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. Author manuscript; available in PMC: 2018 Dec 1.
Published in final edited form as: Psychiatr Serv. 2017 Jul 17;68(12):1262–1270. doi: 10.1176/appi.ps.201600488

TABLE 2.

Outcomes and Services Utilizations at 3-years by Intervention Condition

Unadjusted Estimatesa Adjusted Analysisb
RS CEP RS CEP CEP vs. RS

No. % No. % Est. 95% CI Est. 95% CI OR 95% CI p pFDRc
Primary outcomes
 MCS12≤40 119 41.3 131 43.7 39.4 32.0–47.4 45.0 36.2–54.2 1.3 .7–2.3 .381 .762
 PHQ8≥10 195 66.6 201 66.3 65.8 58.6–72.3 66.0 60.1–71.5 1.0 .6–1.7 .965 .965
Secondary outcomes

Community-prioritized (secondary) Difference

 PCS-12 (M ±SD) 38.5±7 39.6±7 38.7 37.9–39.5 39.9 39.2–40.6 1.2 .2–2.2 .022 .022

IRR

 # behavioral health hospital nights 1.1 11.4 .2 1.1 1.2 .3–4.6 .2 .1–.4 .2 .1–.8 .020 .022
Other secondary (Services use past 6-months)
Healthcare sector
 # ER or urgent care visits 1.7 7.7 1.4 7.7 1.5 1.0–2.2 1.9 .7–4.9 1.2 .4–3.7 .675 .987
 # visits to a PCP 4.3 9.4 3.9 6.4 3.9 2.7–5.4 4.1 3.5–4.9 1.1 .8–1.5 .661 .987
 # outpatient primary care services for depression 1.2 5.3 1 1.8 1.1 .6–2.1 1.1 .8–1.5 1.0 .5–2.1 .987 .987
 # mental health outpatient visits 5.4 13.3 5 13.8 5.5 3.7–8.0 5.6 3.2–9.8 1.0 .7–1.6 .931 .987
 # visits to outpatient SA agency or self-help group 8.6 29.8 10.2 32.4 11.1 4.7–24.5 12.3 5.6–25.8 1.1 .3–4.0 .826 .987
Social-community sector
 # social services for depression .6 3.2 .6 1.5 .6 .3–1.2 .6 .4–.9 1.1 .4–2.7 .838 .838
 # called hotline for ADM problem .2 2.8 .2 1.1 .2 .1–.6 .3 .1–1.1 1.4 .2–8.6 .732 .838
 # days self-help visit for mental health 6.6 18.5 5.8 15.4 6.3 4.1–9.6 5.6 3.4–9.1 .9 .4–1.8 .708 .838

N % N % OR

 Any faith-based services for depression 29 9.9 43 14.1 9.4 6.5–13.2 15.2 10.3–21.7 1.8 1.2–2.6 .006 .023
Medication
 Use of any antidepressant 91 31.1 88 28.7 28.7 22.5–35.9 26.9 19.8–35.4 .9 .5–1.5 .688 .688
 Use of any mood stabilizer 8 2.7 20 6.5 2.5 1.1–5.6 6.4 3.1–12.3 2.9 1.0–8.3 .049 .147
 Use of any antipsychotic 65 22.2 74 24.1 21.7 16.1–28.7 23.4 17.1–30.9 1.1 .7–1.7 .638 .688
Summary utilization
 Any visit in healthcare sector 255 87 258 84.9 84.2 78.0–88.9 84.3 75.8–90.4 1.0 .5–2.0 .959 .959
 Any community sector visit for depression 82 28.3 105 34.8 28.3 23.9–33.2 35.6 30.1–41.5 1.4 1.0–2.0 .042 .127
 Any depression treatmentd 134 45.7 137 44.9 43.2 36.1–50.5 43.5 33.9–53.6 1.0 .6–1.7 .947 .959

See Table 1 for variables definitions; RS=Resources for Services or individual program technical assistance; CEP=Community Engagement and Planning; #=numbers; SE=standard error

a

Raw data without weighting or imputation (N=600)

b

Adjusted analyses used multiply imputed data at 3-years (N=980), weighted for eligible sample for enrollment; linear regression model for PCS-12 (presented as between-group difference), logistic regression models for binary variables (presented as odds ratio, OR) or Poisson regression models for count variables, adjusted for baseline status of the dependent variable, age, sex, ≥3 chronic conditions, education, race/ethnicity, family income < poverty level, 12-month alcohol abuse or use of illicit drugs, 12-month depressive disorder, and community and accounted for the design effect of the cluster randomization

c

pFDR, adjusted p value from the False Discovery Rate procedure calculated separately for primary outcomes, secondary outcomes, services use from health care sector, social-community sector, medication, and summary utilization

d

Antidepressant ≥2 mo. or ≥4 mental health or PCP depression visits