Evidence map›Paper›PMID 27631958›Full record

Trial reportJournal of consulting and clinical psychology2016

Treatment moderators and effectiveness of Engagement and Counseling for Latinos intervention on worry reduction in a low-income primary care sample.

Carmela Alcántara, Xinliang Li, Ye Wang, Glorisa Canino, Margarita Alegría

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05587517 (A Clinical Trial of Interventions to Support Family Surrogates of Critically Ill Patients), which is not on this map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
0.6field-weighted citation impact, top 23% 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.

NCT05587517 phase2recruitingnot on this mapstarted 2022, after this paper: background citation

A Clinical Trial of Interventions to Support Family Surrogates of Critically Ill Patients

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2022 to 2027Enrolled172ConditionsGrief, Trauma, Psychotherapy, Critical CareArmsEMPOWER, Supportive Conversation
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. TelehealthPsychological medicine · 2022
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Review
  7. Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025
    Article
  8. Article
  9. Adaptation of an Evidence-Based Intervention for Disability Prevention, Implemented by Community Health Workers Serving Ethnic Minority Elders.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021
    Article
  10. Review
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

5 authors at 1 institution in 1 country.

Carmela AlcántaraSchool of Social Work.
Xinliang LiDisparities Research Unit, Department of Medicine, Massachusetts General Hospital.
Ye WangDisparities Research Unit, Department of Medicine, Massachusetts General Hospital.
Glorisa CaninoBehavioral Sciences Research Institute, University of Puerto Rico Medical School.
Margarita AlegríaDisparities Research Unit, Department of Medicine, Massachusetts General Hospital.
University of Puerto Rico, Medical Sciences Campus · PR

Funding

UPR-CHA Research Center of Excellence: Making a Difference for Latino HealthP60MD002261 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI MCGUIRE, THOMAS G. · 2007 to 2011
$8.7M
Clinical and Translational Science AwardKL2TR000081 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$3.3M
Identifying Novel Behavioral Targets for Improving Sleep: A Self-Regulation ModelK23HL125748 · NHLBI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI ALCANTARA, CARMELA · 2015 to 2019
$924k
NCATS NIH HHS KL2 TR000081NHLBI NIH HHS K23 HL125748NIMHD NIH HHS P60 MD002261
6 · The paper itself

Abstract

objectiveWe conducted a secondary analysis of randomized controlled trial data to determine if the Engagement and Counseling for Latinos (ECLA) intervention, a brief, evidence-based, and culturally adapted cognitive-behavioral intervention specifically designed for and effective at treating depression, also reduced co-occurring worry symptoms. We also explored whether delivery modality (telephone, face-to-face) and sociodemographic patient characteristics moderated treatment effectiveness.

methodBetween May 2011 and September 2012, low-income Latino primary care patients (N = 257) with depression from Boston and San Juan were randomized to usual care (n = 86), face-to-face ECLA (n = 84), or telephone ECLA (n = 87) and completed a psychosocial assessment at baseline and 4 months after randomization. We used intention-to-treat analyses with linear regression models with change in worry (4 months from randomization) as the primary outcome and treatment condition as the primary predictor.

resultsPatients in ECLA experienced significant reductions in worry at 4 months from randomization than those in usual care (PSWQΔ = -3.28, p < .05). Among patients receiving ECLA, those in the telephone condition exhibited greater worry reductions than those in the face-to-face condition (telephone: M = -7.83, SD = 11.45; face-to-face: M = -6.73, SD = 12.23; p < .05). Employment status was the only significant treatment moderator. Unemployed patients did not exhibit any changes in worry irrespective of condition, whereas employed patients exhibited the greatest worry reductions across conditions.

conclusionsAlthough worry was not a treatment target in ECLA, it also reduced worry among low-income Latinos, which suggests ECLA may have transdiagnostic clinical implications. Telephone-delivered ECLA might hold promise for increasing the uptake of mental health care among employed low-income Latinos. (PsycINFO Database Record

Indexed as

AdolescentAdultAnxietyCognitive Behavioral TherapyCounselingDepressionFemaleHispanic or LatinoHumansMaleMiddle AgedPovertyPrimary Health CareTreatment OutcomeYoung Adult

Identifiers

PMID27631958
PMCPMC5343668
OpenAlexW2518846629

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.