Evidence map›Paper›PMID 40174944›Full record

ArticleBJGP open2025

The PAPER Study (Prescribing Antidepressants in Primary care: Ethnic inequalities in tReatment): a study protocol.

Lydia Poole, Amy Ronaldson, Hannah Frith, Paramjit Gill, Madiha Sajid, Rose Rickford, Andrea Martinez, Khaula Ali, Mel Ramasawmy

Abstract read
In one paragraph

Article in BJGP open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Understanding depression symptom heterogeneity in South Asian minority groups: systematic scoping review.The British journal of psychiatry : the journal of mental science · 2026
    Article
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

9 authors.

Lydia PooleDepartment of Psychological Interventions, University of Surrey, Guildford, UK l.poole@surrey.ac.uk.
Amy RonaldsonDepartment of Health Service & Population Research, Institute of Psychiatry, Psychology & Neuroscience (IoPPN), King's College London, London, UK.
Hannah FrithDepartment of Psychological Interventions, University of Surrey, Guildford, UK.
Paramjit GillWarwick Applied Health, Warwick Medical School, University of Warwick, Coventry, UK.
Madiha SajidPPI representative, Coventry, UK.
Rose RickfordDepartment of Psychological Interventions, University of Surrey, Guildford, UK.
Andrea MartinezDepartment of Psychological Interventions, University of Surrey, Guildford, UK.
Khaula AliCollege Road GP Practice, Woking, UK.
Mel RamasawmyWolfson Institute of Population Health, Queen Mary University of London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSouth Asian people represent the largest minority ethnic group in the UK, but prior research has suggested unequal access to primary care and differences in antidepressant prescribing practices for these patients.

aimTo understand the treatment of depression in South Asian patients, with specific reference to factors affecting appropriate prescribing. The secondary aim is to understand the intersection between ethnicity, age, and financial deprivation within this context. DESIGN &

settingA mixed-methods approach will be adopted, including primary and secondary analyses, to understand the ways in which inequalities may arise along the pathway from patient experience of symptoms to clinician decision to treat with antidepressants in UK primary care.

methodTwo scoping reviews will inform our approach. Quantitative data analysis of UK Biobank will allow us to examine prevalence and heterogeneity in depressive symptoms, and antidepressant prescribing over time, stratified by ethnicity. Qualitative data will be generated through interviews and focus group discussions with patients and healthcare professionals to understand experiences of depression and document the depression management decision-making process.

conclusionThe PAPER study will produce clinically relevant findings to support the treatment and management of depression in primary care for South Asian patients. The dissemination plan will be informed by patient and public involvement (PPI) group members and engagement with stakeholders. Our main outputs will include a toolkit of resources for use in primary care as well as community-facing materials.

Indexed as

antidepressantsdepressionethnic and racial minoritiesprimary health carequalitative researchSouth Asian peopleUK Biobank

Identifiers

PMID40174944
PMCPMC12728840

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.