Recruiting

Depression Care

Sponsor:

Agency for Healthcare Research and Quality (AHRQ)

Code:

NCT00243425

Conditions

Major Depressive Disorder

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Not accepted

Interventions

Standard Quality Improvement

Patient-centered Intervention

Study Details

Brief summary:

The investigators propose to answer the following research question: Does a multifaceted, culturally tailored intervention that focuses on the specific concerns and preferences of African American patients with depression and their primary care providers improve the processes and outcomes of care for African Americans to a greater degree than a standard state-of-the art depression intervention?

This study will determine whether two new educational programs can improve the care for depression in African Americans. These programs may include visits with a depression case manager and access to educational materials, such as a videotape, a calendar, pamphlets, and books. One program is a standard quality improvement program for depression that has been shown to be effective in most patients. The other program is similar, but has materials that focus more on the patient's specific culture, beliefs, values, and preferences.

Conditions

Major Depressive Disorder

Study ID

NCT00243425

Start date

Mar, 2004

Status verified date

Oct, 2005

Completion date

Mar, 2007

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Patients who have experienced two weeks or more of depressed mood/ loss of interest in the past year
  • Patients who have experienced one week or more of depressed mood or loss of interest in the past month
  • Self defined race or ethnicity African American
  • Able to give written consent

Exclusion Criteria:

  • Current alcohol or drug abuse
  • History of mania
  • Grief reaction or bereavement within the past 2 months
  • Pregnancy
  • Life expectancy less than 1 year
  • Non English speaking
  • Current specialty mental health care (at least 2 visits in past 6 weeks and appt scheduled in future
  • Plan to change health care or primary care Provider in next 12 months
  • Active suicidal thoughts and plans
  • Residing in US for less than 5 years

Study Design

Enrollment

250 participants

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Interventions

Standard Quality Improvement

Patient-centered Intervention

Primary outcome measure

  • Compare the effectiveness of a culturally tailored intervention with the effectiveness of a standard intervention by evaluating its impact on patient outcomes (remission of depression, depression symptom level, functional status) at 6 and 12 months. [ Time Frame: undefined ]

Central Contacts and Locations

Central contacts

Bri K Ghods, B.S.

410-522-6500bghods@jhmi.edu

Locations

Christiana Care Health Services

Recruiting

Wilmington, Delaware, United States, 19803

Contacts

James M Gill, MD, MPH

302-477-3324JGill@Christianacare.org

Johns Hopkins Community Phsyicians

Recruiting

Baltimore, Maryland, United States, 21211

Contacts

Gary J Noronha, M.D.

410-338-3421

Sinai Hospital

Recruiting

Baltimore, Maryland, United States, 21215

Contacts

Robert T Chow, MD

410-601-6856

Baltimore Medical Systems, Middlesex Health Center

Recruiting

Baltimore, Maryland, United States, 21221

Contacts

Melissa Treola

410-558-4700

Johns Hopkins School of Medicine

Recruiting

Baltimore, Maryland, United States, 21287

Contacts

Lisa A Cooper, MD, MPH

410-614-3659lisa.cooper@jhmi.edu

Principal Investigator:

Lisa A Cooper, MD, MPH

More Information

Sponsor

Agency for Healthcare Research and Quality (AHRQ)

Last update posted

Oct 24, 2005

Last verified

Oct, 2005

Keywords

  • Major Depressive Disorder;
  • African Americans;
  • Disparities;
  • Quality Improvement;
  • Patient Centered Care;
  • Primary Care;
  • Patient-Physician Relationship;

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Agency for Healthcare Research and Quality (AHRQ) on 2005-10-24.