Trial reportGeneral hospital psychiatry
A pilot randomized controlled trial of an outreach intervention to improve depression treatment initiation among racial and ethnic groups.
Trial report in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundEven after recognition of depression in primary care, rates of treatment initiation remain low, particularly among some racial and ethnic groups. This pilot randomized controlled trial examined the feasibility and preliminary efficacy of a tailored outreach intervention to improve depression treatment initiation.
methodsAcross two health systems, 309 adults from Asian, Native Hawaiian, Other Pacific Islander, Black or African American, and Hispanic backgrounds who received a new depression diagnosis in primary care but failed to initiate treatment within 30 days were randomized 1:1 to usual care or the outreach intervention. The intervention utilized patient portal messages or telephone contact based on depression severity, employing motivational interviewing techniques. The primary outcome was treatment initiation within 60-days post-randomization.
resultsNearly three quarters (72%) of intervention participants were successfully reached. The intervention group demonstrated significantly higher treatment initiation rates compared to usual care (24.2% vs. 5.9%, p < .001), representing a four-fold increase. Participants who were reached were more likely to initiate treatment than those not reached (31.9% vs. 4.5%, p < .001). Both groups showed significant reductions in PHQ-9 scores at follow-up.
conclusionsThis pilot trial demonstrates that a staged outreach intervention using patient portals and telephone contact is feasible and shows promise for improving depression treatment initiation in racial and ethnic groups historically less likely to initiate treatment.
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