Participation in and Impact of a Depression Care Management Program Targeting Low-Income Minority Patients in an Urban Community-Based Clinic

Ryan, John G.; Buford, Ushimbra; Arias, Erika; Alfonsin-Vittoria, Isabel; Fedders, Mark; Jennings, Terri; Grubb, W. Norton

doi:10.1016/j.clinthera.2014.03.007

Cited by 5 publications

(5 citation statements)

References 47 publications

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“…Doornbos, Zandee, DeGroot, and De Maagd-Rodriguez (2013) noted that a lack of awareness of resources as well as the availability of mental health services for low-income individuals served as barriers to timely access. Ryan et al (2014) evaluated the effectiveness of a care management program for low-income minority patients on disparities in identifying and treating depression in low-income, non-insured minorities including predominately African American, Caribbean, or Latino. The program, including standardized screening tools, a care management program, and consultation services with a psychiatrist was found to be effective in reducing the severity of depression and facilitating self-management of comorbid chronic medical conditions.…”

Section: Discussionmentioning

confidence: 99%

“…Support groups were identified as effective interventions for women experiencing depression (Ryan et al, 2014; Waite & Killian, 2009). According to Waite and Killian’s (2009), exploratory qualitative study with low-income African American adult women diagnosed with major depressive disorder, support groups offered the opportunity to receive empathy and active listening.…”

Section: Discussionmentioning

confidence: 99%

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A Qualitative Inquiry Addressing the Experience of Depression in Impoverished Ethnically Diverse Women: Implications for Developing a Community-Based Model

Banzhaf

Kunes-Connell

2017

J Am Psychiatr Nurses Assoc

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Qualitative Inquiry Addressing the Experience of Depression in Impoverished Ethnically Diverse Women: Implications for Developing a Community-Based Model

Banzhaf

Kunes-Connell

2017

J Am Psychiatr Nurses Assoc

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“…For this reason, many chronic disease prevention and management (CDPM) programs have been designed with the aim of improving outcomes in these patients. CDPM programs targeting diabetes, [3][4][5][6][7] asthma, 8,9 heart diseases, [10][11][12] depression, [13][14][15] chronic obstructive lung disease (COPD), 16,17 obesity, 18,19 kidney disease, 20 dyslipidemia, 21 hypertension 22 and chronic pain 23 have been shown to be effective in improving outcomes such as hospital admissions, costs, adherence to medication, disease control, use of health services, quality of life and mortality. However, these studies were conducted in different settings and were based on single diseases.…”

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confidence: 99%

Integration of chronic disease prevention and management services into primary care: a pragmatic randomized controlled trial (PR1MaC)

et al. 2016

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C hronic conditions are the most common problems in health care and the leading causes of death globally. 1 Acute communicable diseases have given way to chronic conditions such as arthritis, diabetes, and cardiovascular and respiratory diseases that will impose an even greater burden in the future. 2 The needs of patients with these diseases are usually complex and are challenging to manage. For this reason, many chronic disease prevention and management (CDPM) programs have been designed with the aim of improving outcomes in these patients. CDPM programs targeting diabetes, 3-7 asthma, 8,9 heart diseases, [10][11][12] costs, adherence to medication, disease control, use of health services, quality of life and mortality. However, these studies were conducted in different settings and were based on single diseases.Interventions oriented toward single diseases take little account of the multiple morbidities experienced by most patients in primary care. To date, the appropriateness of using Background: Chronic disease prevention and management programs are usually single-disease oriented. Our objective was to evaluate an intervention that targeted multiple chronic conditions and risk factors. Methods:We conducted a pragmatic randomized controlled trial involving patients aged 18-75 years with at least 1 of the targeted chronic conditions or risk factors from 8 primary care practices in the Saguenay region of Quebec, Canada, to evaluate an intervention that included self-management support and patient-centred motivational approaches. Self-management (primary outcome) was evaluated using the Health Education Impact Questionnaire (heiQ). Secondary outcomes included self-efficacy, health-related quality of life, psychological distress and health behaviours.Results: Three hundred thirty-two patients were recruited and randomly assigned (n = 166 for both intervention and control groups) and evaluated after 3 months. The intervention group showed improvement in 6 of the 8 heiQ domains: health-directed behaviour (relative risk [RR] 1.71, 95% confidence interval [CI] 1.13 to 2.59), emotional well-being (RR 1.73, 95% CI 1.07 to 2.79), self-monitoring and insight (RR 2.40, 95% CI 1.19 to 4.86), constructive attitudes and approaches (RR 2.40, 95% CI 1.37 to 4.21), skill and technique acquisition (RR 1.70, 95% CI 1.14 to 2.53), and health service navigation (RR 1.93, 95% CI 1.08 to 3.47). Improvement was also observed in the Physical Component Summary (p = 0.017) and the Single Index (p = 0.041) of the 12-Item Short Form Health Survey (version 2). The intervention group improved in fruit and vegetable consumption (odds ratio [OR] 2.36, 95% CI 1.41 to 3.95) and physical activity (OR 3.81, 95% CI 1.65 to 8.76). One-year improvement was maintained in the intervention group for several outcomes.Interpretation: It is possible to implement an intervention integrating chronic disease prevention and management services into primary care settings. We obtained positive and promising results using this intervention.

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“…The literature described access to treatment, time limitations, basic needs unmet, cultural barriers, resistance to medication, cost of service, language barrier and limited transportation. Access to treatment includes financial and insurance barriers to receive mental health services in low socioeconomic status populations (Kaltman, Pauk, & Alter, 2011;Ryan et al, 2014). Across all settings, patient attendance was limited due to employment and financial inability to take time out of the day to seek treatment (Chong & Moreno, 2012;Dwight-Johnson et al, 2011).…”

Section: Review Of Literaturementioning

confidence: 99%

CBPR Pilot Intervention: Understanding Social Health Determinants of Mental Health in Rural Latinos

Bunting

Stacciarini

2019

UFJUR

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The purpose of this study is to identify challenges and facilitators for interventions on determinants of mental health in the literature and to analyze themes and coping strategies of psychosocial health determinants described by rural Latinos in a church-based intervention. This study was a review of literature and secondary data analysis of an arm of a larger Community-Based Participatory Research (CBPR) on the mental well-being of rural Latinos in North Florida - a CBPR pilot intervention. It was developed to respond to and prevent social stressors by creating a space where rural Latinos can help one another by sharing their experiences; empowering people to address health determinants that affect their well-being. All data from the pilot intervention was thematically analyzed using NVivo11. Psychosocial determinants of mental health identified in the CBPR intervention were: social environment factors (discrimination, family conflict, social isolation, undocumented status) and health services (uninsured & poor health literacy). Positive coping strategies described by rural Latinos were: avoiding conflictive relationships, alternative medicine, exercise, family & peer support, health education, community social support, instillation of hope, learn English, spirituality and religiosity. Negative coping strategies described were: categorical thinking, isolation, substance abuse.

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Participation in and Impact of a Depression Care Management Program Targeting Low-Income Minority Patients in an Urban Community-Based Clinic

Cited by 5 publications

References 47 publications

A Qualitative Inquiry Addressing the Experience of Depression in Impoverished Ethnically Diverse Women: Implications for Developing a Community-Based Model

A Qualitative Inquiry Addressing the Experience of Depression in Impoverished Ethnically Diverse Women: Implications for Developing a Community-Based Model

Integration of chronic disease prevention and management services into primary care: a pragmatic randomized controlled trial (PR1MaC)

CBPR Pilot Intervention: Understanding Social Health Determinants of Mental Health in Rural Latinos

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