Evidence map›Paper›PMID 27170790›Full record

Trial reportJournal of the American Board of Family Medicine : JABFM

The Impact of Community Engagement on Health, Social, and Utilization Outcomes in Depressed, Impoverished Populations: Secondary Findings from a Randomized Trial.

Christine A Lam, Cathy Sherbourne, Lingqi Tang, Thomas R Belin, Pluscedia Williams, Angela Young-Brinn, Jeanne Miranda, Kenneth B Wells

Open access · bronzeAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
5.1field-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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. A Systematic Review of Black People Coping With Racism: Approaches, Analysis, and Empowerment.Perspectives on psychological science : a journal of the Association for Psychological Science · 2023
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Foundations of Community Engagement: A Series for Effective Community-Engaged Research.MedEdPORTAL : the journal of teaching and learning resources · 2023
    Article
  11. Advances in novel molecular targets for antidepressants.Progress in neuro-psychopharmacology & biological psychiatry · 2021
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Communities, Social Justice, and Academic Health Centers.Academic medicine : journal of the Association of American Medical Colleges · 2018
    Article
  18. Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Christine A LamFrom the Veterans Administration Health Services Research and Development Center for the Study of Healthcare Innovation, Implementation and Policy, Veterans Administration Greater Los Angeles Healthcare System, Sepulveda, CA (CAL); the Departments of Medicine (CAL) and Psychiatry and Biobehavioral Sciences (TRB, KBW), David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (CAL); RAND Corp., Santa Monica, CA (CS, KBW); the Center for Health Services and Society, University of California, Los Angeles, Los Angeles (LT, JM, KBW); the Departments of Biostatistics (TRB) and Health Policy and Management (KBW), Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, Los Angeles; Healthy African American Families II, Los Angeles, CA (PW); the Department of Research, Charles R. Drew University of Medicine and Science, Los Angeles, CA (PW); and the J.D. Pacada Foundation, Los Angeles, CA (AY-B) christinealam@mednet.ucla.edu.
Cathy SherbourneFrom the Veterans Administration Health Services Research and Development Center for the Study of Healthcare Innovation, Implementation and Policy, Veterans Administration Greater Los Angeles Healthcare System, Sepulveda, CA (CAL); the Departments of Medicine (CAL) and Psychiatry and Biobehavioral Sciences (TRB, KBW), David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (CAL); RAND Corp., Santa Monica, CA (CS, KBW); the Center for Health Services and Society, University of California, Los Angeles, Los Angeles (LT, JM, KBW); the Departments of Biostatistics (TRB) and Health Policy and Management (KBW), Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, Los Angeles; Healthy African American Families II, Los Angeles, CA (PW); the Department of Research, Charles R. Drew University of Medicine and Science, Los Angeles, CA (PW); and the J.D. Pacada Foundation, Los Angeles, CA (AY-B).
Lingqi TangFrom the Veterans Administration Health Services Research and Development Center for the Study of Healthcare Innovation, Implementation and Policy, Veterans Administration Greater Los Angeles Healthcare System, Sepulveda, CA (CAL); the Departments of Medicine (CAL) and Psychiatry and Biobehavioral Sciences (TRB, KBW), David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (CAL); RAND Corp., Santa Monica, CA (CS, KBW); the Center for Health Services and Society, University of California, Los Angeles, Los Angeles (LT, JM, KBW); the Departments of Biostatistics (TRB) and Health Policy and Management (KBW), Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, Los Angeles; Healthy African American Families II, Los Angeles, CA (PW); the Department of Research, Charles R. Drew University of Medicine and Science, Los Angeles, CA (PW); and the J.D. Pacada Foundation, Los Angeles, CA (AY-B).
Thomas R BelinFrom the Veterans Administration Health Services Research and Development Center for the Study of Healthcare Innovation, Implementation and Policy, Veterans Administration Greater Los Angeles Healthcare System, Sepulveda, CA (CAL); the Departments of Medicine (CAL) and Psychiatry and Biobehavioral Sciences (TRB, KBW), David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (CAL); RAND Corp., Santa Monica, CA (CS, KBW); the Center for Health Services and Society, University of California, Los Angeles, Los Angeles (LT, JM, KBW); the Departments of Biostatistics (TRB) and Health Policy and Management (KBW), Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, Los Angeles; Healthy African American Families II, Los Angeles, CA (PW); the Department of Research, Charles R. Drew University of Medicine and Science, Los Angeles, CA (PW); and the J.D. Pacada Foundation, Los Angeles, CA (AY-B).
Pluscedia WilliamsFrom the Veterans Administration Health Services Research and Development Center for the Study of Healthcare Innovation, Implementation and Policy, Veterans Administration Greater Los Angeles Healthcare System, Sepulveda, CA (CAL); the Departments of Medicine (CAL) and Psychiatry and Biobehavioral Sciences (TRB, KBW), David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (CAL); RAND Corp., Santa Monica, CA (CS, KBW); the Center for Health Services and Society, University of California, Los Angeles, Los Angeles (LT, JM, KBW); the Departments of Biostatistics (TRB) and Health Policy and Management (KBW), Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, Los Angeles; Healthy African American Families II, Los Angeles, CA (PW); the Department of Research, Charles R. Drew University of Medicine and Science, Los Angeles, CA (PW); and the J.D. Pacada Foundation, Los Angeles, CA (AY-B).
Angela Young-BrinnFrom the Veterans Administration Health Services Research and Development Center for the Study of Healthcare Innovation, Implementation and Policy, Veterans Administration Greater Los Angeles Healthcare System, Sepulveda, CA (CAL); the Departments of Medicine (CAL) and Psychiatry and Biobehavioral Sciences (TRB, KBW), David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (CAL); RAND Corp., Santa Monica, CA (CS, KBW); the Center for Health Services and Society, University of California, Los Angeles, Los Angeles (LT, JM, KBW); the Departments of Biostatistics (TRB) and Health Policy and Management (KBW), Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, Los Angeles; Healthy African American Families II, Los Angeles, CA (PW); the Department of Research, Charles R. Drew University of Medicine and Science, Los Angeles, CA (PW); and the J.D. Pacada Foundation, Los Angeles, CA (AY-B).
Jeanne MirandaFrom the Veterans Administration Health Services Research and Development Center for the Study of Healthcare Innovation, Implementation and Policy, Veterans Administration Greater Los Angeles Healthcare System, Sepulveda, CA (CAL); the Departments of Medicine (CAL) and Psychiatry and Biobehavioral Sciences (TRB, KBW), David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (CAL); RAND Corp., Santa Monica, CA (CS, KBW); the Center for Health Services and Society, University of California, Los Angeles, Los Angeles (LT, JM, KBW); the Departments of Biostatistics (TRB) and Health Policy and Management (KBW), Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, Los Angeles; Healthy African American Families II, Los Angeles, CA (PW); the Department of Research, Charles R. Drew University of Medicine and Science, Los Angeles, CA (PW); and the J.D. Pacada Foundation, Los Angeles, CA (AY-B).
Kenneth B WellsFrom the Veterans Administration Health Services Research and Development Center for the Study of Healthcare Innovation, Implementation and Policy, Veterans Administration Greater Los Angeles Healthcare System, Sepulveda, CA (CAL); the Departments of Medicine (CAL) and Psychiatry and Biobehavioral Sciences (TRB, KBW), David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (CAL); RAND Corp., Santa Monica, CA (CS, KBW); the Center for Health Services and Society, University of California, Los Angeles, Los Angeles (LT, JM, KBW); the Departments of Biostatistics (TRB) and Health Policy and Management (KBW), Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles, Los Angeles; Healthy African American Families II, Los Angeles, CA (PW); the Department of Research, Charles R. Drew University of Medicine and Science, Los Angeles, CA (PW); and the J.D. Pacada Foundation, Los Angeles, CA (AY-B).
Oklahoma State University Center for Health Sciences · USUniversity of California, Los Angeles · USCharles R. Drew University of Medicine and Science · USHealthy African American Families II · USRAND Corporation · USVA Greater Los Angeles Healthcare System · US

