Both patient-centered and standard collaborative care approaches improve depression among black patients
Disparities/Minority Health
The researchers compared the standard CC intervention for patients (disease management) and clinicians (review of guidelines and mental health consultation) to a patient-centered and culturally tailored CC intervention for patients (care management focused on care access barriers, social context, and patient-provider relationships) and clinicians (participatory communications skills training and mental health consultation). Standard CC resulted in higher rates of treatment, and patient-centered CC resulted in better ratings of care.
The study included 27 primary care clinicians and 132 of their black patients with major depressive disorder from 10 community-based primary care clinics in Maryland and Delaware. Patients completed screener and baseline, 6-, 12-, and 18-month interviews so that the investigators could assess their depression severity, mental health functioning, health service use, and ratings of care.
The study was supported by AHRQ (HS13645). See "Comparative effectiveness of standard versus patient-centered collaborative care interventions for depression among African Americans in primary care settings: The BRIDGE Study," by Lisa A. Cooper, M.D., M.P.H., Bri K. Ghods Dinoso, M.P.H., M.B.A., Daniel E. Ford, M.D., M.P.H., and others in the February 2013 HSR: Health Services Research 48(1), pp. 150-174.
— MWS
Current as of June 2013
Internet Citation: Both patient-centered and standard collaborative care approaches improve depression among black patients: Disparities/Minority Health. June 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/research-activities/13jun/0613RA8.html
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