Outreach to Reduce Depression Disparities
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 309
- 试验地点
- 4
- 主要终点
- Initiation of formal depression treatment
研究概览
简要总结
Previous research by Mental Health Research Network (MHRN) investigators and others demonstrates that online messaging and other telehealth technologies can effectively and efficiently address premature discontinuation of depression treatment. These interventions, however, have focused on adherence after treatment initiation and have been tested primarily in non-Hispanic white populations. Less is known about the acceptability and effectiveness of different communication modalities (online messaging, mailed letters, telephone) among racial and ethnic minority populations. Implementation of electronic-Health (eHealth) technologies must take care not to exacerbate health disparities.
This clinical trial involves a pilot trial to evaluate a population-based outreach program to improve rates of depression treatment initiation among traditionally underserved racial and ethnic groups. This pilot work intends to inform a subsequent full-scale pragmatic trial to examine impact on health disparities.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •New diagnosis of major depressive disorder or dysthymic disorder at a primary care visit ("new" defined as no depression diagnosis, psychotherapy visit or filled antidepressant prescription in the prior year)
- •Continuously enrolled in the participating health system for 365 days prior to the eligible diagnosis (to assure capture of prior diagnoses or treatments)
- •Patients Health Questionnaire-9 (PHQ-9) depression score of 10 or more within 14 days before to 7 days after the eligible diagnosis
- •No filled prescription for any antidepressant medication OR psychotherapy visit attended within 30 days of the eligible diagnosis*
- •No recorded PHQ-9 depression score less than 5 since the eligible diagnosis
- •At least 18 years of age or older
排除标准
- •Diagnosis of schizophrenia or bipolar disorder in the prior 2 years
- •Not registered to use Electronic Health Record (EHR) patient portal
- •Previously requested to not be contacted for research
研究组 & 干预措施
Usual Care
Participants assigned to usual care will not receive outreach messages (online or via telephone) by study staff.
Outreach Messaging
Participants in the outreach messaging arm will receive messages via online secure message system (embedded within the health care record) and/or telephone.
干预措施: Outreach messaging (Behavioral)
结局指标
主要结局
Initiation of formal depression treatment
时间窗: within 60 days of randomization
Defined as either at least one filled prescription for any antidepressant medication or attending at least one individual psychotherapy visit.
Number of Participants With Initiation of Formal Depression Treatment
时间窗: within 60 days of randomization
Defined as either at least one filled prescription for any antidepressant medication or attending at least one individual psychotherapy visit.
次要结局
未报告次要终点