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Comparative Effectiveness of Standard versus Patient-Centered Collaborative Care Interventions for Depression among African Americans in Primary Care Settings: The BRIDGE Study

Cooper, Lisa A. ; Ghods Dinoso, Bri K. ; Ford, Daniel E. ; Roter, Debra L. ; Primm, Annelle B. ; Larson, Susan M. ; Gill, James M. ; Noronha, Gary J. ; Shaya, Elias K. ; Wang, Nae-Yuh

Health Services Research, Feb 2013, Vol.48(1), pp.150-174 [Tạp chí có phản biện]

ISSN: 00179124 ; E-ISSN: 14756773 ; DOI: 10.1111/j.1475-6773.2012.01435.x

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  • Nhan đề:
    Comparative Effectiveness of Standard versus Patient-Centered Collaborative Care Interventions for Depression among African Americans in Primary Care Settings: The BRIDGE Study
  • Tác giả: Cooper, Lisa A. ; Ghods Dinoso, Bri K. ; Ford, Daniel E. ; Roter, Debra L. ; Primm, Annelle B. ; Larson, Susan M. ; Gill, James M. ; Noronha, Gary J. ; Shaya, Elias K. ; Wang, Nae-Yuh
  • Chủ đề: United States–Us ; Studies ; African Americans ; Primary Care ; Health Care Delivery ; Quality of Care ; Mental Depression ; Comparative Analysis ; Mental Health Care ; Experimental/Theoretical ; United States ; Health Care Industry ; Quality Control
  • Là 1 phần của: Health Services Research, Feb 2013, Vol.48(1), pp.150-174
  • Mô tả: The objective of this paper is to compare the effectiveness of standard and patient-centered, culturally tailored collaborative care (CC) interventions for African American patients with major depressive disorder (MDD) over 12 months of follow-up. Twenty-seven primary care clinicians and 132 African American patients with MDD in urban community-based practices in Maryland and Delaware. Patients completed screener and baseline, 6-, 12-, and 18-month interviews to assess depression severity, mental health functioning, health service utilization, and patient ratings of care. Patients in both interventions showed statistically significant improvements over 12 months. Compared with standard, patient-centered CC patients had similar reductions in depression symptom levels (-2.41 points; 95% confidence interval (CI), -7.7, 2.9), improvement in mental health functioning scores (+3.0 points; 95% CI, -2.2, 8.3), and odds of rating their clinician as participatory (OR, 1.48, 95 percent CI, 0.53, 4.17). Treatment rates increased among standard (OR = 1.8, 95 percent CI 1.0, 3.2), but not patient-centered (OR = 1.0, 95 percent CI 0.6, 1.8) CC patients. However, patient-centered CC patients rated their care manager as more helpful at identifying their concerns (OR, 3.00; 95 percent CI, 1.23, 7.30) and helping them adhere to treatment (OR, 2.60; 95 percent CI, 1.11, 6.08). Patient-centered and standard CC approaches to depression care showed similar improvements in clinical outcomes for African Americans with depression; standard CC resulted in higher rates of treatment, and patient-centered CC resulted in better ratings of care.
  • Ngôn ngữ: English
  • Số nhận dạng: ISSN: 00179124 ; E-ISSN: 14756773 ; DOI: 10.1111/j.1475-6773.2012.01435.x

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