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
The Role of Social Networks in Treatment Engagement for MinoritiesP30MH082760 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SPRINGGATE, BENJAMIN F · 2008 to 2012
$8.6M
RESEARCH NETWORK DEVELOPMENT CORE (PAGE 472)P30MH068639 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUAN, NAIHUA · 2003 to 2007
$8.0M
COMMUNITY PARTNERS IN CARER01MH078853 · NIMH · RAND CORPORATION · PI WELLS, KENNETH B. · 2007 to 2011
$6.0M
Pathways to Reducing Disparities in Depression OutcomesR01MD007721 · NIMHD · RAND CORPORATION · PI MIRANDA, JEANNE, WELLS, KENNETH B. · 2014 to 2017
$1.7M
DREW_UCLA Connect_Community Partnered Resources to Improve Depression OutcomesG08LM011058 · NLM · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI CHUNG, BOWEN, MELDRUM, MARCIA L · 2011 to 2013
$279k
NCATS NIH HHS UL1 TR000124NIMHD NIH HHS R01 MD007721NIMH NIH HHS P30 MH068639NIMH NIH HHS P30 MH082760NIMH NIH HHS R01 MH078853NLM NIH HHS G08 LM011058
6 · The paper itself

Abstract

backgroundDisparities in depression care exist among the poor. Community Partners in Care (CPIC) compared a community coalition model with technical assistance to improve depression services in under-resourced communities. We examine effects on health, social, and utilization outcomes among the poor and, non-poor depressed, and poor subgroups.

methodsThis study analyzed clients living above (n = 268) and below (n = 750) the federal-poverty level and, among the poor, 3 nonoverlapping subgroups: justice-involved (n = 158), homeless and not justice-involved (n = 298), and other poor (n = 294). Matched programs (n = 93) from health and community sectors were randomly assigned to community engagement and planning (CEP) or resources for services (RS). Primary outcomes were poor mental health-related quality of life and 8-item Patient Health Questionnaire scores, whereas community-prioritized and utilization outcomes were secondary. Effects were scrutinized using false discovery rate-adjusted P values to account for multiple comparisons.

resultsIn the impoverished group, CEP and RS clients of participating study programs did not differ in primary outcomes, but CEP more than RS improved mental wellness among the depressed poor (unadjusted P = .004) while providing suggestive evidence for other secondary outcomes. Within the poor subgroups, evidence favoring CEP was only suggestive but was strongest among justice-involved clients.

conclusionsA coalition approach to improving outcomes for low-income clients with depression, particularly those involved in the justice system, may offer additional benefits over standard technical assistance programs.

Indexed as

Community Mental Health ServicesHealth Care CoalitionsHealthcare DisparitiesAdultCommunity-Based Participatory ResearchCriminalsDepressive DisorderFemaleHealth Planning Technical AssistanceHospitalizationHumansIll-Housed PersonsMaleMiddle AgedPatient Acceptance of Health CarePovertyDepressionHealth Care DisparitiesHomelessnessPopulationsSocial Determinants of HealthUnderserved

Identifiers

PMID27170790
PMCPMC4868397
OpenAlexW2375166098

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.