N/A
Completed N=1,246
Community Partners in Care is a Research Project Funded by the National Institutes of Health
Depression · Information Dissemination · Social Determinants of Health
Source: ClinicalTrials.gov NCT01699789 ↗
Enrolled (actual)
1,246
Serious AEs
0.0%
Results posted
Nov 2014
Primary outcomePrimary: Percent of Participants With Poor Mental Health Quality of Life, MCS12≤ 40 — 51.4; 44.1 percentage of participants
Summary
CPIC is a community initiative and research study funded by the NIH. CPIC was developed and is being run by community and academic partners in Los Angeles underserved communities of color. CPIC compares two ways of supporting diverse health and social programs in under-resourced communities to improve their services to depressed clients. One approach is time-limited expert technical assistance coupled with culturally-competent community outreach to individual programs, on how to use quality improvement toolkits for depression that have already been proven to be effective or helpful in primary care settings, but adapted for this study for use in diverse community-based programs in underserved communities. The other approach brings different types of agencies and members in a community together in a 4 to 6-month planning process, to fit the same depression quality improvement programs to the needs and strengths of the community and to develop a network of programs serving the community to support clients with depression together. The study is designed to determine the added value of community engagement and planning over and above what might be offered through a community-oriented, disease management company. Both intervention models are based on the same quality improvement toolkits that support team leadership, care management, Cognitive Behavioral Therapy, medication management, and patient education and activation. Investigators hypothesized that the community engagement approach would increase agency and clinician participation in evidence-based trainings and improve client mental health-related quality of life. In addition, during the design phase, community participants prioritized adding as outcomes indicators of social determinants of mental health, including physical functioning, risk factors for homelessness and employment. Investigators hypothesized by activating community agencies that can address health and social services needs to engage depressed clients, these outcomes would also be improved more in the collaboration condition. Investigators also hypothesized that the collaboration approach would increase use of services.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percent of Participants With Poor Mental Health Quality of Life, MCS12≤ 40 |
39.4; 45.0 | — |
| PRIMARY Percent of Participants With PHQ-9 Score ≥ 10 |
67.0; 61.7 | — |
| PRIMARY Percent of Participants With PHQ-8 Score ≥ 10 |
65.8; 66.0 | — |
| SECONDARY Percent of Participants With Mental Wellness |
33.6; 45.9 | — |
| SECONDARY Percent of Participants Reported Organized Life |
42.7; 51.7 | — |
| SECONDARY Percent of Participants With Physically Active |
40.3; 49.6 | — |
| SECONDARY Percent of Participants With Homeless or ≥ 2 Risk Factors for Homelessness |
39.8; 29.7 | — |
| SECONDARY Percent of Participants With Working for Pay |
23.5; 24.7 | — |
| SECONDARY Percent of Participants With Any Missed Work Day in Last 30 Days, if Working |
63.1; 51.5 | — |
| SECONDARY Percent of Participants With Hospitalization for Behavioral Health in the Past 6 Months |
5.0; 4.3 | — |
| SECONDARY Percent of Participants With >=4 Hospital Nights for Behavioral Health in the Past 6 Months |
5.8; 2.1 | — |
| SECONDARY Percent of Participants With >=2 Emergency Room Visits in the Past 6 Months |
28.3; 24.5 | — |
| SECONDARY Percent of Participants With Any MHS Outpatient Visit in the Past 6 Months |
44.5; 42.6 | — |
| SECONDARY Percent of Participants With Any PCP Visit With Depression Service in the Past 6 Months |
