Evaluating a clinic-based program to detect and treat depression among low-income African-American and Latino patients
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 project relies on a prospective longitudinal study design to evaluate the implementation, impact and sustainability of an existing depression intervention at two large public-sector clinics in Los Angeles County, California. Implemented in January 2006, this clinic-based intervention aims to improve the quality of depression care for African American and Latino patients residing in the South Central and Northwest regions of this populous county. The intervention program includes: (1) a screening protocol for depression embedded in the patient intake process at each clinic; (2) staff training, the use of reminders, treatment algorithms and an electronic depression registry to aid physicians in their management of depressed patients; (3) a post-visit brief counseling protocol for use by nurses; and (4) patient education methods to encourage patient self-management. Project staff will conduct an evaluation of this intervention using a third control clinic delivering usual care as a comparison. The project goals are to: (1) evaluate the impact of the intervention protocol on depressed patients at these clinics relative to usual care; (2) assess the implementation and sustainability of the intervention protocol; and (3) evaluate the cost effectiveness of the intervention protocol. Depression outcomes (PHQ-9, patient satisfaction with depression care, health services utilization measures) will be collected to compare the effects of the intervention with respect to control. Data collection methods, such as three-, nine- and fifteen-month follow-ups; patient surveys; provider and staff interviews; retrospective administrative data and medical records reviews; and retrospective interviews with clinic managers will be conducted to document cost projections of program implementation and maintenance.
Amount Awarded $299,742.00
Awarded on: 11/28/2006
Time frame: 12/1/2006 - 5/31/2009
Grant Number: 59748