| Trial name or title |
A cluster randomised trial of standard quality improvement versus patient‐centred interventions to enhance depression care for African Americans in the primary care setting: Study protocol NCT00243425
|
| Methods |
Cluster randomised trial |
| Participants |
Patients had to be between the ages of 18 and 75 years and report their race or ethnicity as African American; they had to be positive on a screener for major depressive and dysthymic disorder from the CIDI. In addition, screen‐positive patients had to meet criteria for one‐year major depression on a subsequent structured interview, defined as: meeting DSM‐IV criteria for MDD in the past year and having symptoms present for at least one week in the past month, to be considered eligible for the study |
| Interventions |
Standard versus patient‐centred quality improvement interventions. Both involved extensive one‐on‐one follow‐up with a Depression Case Manager (DCM) to assess patients’ depression status and to encourage adherence to recommended treatments and exposure to educational materials. The patient‐centred intervention supplements standard interventions for depression by tailoring them to individual patients’ stated concerns and incorporating patient‐centred communication skills and cultural sensitivity training for clinicians |
| Outcomes |
Primary outcome is change in depression symptom severity (CES‐D) |
| Starting date |
March 2004, ends March 2007 |
| Contact information |
Lisa Cooper lisa.cooper@jhmi.edu |
| Notes |
CES‐D: Centre for Epidemiological Studies Depression; CIDI: Composite International Diagnostic Interview; DSM‐IV: Diagnostic and Statistical Manual fourth edition; MDD: major depressive disorder |
