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- Title
Retaining Low-Income Minority Cancer Patients in a Depression Treatment Intervention Trial: Lessons Learned.
- Authors
Wells, Anjanette; Palinkas, Lawrence; Williams, Sha-Lai; Ell, Kathleen
- Abstract
Previously published work finds significant benefit from medical and behavioral health team care among safety-net patients with major depression. This qualitative study assessed clinical social worker, psychiatrist and patient navigator strategies to increase depression treatment among low-income minority cancer patients participating in the ADAPt-C clinical depression trial. Patient care retention strategies were elicited through in-depth, semi-structured interviews with nine behavioral health providers. Using grounded theory, concepts from the literature and dropout barriers identified by patients, guided interview prompts. Retention strategies clustered around five dropout barriers: (1) informational, (2) instrumental, (3) provider-patient therapeutic alliance, (4) clinic setting, and (5) depression treatment. All strategies emphasized the importance of communication between providers and patients. Findings suggest that strong therapeutic alliance and telephone facilitates collaborative team provider communication and depression treatment retention among patients in safety-net oncology care systems.
- Subjects
MENTAL depression; THERAPEUTICS; MEDICAL personnel; ATTITUDE (Psychology); CANCER patients; COMMUNICATION; GROUNDED theory; PATIENT-professional relations; MINORITIES; PATIENT compliance; POVERTY; PSYCHIATRISTS; SOCIAL workers; PATIENT-centered care
- Publication
Community Mental Health Journal, 2015, Vol 51, Issue 6, p715
- ISSN
0010-3853
- Publication type
Article
- DOI
10.1007/s10597-014-9819-3