Culturally-focused Consultation for Asian Americans and Latino Americans (CFP)

This study has been completed.
Sponsor:
Collaborator:
Robert Wood Johnson Foundation
Information provided by (Responsible Party):
Nhi-Ha T. Trinh, Massachusetts General Hospital
ClinicalTrials.gov Identifier:
NCT01239407
First received: November 10, 2010
Last updated: April 18, 2012
Last verified: April 2012

November 10, 2010
April 18, 2012
December 2009
August 2011   (final data collection date for primary outcome measure)
To determine if a culturally focused psychiatric (CFP) consultation service can improve depressive symptoms and increase diagnosis and treatment of depression in Asian American and Latino American primary care patients at MGH. [ Time Frame: 6 months after baseline assessment ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT01239407 on ClinicalTrials.gov Archive Site
To determine the feasibility and cost associated with implementing a CFP consultation service within a primary care setting at MGH. [ Time Frame: Two years after study enrollment began ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Culturally-focused Consultation for Asian Americans and Latino Americans
Culturally Focused Psychiatric Consultation Service for Asian American and Latino American Primary Care Patients With Depression

The purpose of this study is to determine if a culturally focused psychiatric (CFP) consultation service can improve depressive symptoms and increase diagnosis and treatment of depression in Asian American and Latino American primary care patients at the Massachusetts General Hospital.

This study's aim is to determine if a culturally focused mental health consultation will help Latino and Asian Americans who are experiencing sadness, stress, or other symptoms of depression. Eligible adults must already have a primary care physician at Massachusetts General Hospital.

In this study, patients will be randomly assigned, like the flip of a coin, to receive the culturally focused intervention or treatment as usual. Those who receive the intervention will have three sessions with study personnel, during which they will generally discuss and learn techniques for dealing with their mental health. Those who receive treatment as usual, meaning the regular care they receive through their primary care practice, will have two sessions with study personnel during which they will generally discuss their mental health. All study visits and patient materials are provided in patients' language of choice - English, Spanish, Mandarin, Cantonese, or Vietnamese. All patients will be compensated for completing study visits.

About half of the study patients in both arms will also be invited to participate in optional qualitative interviews, in which they will be asked questions about their expectations for the research study and their ideas for improving culturally sensitive mental health services. In addition, a small sample of Asian American patients who did not participate in the study but who have PCPs at the sites where the study was conducted will be contacted for a qualitative interview. This interview will address reasons why Asian American recruitment for the study was so challenging.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Depression
Behavioral: Culturally focused psychiatric consultation

The consultation is comprised of 3 visits:

1a. Psychiatric diagnostic interview, self-rated questionnaires (in-person consultation).

1b. Intervention focused on learning about depression and how to treat it using culturally relevant resources.

2. Follow-up visit two weeks later to go over patients' questions, homework if applicable, and patients' ability to meet the goals outlined in the first visit (in-person or phone visit).

3. 6-month follow up: 6 months after the initial consultation, patients are asked about mental health symptoms and mental health treatment they might be receiving (phone visit unless patient requests in-person).

  • No Intervention: Treatment as usual

    The treatment as usual arm consists of two phone or in-person interviews:

    1. Patients are asked questions about their mental health, their views of mental health, and how they cope with their mental health (including any treatment they might be receiving).
    2. Patients are asked the same questions 6 months after the initial interview.
  • Experimental: Culturally focused psychiatric consultation

    The consultation is comprised of 3 visits:

    1a. Psychiatric diagnostic interview, self-rated questionnaires (in-person consultation).

    1b. Intervention focused on learning about depression and how to treat it using culturally relevant resources.

    2. Follow-up visit two weeks later to go over patients' questions, homework if applicable, and patients' ability to meet the goals outlined in the first visit (in-person or phone visit).

    3. 6-month follow up: 6 months after the initial consultation, patients are asked about mental health symptoms and mental health treatment they might be receiving (phone visit unless patient requests in-person).

    Intervention: Behavioral: Culturally focused psychiatric consultation

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
122
August 2011
August 2011   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Capable of giving informed consent
  • Adults 18 years of age or older
  • Members of either Asian American or Latino American minority groups
  • Currently experiencing depressive symptoms

Exclusion Criteria:

  • Active unstable, untreated psychiatric illness precluding participation in study
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01239407
2009-P-000954
No
Nhi-Ha T. Trinh, Massachusetts General Hospital
Massachusetts General Hospital
Robert Wood Johnson Foundation
Principal Investigator: Nhi-Ha Trinh, M.D., MPH Massachusetts General Hospital
Principal Investigator: Andres Bedoya, PhD Massachusetts General Hospital
Massachusetts General Hospital
April 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP