Evidence map›Paper›PMID 26365436›Full record

SynthesisPatient education and counseling2016

Clinician descriptions of communication strategies to improve treatment engagement by racial/ethnic minorities in mental health services: A systematic review.

Neil Krishan Aggarwal, Matthew C Pieh, Lisa Dixon, Peter Guarnaccia, Margarita Alegría, Roberto Lewis-Fernández

Abstract readSystematic Review
In one paragraph

Synthesis in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
5.9field-weighted citation impact, top 5% 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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.

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  9. Language-dependent expression of anxiety and depression symptoms in Japanese-English bilinguals.Clinical psychological science : a journal of the Association for Psychological Science · 2026
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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

6 authors at 4 institutions in 1 country.

Neil Krishan AggarwalColumbia University Department of Psychiatry and The Center of Excellence for Cultural Competence at The New York State Psychiatric Institute, New York, USA. Electronic address: aggarwa@nyspi.columbia.edu.
Matthew C PiehColumbia University College of Physicians and Surgeons, New York, USA.
Lisa DixonColumbia University Department of Psychiatry and The New York State Psychiatric Institute, New York, USA.
Peter GuarnacciaInstitute for Health. Health Care Policy & Aging Research. Rutgers,The State University of New Jersey, New Brunswick, USA.
Margarita AlegríaCenter for Multicultural Mental Health Research and Harvard Medical School, Somerville, USA.
Roberto Lewis-FernándezColumbia University Department of Psychiatry and The Center of Excellence for Cultural Competence at The New York State Psychiatric Institute, New York, USA.
New York Psychoanalytic Society and Institute · USColumbia University · USHarvard University · USRutgers, The State University of New Jersey · US

Funding

The Cultural Formulation Interview-Engagement Aid for Mental Health TreatmentK23MH102334 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI AGGARWAL, NEIL KRISHAN · 2014 to 2017
$731k
NIMH NIH HHS K23 MH102334
6 · The paper itself

Abstract

objectiveTo describe studies on clinician communication and the engagement of racial/ethnic minority patients in mental health treatment.

methodsAuthors conducted electronic searches of published and grey literature databases from inception to November 2014, forward citation analyses, and backward bibliographic sampling of included articles. Included studies reported original data on clinician communication strategies to improve minority treatment engagement, defined as initiating, participating, and continuing services.

resultsTwenty-three studies met inclusion criteria. Low treatment initiation and high treatment discontinuation were related to patient views that the mental health system did not address their understandings of illness, care or stigma. Treatment participation was based more on clinician language use, communication style, and discussions of patient-clinician differences.

conclusionClinicians may improve treatment initiation and continuation by incorporating patient views of illness into treatment and targeting stigma. Clinicians may improve treatment participation by using simple language, tailoring communication to patient preferences, discussing differences, and demonstrating positive affect. PRACTICE IMPLICATIONS: Lack of knowledge about the mental health system and somatic symptoms may delay treatment initiation. Discussions of clinician backgrounds, power, and communication style may improve treatment participation. Treatment continuation may improve if clinicians tailor communication and treatment plans congruent with patient expectations.

Indexed as

CommunicationContinuity of Patient CareEthnicityRacial GroupsAdolescentAdultAgedCultural CompetencyCultural DiversityFemaleHumansMaleMental DisordersPatient Acceptance of Health CareProfessional-Patient RelationsCross-cultural communicationCultural psychiatryMedical communicationSystematic reviewTreatment engagement

Identifiers

PMID26365436
PMCPMC4733416
OpenAlexW1223495369

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.