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- Title
Community Engagement and Planning versus Resources for Services for Implementing Depression Quality Improvement: Exploratory Analysis for Black and Latino Adults.
- Authors
Barceló, Nicolás E.; Lopez, Alma; Tang, Lingqi; Aguilera Nunez, Maria Gabriela; Jones, Felica; Miranda, Jeanne; Chung, Bowen; Arevian, Armen; Bonds, Curley; Izquierdo, Adriana; Dixon, Elizabeth; Wells, Kenneth
- Abstract
<bold>Objective: </bold>Racial/ethnic minorities experience disparities in depression1 and there is a paucity of evidence-based interventions to improve depression care access and outcomes. Community Partners in Care (CPIC) is a community-partnered study of depression care quality improvement (QI) in under-resourced, urban communities: Community Engagement and Planning (CEP) for multi-sector coalitions, and Resources for Services (RS) for program technical assistance.2 CEP demonstrated benefits for the overall CPIC study population; effects for Black and Latino sub-populations are unknown.<bold>Methods: </bold>This sub-analysis examines outcomes for 409 Latino and 488 Black (non-Latino) adults recruited from 90 programs who completed baseline or 6-month follow-up. Regression analyses were used to estimate CEP vs RS intervention effects on primary (Mental Health Related Quality of Life [MHRQL], Patient Health Questionnaire-9 [PHQ-9]) and community-prioritized (mental wellness, physical activity, risk for homelessness) outcomes at 6-months.<bold>Results: </bold>Baseline characteristics did not differ significantly by intervention in either group. In the adjusted analysis for Black adults, CEP resulted in decreased odds of poor MHRQL (OR: .62, 95% CI=.41-.94, P=.028) with a trend for reducing homelessness risk (OR: .60, .35-1.05, P=.69). For Latino adults, CEP resulted in greater probability of mental wellness (OR: 1.81, 1.05-3.13, P=.034) and a trend for increased physical activity (OR: 1.52, .93-2.49, P=.091).<bold>Conclusions: </bold>Exploratory analyses of CEP for depression quality improvement suggests significant 6-month benefits in mental health outcomes for Black and Latino participants and trends for improvement in community-prioritized outcomes for both groups. Findings may inform research in multi-sector coalitions to promote equity in depression care.
- Subjects
MINORITIES; QUALITY of life; MENTAL depression; MENTAL health; REGRESSION analysis
- Publication
Ethnicity & Disease, 2019, Vol 29, Issue 2, p277
- ISSN
1049-510X
- Publication type
journal article
- DOI
10.18865/ed.29.2.277