Culturally Focused Psychiatric Consultation Service For Massachusetts General Hospital's Asian American and Latino American Primary Care Patients with Depression, 2009-2011 (ICPSR 34495)
Principal Investigator(s): Trinh, Nhi-Ha, Massachusetts General Hospital Depression Clinical and Research Program
This randomized controlled trial evaluated a culturally appropriate intervention to improve the recognition and treatment of depression among Asian and Latino American primary care patients at Massachusetts General Hospital (MGH), using a culturally focused psychiatric (CFP) consultation with a team of mental health providers who were bilingual/bicultural, trained in culturally competent techniques, and familiar with the cultures and languages of the patients served. Targeted minority patients who screened positive for clinical depression were eligible to participate in the trial. The intervention patients were offered the CFP consultation at baseline and, if eligible, received the CFP patient toolkit as part of their treatment. The toolkit provided psychoeducation and tools for managing depression as well as information on community resources. The usual care patients were offered standard referrals to MGH mental health resources.
Questionnaires were administered to the patients at screening, baseline, two-week follow-up, and six month follow-up. The screening questionnaires included the two-item Public Health Questionnaire (PHQ-2) and demographic questions. Assessment measures administered to the intervention patients at baseline included the Mini International Neuropsychiatric Interview (MINI), Quick Inventory of Depressive Symptomatology-Self Rated Scale (QIDS-SR 16), Global Assessment of Functioning (GAF), Schwartz Outcome Scale (SOS-10), and a demographic questionnaire and resource utilization questionnaire. At six month follow-up, the intervention arm was administered a resource utilization questionnaire, patient satisfaction questionnaire (Treatment Satisfaction Scale), qualitative interview, and the QIDS-SR 16 and SOS-10. The SOS-10 was also administered to the intervention patients at two-week follow-up. In the usual care arm, the QIDS-SR 16 and resource utilization questionnaire was administered at baseline and six months, the qualitative interview at six months, and the demographic questionnaire at baseline or six-months. There was no two-week assessment for the usual care patients. Electronic medical record review was used for both arms at baseline and six months, as needed. In addition, qualitative interviews were conducted with project and practice staff at the end of the study.
The data file includes the responses to the questionnaires and variables describing the CFP consultation assessment (DSM-IV Axis I, II, III, IV, and V diagnoses), treatment recommendations made to the patients' primary care physicians (PCPs) after the CFP consultation, and study staff contacts with the patients' PCPs and mental health providers. ICPSR did not receive the data from the qualitative interviews or electronic medical record reviews.
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Trinh, Nhi-Ha. Culturally Focused Psychiatric Consultation Service For Massachusetts General Hospital's Asian American and Latino American Primary Care Patients with Depression, 2009-2011. ICPSR34495-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2013-07-05. http://doi.org/10.3886/ICPSR34495.v1
Persistent URL: http://doi.org/10.3886/ICPSR34495.v1
This study was funded by:
- Robert Wood Johnson Foundation (66709)
Scope of Study
Universe: Primary care patients at participating MGH clinics.
Data Types: clinical data
Study Design: The study subjects were primary care patients at four MGH clinics. The patients in these clinics were screened for the trial as part of their regular primary care visits and were randomized by sub-practices or "pods" which comprised clusters of 5-6 primary care physicians within each of the clinics. Patients who were found to be eligible by the clinic screens were screened again in a telephone interview. To be eligible a patient had to be Asian or Latino 18 years of age or older, meet criteria for clinical depression, and be able to consent to study participation. Patients were excluded if they had active unstable, untreated psychiatric illness precluding participation in the study (e.g., actively suicidal or homicidal or active psychotic or bipolar disorders). Altogether, 5,161 patients were screened, of which 579 agreed to be contacted and were eligible for the study, 122 completed the baseline visit, and 103 completed the study (47 in the usual care arm and 56 in the intervention arm). The number of study completions was much less than anticipated in the project plan.
Mode of Data Collection: face-to-face interview, self-enumerated questionnaire, telephone interview
Presence of Common Scales:
- Public Health Questionnaire-2 (PHQ-2)
- Mini-International Neuropsychiatric Interview (MINI)
- Quick Inventory of Depressive Symptomatology-Self Rated Scale (QIDS-SR 16)
- Global Assessment of Functioning (GAF)
- Schwartz Outcome Scale-10 (SOS-10)
- Treatment Satisfaction Scale
Extent of Processing: ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection:
- Checked for undocumented or out-of-range codes.
Original ICPSR Release: 2013-07-03
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