Evidence map›Paper›PMID 30152275›Full record

Trial reportPsychiatric services (Washington, D.C.)2018

Racial-Ethnic Disparities in First-Episode Psychosis Treatment Outcomes From the RAISE-ETP Study.

Oladunni Oluwoye, Bryan Stiles, Maria Monroe-DeVita, Lydia Chwastiak, Jon M McClellan, Dennis Dyck, Leopoldo J Cabassa, Michael G McDonell

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychiatric services (Washington, D.C.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 8% 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

57 citing papers in PubMed, 3 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Collaborative care approaches for people with severe mental illness.The Cochrane database of systematic reviews · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Oladunni OluwoyeDr. Oluwoye, Dr. McDonell, and Dr. Dyck are with Washington State University, Spokane. Dr. Oluwoye and Dr. McDonell are with the Initiative for Research and Education to Advance Community Health and the Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine, and Dr. Dyck is with the Department of Psychology. Mr. Stiles, Dr. Monroe-DeVita, Dr. Chwastiak, and Dr. McClellan are with the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle. Dr. Cabassa is with the George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis.
Bryan StilesDr. Oluwoye, Dr. McDonell, and Dr. Dyck are with Washington State University, Spokane. Dr. Oluwoye and Dr. McDonell are with the Initiative for Research and Education to Advance Community Health and the Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine, and Dr. Dyck is with the Department of Psychology. Mr. Stiles, Dr. Monroe-DeVita, Dr. Chwastiak, and Dr. McClellan are with the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle. Dr. Cabassa is with the George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis.
Maria Monroe-DeVitaDr. Oluwoye, Dr. McDonell, and Dr. Dyck are with Washington State University, Spokane. Dr. Oluwoye and Dr. McDonell are with the Initiative for Research and Education to Advance Community Health and the Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine, and Dr. Dyck is with the Department of Psychology. Mr. Stiles, Dr. Monroe-DeVita, Dr. Chwastiak, and Dr. McClellan are with the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle. Dr. Cabassa is with the George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis.
Lydia ChwastiakDr. Oluwoye, Dr. McDonell, and Dr. Dyck are with Washington State University, Spokane. Dr. Oluwoye and Dr. McDonell are with the Initiative for Research and Education to Advance Community Health and the Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine, and Dr. Dyck is with the Department of Psychology. Mr. Stiles, Dr. Monroe-DeVita, Dr. Chwastiak, and Dr. McClellan are with the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle. Dr. Cabassa is with the George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis.
Jon M McClellanDr. Oluwoye, Dr. McDonell, and Dr. Dyck are with Washington State University, Spokane. Dr. Oluwoye and Dr. McDonell are with the Initiative for Research and Education to Advance Community Health and the Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine, and Dr. Dyck is with the Department of Psychology. Mr. Stiles, Dr. Monroe-DeVita, Dr. Chwastiak, and Dr. McClellan are with the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle. Dr. Cabassa is with the George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis.
Dennis DyckDr. Oluwoye, Dr. McDonell, and Dr. Dyck are with Washington State University, Spokane. Dr. Oluwoye and Dr. McDonell are with the Initiative for Research and Education to Advance Community Health and the Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine, and Dr. Dyck is with the Department of Psychology. Mr. Stiles, Dr. Monroe-DeVita, Dr. Chwastiak, and Dr. McClellan are with the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle. Dr. Cabassa is with the George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis.
Leopoldo J CabassaDr. Oluwoye, Dr. McDonell, and Dr. Dyck are with Washington State University, Spokane. Dr. Oluwoye and Dr. McDonell are with the Initiative for Research and Education to Advance Community Health and the Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine, and Dr. Dyck is with the Department of Psychology. Mr. Stiles, Dr. Monroe-DeVita, Dr. Chwastiak, and Dr. McClellan are with the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle. Dr. Cabassa is with the George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis.
Michael G McDonellDr. Oluwoye, Dr. McDonell, and Dr. Dyck are with Washington State University, Spokane. Dr. Oluwoye and Dr. McDonell are with the Initiative for Research and Education to Advance Community Health and the Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine, and Dr. Dyck is with the Department of Psychology. Mr. Stiles, Dr. Monroe-DeVita, Dr. Chwastiak, and Dr. McClellan are with the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle. Dr. Cabassa is with the George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis.
Defence Research and Development Organisation · IN

Funding

Novel EtG BasedContingency Management for Alcohol in the Severely Mentally IllR01AA020248 · NIAAA · WASHINGTON STATE UNIVERSITY · PI MCDONELL, MICHAEL G · 2012 to 2021
$4.6M
Peer-Led Healthy Lifestyle Program in Supportive HousingR01MH104574 · NIMH · WASHINGTON UNIVERSITY · PI CABASSA, LEOPOLDO J · 2014 to 2018
$3.2M
NIAAA NIH HHS R01 AA020248NIMH NIH HHS R01 MH104574
6 · The paper itself

Abstract

objectiveThis study examined racial and ethnic differences in treatment outcomes among participants in a randomized controlled trial of an intervention for first-episode psychosis called NAVIGATE.

methodsSecondary data analyses were conducted for participants randomly assigned to usual community care (N=181) and NAVIGATE (N=223). Generalized estimating equations assessed whether race and ethnicity were associated with psychiatric symptoms and service use (medication management, family psychoeducation, and individual therapy) over a 24-month treatment period, accounting for baseline symptoms, duration of untreated psychosis, and insurance status.

resultsAmong persons in usual community care, non-Hispanic blacks scored significantly higher throughout treatment on measures of positive symptoms (β=2.15, p=.010), disorganized thoughts (β=1.15, p=.033), and uncontrolled hostility (β=.74, p=.027), compared with non-Hispanic whites, and non-Hispanic blacks were less likely than non-Hispanic whites to receive individual therapy (OR=.45, p=.001). Families of Hispanic participants in usual community care were less likely than non-Hispanic white families to receive family psychoeducation (OR=.20, p=.01). For NAVIGATE participants, race and ethnicity were not associated with differences in psychiatric symptoms over time; families of non-Hispanic black participants were less likely than those of non-Hispanic white participants to receive family psychoeducation (OR=.53, p=.009). Hispanic participants in NAVIGATE were more likely than non-Hispanic white participants to receive medication management (OR=2.93, p=.001).

conclusionsIn usual community care, non-Hispanic blacks scored higher on measures of psychiatric symptoms and were less likely to receive important services, compared with non-Hispanic whites. In NAVIGATE, racial and ethnic differences in psychiatric symptoms were not evident, although non-Hispanic blacks were less likely than non-Hispanic whites to receive family psychoeducation.

Indexed as

Healthcare DisparitiesHealth Status DisparitiesAdultBlack or African AmericanCommunity Mental Health ServicesConsumer Health InformationFamilyFemaleHispanic or LatinoHumansMalePsychotherapyPsychotic DisordersSchizophreniaWhite PeopleYoung AdultAfrican AmericansCoordinated specialty careFamily psychoeducationFirst-episode psychosisMental healthRacial disparities

Identifiers

PMID30152275
PMCPMC6395511
OpenAlexW2888902761

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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.