Telephone counseling for depression in an urban public health system
The Foundation's initiative, Finding Answers: Disparities Research for Change, was designed to use research and evaluation to test hypothetical solutions for reducing racial and ethnic disparities in health care settings and actual disparity reduction outcomes in ongoing programs.This study will compare Telephonic Counseling (TC), which focuses on medication adherence and behavioral activation, to enhanced usual care in improving depression remission and symptoms in low-income primary care patients beginning pharmacotherapy for depression. A six-session telephone counseling protocol has been developed to improve medication adherence and promote increased behavioral activation in ways that help patients experience sources of reward and pleasure in their lives. Primary care physicians of patients in both groups will receive feedback on patients' mental health diagnosis(es), severity levels, and guideline-based management recommendations after the initial, 6, 12 and 24 week calls. Primary outcomes include depression symptom improvement and remission. Secondary outcomes include changes in medication adherence, behavioral activation, cost savings (urgent care and ED use and hospitalizations), and an assessment of depression severity and psychiatric comorbidity. A deliverable will be a public use data set for inclusion in the Foundation's Health and Medical Care Archive.
Amount Awarded $257,582.00
Awarded on: 10/5/2009
Time frame: 9/15/2009 - 9/14/2012
Grant Number: 66707