Culturally Focused Psychiatric Consultation Service For Massachusetts General Hospital's Asian American and Latino American Primary Care Patients with Depression, 2009-2011 (ICPSR 34495)
Version Date: Feb 14, 2024 View help for published
Principal Investigator(s): View help for Principal Investigator(s)
Nhi-Ha Trinh, Massachusetts General Hospital Depression Clinical and Research Program
https://doi.org/10.3886/ICPSR34495.v2
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Summary View help for Summary
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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Restrictions View help for Restrictions
The data are restricted from general dissemination for reasons of confidentiality. Users interested in obtaining the data must complete an Agreement for the Use of Confidential Data, specify the reasons for the request, and obtain IRB approval or notice of exemption for their research. Apply for access to these data through the ICPSR restricted data contract portal.
Distributor(s) View help for Distributor(s)
Study Design View help for 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.
Universe View help for Universe
Primary care patients at participating MGH clinics.
Data Type(s) View help for Data Type(s)
Mode of Data Collection View help for Mode of Data Collection
Presence of Common Scales View help for 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
Original Release Date View help for Original Release Date
2013-07-03
Version History View help for Version History
2024-02-14 Online variable search capabilities have been added for this study.
2018-02-15 The citation of this study may have changed due to the new version control system that has been implemented. The previous citation was:- 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-v2. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2024-02-14. http://doi.org/10.3886/ICPSR34495.v2
2013-07-03 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.
Notes
The public-use data files in this collection are available for access by the general public. Access does not require affiliation with an ICPSR member institution.
One or more files in this data collection have special restrictions. Restricted data files are not available for direct download from the website; click on the Restricted Data button to learn more.
This study is maintained and distributed by the Health and Medical Care Archive (HMCA). HMCA is the official data archive of the Robert Wood Johnson Foundation.