Evidence map›Paper›PMID 33963873›Full record

Trial reportTranslational behavioral medicine2021

Telephone-based depression self-management in Hispanic adults with epilepsy: a pilot randomized controlled trial.

Tanya M Spruill, Daniel Friedman, Laura Diaz, Mark J Butler, Keith S Goldfeld, Susanna O'Kula, Jacqueline Montesdeoca, Leydi Payano, Amanda J Shallcross, Kiranjot Kaur and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational behavioral medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Telehealth Use and Health Equity for Mental Health and Substance Use Disorder During the COVID-19 Pandemic: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Pooled it
  5. Review
  6. Review
  7. Article
  8. Article
  9. 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

15 authors.

Tanya M SpruillDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, USA.ORCID 0000-0003-2998-3007
Daniel FriedmanDepartment of Neurology, NYU Langone Health, New York, NY, USA.
Laura DiazDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Mark J ButlerDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Keith S GoldfeldDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Susanna O'KulaDepartment of Neurology, NYU Langone Health, New York, NY, USA.
Jacqueline MontesdeocaDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Leydi PayanoDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Amanda J ShallcrossDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Kiranjot KaurDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Michael TauDepartment of Neurology, NYU Langone Health, New York, NY, USA.
Blanca VazquezDepartment of Neurology, NYU Langone Health, New York, NY, USA.
Amy JongelingDepartment of Neurology, NYU Langone Health, New York, NY, USA.
Gbenga OgedegbeDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Orrin DevinskyDepartment of Neurology, NYU Langone Health, New York, NY, USA.

Funding

CDC HHS U48DP005008NCCDPHP CDC HHS U48 DP005008
6 · The paper itself

Abstract

Depression is associated with adverse outcomes in epilepsy but is undertreated in this population. Project UPLIFT, a telephone-based depression self-management program, was developed for adults with epilepsy and has been shown to reduce depressive symptoms in English-speaking patients. There remains an unmet need for accessible mental health programs for Hispanic adults with epilepsy. The purpose of this study was to evaluate the feasibility, acceptability, and effects on depressive symptoms of a culturally adapted version of UPLIFT for the Hispanic community. Hispanic patients with elevated depressive symptoms (n = 72) were enrolled from epilepsy clinics in New York City and randomized to UPLIFT or usual care. UPLIFT was delivered in English or Spanish to small groups in eight weekly telephone sessions. Feasibility was assessed by recruitment, retention, and adherence rates and acceptability was assessed by self-reported satisfaction with the intervention. Depressive symptoms (PHQ-9 scores) were compared between study arms over 12 months. The mean age was 43.3±11.3, 71% of participants were female and 67% were primary Spanish speakers. Recruitment (76% consent rate) and retention rates (86-93%) were high. UPLIFT participants completed a median of six out of eight sessions and satisfaction ratings were high, but rates of long-term practice were low. Rates of clinically significant depressive symptoms (PHQ-9 ≥5) were lower in UPLIFT versus usual care throughout follow-up (63% vs. 72%, 8 weeks; 40% vs. 70%, 6 months; 47% vs. 70%, 12 months). Multivariable-adjusted regressions demonstrated statistically significant differences at 6 months (OR = 0.24, 95% CI, 0.06-0.93), which were slightly reduced at 12 months (OR = 0.30, 95% CI, 0.08-1.16). Results suggest that UPLIFT is feasible and acceptable among Hispanic adults with epilepsy and demonstrate promising effects on depressive symptoms. Larger trials in geographically diverse samples are warranted.

Indexed as

Cognitive Behavioral TherapyEpilepsySelf-ManagementAdultDepressionFemaleHispanic or LatinoHumansPilot ProjectsTelephoneDepressionDisparitiesEpilepsyHispanic/LatinxMindfulnessTelehealth

Identifiers

PMID33963873
PMCPMC8320882

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.