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Completed

NCT Number: NCT02702596

METRIC: Measurement, Education and Tracking in Integrated Care

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.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Exclusion criteria

  • currently in treatment for depression

Treatment and study plan

Measurement-Based Integrated Care

Other

Measurement-Based Integrated Care (MBIC) synthesizes the science of integrated health care and incorporates the strategies of measurement-based care. concept of MBIC for the treatment of depression includes: systematic assessment of symptoms, antidepressant treatment side effects and medication adherence and incorporation of a Depression Care Manager (DCM) to track patients and keep them engaged in care using behavioral interventions

Depression Education Fotonovela

Behavioral

Depression education that uses a unique, culturally adapted depression fotonovela titled "Secret Feelings" developed by Cabassa, Molina and Baron (2012). The fotonovela is a popular comic-book style pamphlet that portrays a dramatic story using photographs and dialogue bubbles, which has become an effective tool for engaging Hispanic audiences and increasing knowledge about specific health issues

standard education

Behavioral

The the use of a pamphlet to educate people about depression.

Primary outcomes

  1. Number of participants who engage in depression treatment

    Time frame: baseline to one month post education session

  2. Change in PHQ-9 (depressive symptoms) scores

    Time frame: baseline compared to one year post enrollment

Secondary outcomes

  1. Number of primary care patients screened for depression using the iPad technology

    Time frame: two year participant enrollment period

Sponsors and collaborators

Lead sponsor

The University of Texas at Arlington

Other

Collaborators

  • Columbia University
  • National Institute on Minority Health and Health Disparities (NIMHD)
  • University of Texas Southwestern Medical Center

Registry information

Official study title

METRIC: Measurement, Education and Tracking in Integrated Care: Strategies to Increase Patient Engagement and Reduce Mental Health Disparities Among Hispanics

Important dates

Study start
2016
Primary completion
2019
Study completion
2019
First posted
Mar 8, 2016
Registry last updated
May 19, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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