling for Latinos (ECLA) intervention in low-income Latinos.

Margarita Alegría, Evette Ludman, E Nilay Kafali, Sheri Lapatin, Doriliz Vila, Patrick E Shrout, Kristen Keefe, Benjamin Cook, Andrea Ault, Xinliang Li and 10 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Medical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 7 pooled it
4.4field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 7 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
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  3. Therapist-guided remote versus in-person cognitive behavioural therapy: a systematic review and meta-analysis of randomized controlled trials.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Pooled it
  4. Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023
    Pooled it
  5. TelehealthPsychological medicine · 2022
    Pooled it
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  11. Effectiveness of a Disability Preventive Intervention for Minority and Immigrant Elders: The Positive Minds-Strong Bodies Randomized Clinical Trial.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2019
    Trial
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  16. Frontiers in psychology · 2026
    Article
  17. Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025
    Article
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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

20 authors at 8 institutions in 2 countries.

Margarita Alegría*Center for Multicultural Mental Health Research, Somerville, MA †Group Health Research Institute, Seattle, WA ‡Behavioral Sciences Research Institute, University of Puerto Rico Medical School, San Juan, PR §Department of Psychology, New York University, NY ∥Department of Psychology, Clark University, MA ¶Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA #Beth Israel Deaconess Medical Center, Boston, MA **Columbia University Medical Center, New York, NY ††Department of Psychiatry, MSC-University of Puerto Rico, San Juan, PR.
Evette Ludman
E Nilay Kafali
Sheri Lapatin
Doriliz Vila
Patrick E Shrout
Kristen Keefe
Benjamin Cook
Andrea Ault
Xinliang Li
Amy M Bauer
Claudia Epelbaum
Carmela Alcantara
Tulia I G Pineda
Gloria G Tejera
Gloria Suau
Karla Leon
Anna S Lessios
Rafael R Ramirez
Glorisa Canino
University of Puerto Rico, Medical Sciences Campus · PRKaiser Permanente Washington Health Research Institute · USBeth Israel Deaconess Medical Center · USClark University · USColumbia University Irving Medical Center · USNew York University · USUniversity of Puerto Rico System · PRUniversity of Washington · US

Funding

UPR-CHA Research Center of Excellence: Making a Difference for Latino HealthP60MD002261 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI ALEGRIA, MARGARITA · 2007 to 2011
$8.7M
NIMHD NIH HHS P60 MD002261NIMHD NIH HHS P60MD002261-S1
6 · The paper itself

Abstract

backgroundPersistent disparities in access and quality of mental health care for Latinos indicate a need for evidence-based, culturally adapted, and outside-the-clinic-walls treatments.

objectiveEvaluate treatment effectiveness of telephone (ECLA-T) or face-to-face (ECLA-F) delivery of a 6-8 session cognitive behavioral therapy and care management intervention for low-income Latinos, as compared to usual care for depression.

designMultisite randomized controlled trial.

settingEight community health clinics in Boston, Massachusetts and San Juan, Puerto Rico.

participants257 Latino patients recruited from primary care between May 2011 and September 2012.

main outcome measuresThe primary outcome was severity of depression, assessed with the Patient Health Questionnaire-9 and the Hopkins Symptom Checklist-20. The secondary outcome was functioning over the previous 30 days, measured using the World Health Organization Disability Assessment Schedule (WHO-DAS 2.0).

resultsBoth telephone and face-to-face versions of the Engagement and Counseling for Latinos (ECLA) were more effective than usual care. The effect sizes of both intervention conditions on Patient Health Questionnaire-9 were moderate when combined data from both sites are analyzed (0.56 and 0.64 for face-to-face and telephone, respectively). Similarly, effect sizes of ECLA-F and ECLA-T on the Hopkins Symptom Checklist were quite large in the Boston site (0.64 and 0.73. respectively) but not in Puerto Rico (0.10 and 0.03). CONCLUSIONS AND RELEVANCE: The intervention appears to help Latino patients reduce depressive symptoms and improve functioning. Of particular importance is the higher treatment initiation for the telephone versus face-to-face intervention (89.7% vs. 78.8%), which suggests that telephone-based care may improve access and quality of care.

Indexed as

Case ManagementAdolescentAdultAgedCognitive Behavioral TherapyCultural CompetencyFemaleHispanic or LatinoHumansMajor Depressive DisorderMalePovertyPsychiatric Status Rating ScalesTreatment OutcomeYoung Adult

Identifiers

PMID25310525
PMCPMC4201237
OpenAlexW2331876670

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.