Evidence map›Paper›PMID 31638915›Full record

ArticleBMC family practice2019

Culturally adapted depression education and engagement in treatment among Hispanics in primary care: outcomes from a pilot feasibility study.

Katherine Sanchez, Michael O Killian, Brittany H Eghaneyan, Leopoldo J Cabassa, Madhukar H Trivedi

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC family practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02491034 (DESEO), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
4.9field-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.

NCT02491034 nacompletednot on this map

DESEO: DEpression Screening and Education: Options to Reduce Barriers to Treatment

TypeinterventionalSponsorThe University of Texas at ArlingtonRan2015 to 2017Enrolled350ConditionsDepressionArmsDepression Education Intervention
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Supported Decision-Making Interventions in Mental Healthcare: A Systematic Review of Evidence on the Outcomes for People With Mental Ill Health.Health expectations : an international journal of public participation in health care and health policy · 2024
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  6. Facilitators and barriers to Latino/a adolescents' help-seeking behaviors: Discussing mental health needs with parents and engaging in mental health services.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2026
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  8. Anxiety and depression in emerging adults: The STAND program as a model of scalable screening and intervention.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 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

5 authors at 4 institutions in 1 country.

Katherine SanchezSchool of Social Work, University of Texas at Arlington, 211 South Cooper Street, Arlington, TX, 76019, USA. KSanchez@uta.edu.ORCID 0000-0002-2249-3024
Michael O KillianCollege of Social Work, Florida State University, Tallahassee, FL, USA.
Brittany H EghaneyanSchool of Social Work, University of Texas at Arlington, 211 South Cooper Street, Arlington, TX, 76019, USA.
Leopoldo J CabassaGeorge Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, MO, USA.
Madhukar H TrivediDepartment of Psychiatry, UT Southwestern Medical Center, Dallas, TX, USA.
The University of Texas at Arlington · USFlorida State University · USSouthwestern Medical Center · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow use of anti-depressant medication, poor doctor-patient communication, and persistent stigma are key barriers to the treatment of depression in Hispanics. Common concerns include fears about the addictive and harmful properties of antidepressants, worries about taking too many pills, and the stigma attached to taking medications and seeking mental health treatments. In 2014, the Center for Medicare and Medicaid Services (CMS) funded the Depression Screening and Education: Options to Reduce Barriers to Treatment (DESEO) project to implement an education intervention designed to increase disease literacy and dispel myths about depression and its treatment among Hispanic patients thus reducing stigma and increasing treatment engagement.

methodsThe DESEO study utilized a one-group pretest-posttest design to assess the effects a culturally-adapted Depression Education Intervention's (DEI) on depression knowledge, stigma, and engagement in treatment in a sample of 350 Hispanic primary care patients with depression. The DEI utilized a fotonovela, a health education tool available in English and Spanish that uses posed photographs, captions, and soap opera narratives to raise awareness about depression and depression treatments.

resultsParticipants reported significant decreases in depression symptoms and reported stigma about mental health care. Additionally, participants reported increased knowledge of depression yet greater negative perceptions about antidepressant medication. Finally, 89.5% of participants reported entering some form of treatment at follow-up.

conclusionsCulturally adapted depression education shows promise in increasing understanding of depression, decreasing stigma, and increasing treatment engagement among Hispanic patients in a community-based health center. Results have implications for practice in addressing common concerns about depression treatments which include fears about the addictive and harmful properties of antidepressants, worries about taking too many pills, and the stigma attached to taking psychotropic medications.

trial registrationThe study was retrospectively registered with www.clinicaltrials.gov : NCT02491034 July 2, 2015.

Indexed as

Cultural CompetencyAdultAntidepressive AgentsDepressionEducational StatusFeasibility StudiesFemaleHispanic or LatinoHumansMalePatient Education as TopicPatient ParticipationPilot ProjectsPrimary Health CareTexasAntidepressive AgentsDepressionEducation, HispanicsFotonovelaPrimary careStigma

Identifiers

PMID31638915
PMCPMC6802339
OpenAlexW2980894642

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.