Both patient-centered and standard collaborative care approaches improve depression among black patients
Black patients with depression showed similar improvements in depression severity and mental health functioning when they received either patient-centered, culturally tailored collaborative care (CC) or standard CC, according to a new study. The patients’ symptom scores were consistent at 12- and 18-month followups.
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.