25.1; 28.4 | — |
| SECONDARY Percent of Participants With >= 2 PCP Visits With Depression Services, if Any |
61.9; 79.8 | <.01 sig |
| SECONDARY Percent of Participants With Faith-based Program Participation in the Past 6 Months |
57.0; 53.9 | — |
| SECONDARY Percent of Participants With Any Use of Park and Recreation or Community Centers in the Past 6 Months |
34.5; 36.6 | — |
| SECONDARY Percent of Participants With Use of an Antidepressant Medication for 2 Months or More in the Past 6 Months |
34.0; 28.7 | — |
| SECONDARY Medication Visits Among MHS Users in the Past 6 Months |
10.9; 5.3 | — |
| SECONDARY Faith-based Visits With Depression Service if Faith Participation in the Past 6 Months |
0.7; 1.9 | — |
| SECONDARY Park or Community Center Visits With Depression Service if Went to Park or Community Center in Past 6 Months |
0.3; 1.6 | — |
| SECONDARY Total Mental Health Related Outpatient Visits in the Past 6 Months |
18.7; 17.0 | — |
| SECONDARY PCS-12 Scores on 12-Item Physical Health Summary Measure, Comparison Between CEP and RS Groups |
38.7; 39.9 | — |
| SECONDARY Nights Hospitalized for Behavioral Health Reason in the Past 6 Months |
1.2; 0.2 | — |
| SECONDARY N of Emergency Room or Urgent Care Visits in the Past 6 Months |
1.5; 1.9 | — |
| SECONDARY N of Visits to Primary Care in Past 6 Months |
3.9; 4.1 | — |
| SECONDARY N of Outpatient Visits to Primary Care for Depression Services in the Past 6 Months |
1.1; 1.1 | — |
| SECONDARY N of Outpatient Mental Health Visits in Past 6 Months |
5.5; 5.6 | — |
| SECONDARY N of Outpatient Visits to a Substance Abuse Treatment Agency or Self Help Group in the Past 6 Months |
11.1; 12.3 | — |
| SECONDARY N of Social Services for Depression Visits in the Past 6 Months |
0.6; 0.6 | — |
| SECONDARY Number of Calls to Hotline for Substance Use or Mental Health Problem in the Past 6 Months |
0.2; 0.3 | — |
| SECONDARY N of Days on Which a Self-help Visit for Mental Health Was Made in the Past 6 Months |
6.3; 5.6 | — |
| SECONDARY Percent of Participants With Any Faith-based Services for Depression in the Past 6 Months |
9.4; 15.2 | — |
| SECONDARY Percent of Participants With Use of Any Antidepressant in the Past 6 Months |
28.7; 26.9 | — |
| SECONDARY Percent of Participants With Use of Any Mood Stabilizer in the Past 6 Months |
2.5; 6.4 | — |
| SECONDARY Percent of Participants With Use of Any Antipsychotic in the Past 6 Months |
21.7; 23.4 | — |
| SECONDARY Percent of Participants With Any Visit in Health Care Sector in the Past 6 Months |
84.2; 84.3 | — |
| SECONDARY Percent of Participants With Any Community-sector Visit for Depression in the Past 6 Months |
28.3; 35.6 | — |
| SECONDARY Percent of Participants With Any Depression Treatment in the Past 6 Months |
43.2; 43.5 | — |
| SECONDARY Survival Analysis for Time to the First Clinical Remission |
21.14; 20.05 | >.05 |
| SECONDARY Survival Analysis for Time to the First Community-Defined Remission |
14.05; 12.14 | >0.05 |
| SECONDARY Percent of Participants With Clinical Remission |
39.7; 51.7 | — |
| SECONDARY Percent of Participants With Community-Defined Remission |
69.0; 84.2 | — |
Eligibility Criteria
Inclusion Criteria
Administrators
- Age 18 and above
- Work or volunteer for an enrolled program in the study and be designated as a liaison by the program
Providers
- Age 18 and above
- Have direct contact with patients/clients
Clients
- Age 18 and above
- Score 10 or greater on modified Patient Health Questionnaire (PHQ-8)
Exclusion Criteria: grossly disorganized by screener staff assessment Not providing personal contact information
Administrators - Under age 18
Providers
- Under age 18
Clients
- Under age 18
- Gross cognitive disorganization by screener staff assessment
- Providing no contact information
Data sourced from ClinicalTrials.gov (NCT01699789). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.