METRIC: Measurement, Education and Tracking in Integrated Care

Not Applicable

Completed

• Conditions: Depression
• Interventions: Other: Measurement-Based Integrated Care; Behavioral: Standard Education; Behavioral: Depression Education Fotonovela

• Registration Number: NCT02702596
• Lead Sponsor: The University of Texas at Arlington

Brief Summary

The proposed study seeks to establish the feasibility of universal screening for depression in an adult primary care safety net setting, measure the effectiveness of a culturally appropriate depression education intervention to reduce stigma and increase uptake in depression treatment among Hispanics, and implement a Measurement-Based Integrated Care (MBIC) model with collaborative, multi-disciplinary treatment and culturally tailored care management strategies.

Detailed Description

Specific Aim 1: Examine the specific effects of a Depression Education Fotonovela (DEF) to increase knowledge of depression, reduce stigma and increase engagement in depression treatment among Hispanic patients.

Specific Aim 2: Evaluate the impact of Measurement-Based Integrated Care (MBIC) for the treatment of depression in one community-based Federally Qualified Health Centers (FQHC) in North Texas whose patient population is majority Hispanic.

Specific Aim 3: Examine the feasibility of universal screening and accurate detection of depression among adult primary care patients utilizing innovative iPad Depression Screening technology.

Study Timeline

• Study Start: 2016-02
• Study First Submitted: 2016-03-03
• Study First Submitted QC: 2016-03-03
• Study First Posted: 2016-03-08
• Primary Completion: 2019-01-15
• Study Completion: 2019-01-15
• Status Verified: 2023-05
• Last Update Submitted: 2023-05-17
• Last Update Posted: 2023-05-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 150

Inclusion Criteria

• Adult primary care patients
• Hispanic
• Meets diagnostic criteria for depression

Exclusion Criteria

• currently in treatment for depression

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
MBIC + SE	Standard Education	Measurement-Based Integrated Care + Standard Education
MBIC + DEF	Depression Education Fotonovela	Measurement-Based Integrated Care with Depression Education Fotonovela
MBIC + SE	Measurement-Based Integrated Care	Measurement-Based Integrated Care + Standard Education
MBIC + DEF	Measurement-Based Integrated Care	Measurement-Based Integrated Care with Depression Education Fotonovela

Primary Outcome Measures

Name	Time	Method
Number of participants who engage in depression treatment	baseline to one month post education session
Change in PHQ-9 (depressive symptoms) scores	baseline compared to one year post enrollment

Secondary Outcome Measures

Name	Time	Method
Number of primary care patients screened for depression using the iPad technology	two year participant enrollment period