Resilience Against Depression Disparities (Also Known as Resilience Education to Reduce Depression Disparities)

Status unconfirmed · Not applicable

Conditions studied: Depressive Symptoms

In brief

Depressive symptoms and disorders are among the most common adult health conditions with a lifetime prevalence of 15-20% and are a leading cause of disability /morbidity worldwide. Although evidence-based approaches such as cognitive behavioral therapy (CBT), antidepressant medications, and depression collaborative care and quality improvement (QI) programs integrating depression care into primary health care can improve depression outcomes and disparities, racial / ethnic disparities continue to persist. Concurrently, according to a 2011 Institute of Medicine (IOM) report, little information exists on how to address the high rates of depression among sexual and gender minorities. Our study randomizes depressed, LGBTQ (lesbian, gay, bisexual, transgendered, queer), racial / ethnic minority adults to an evidence-based agency-level, depression quality improvement (QI) training \[Resources for Services (RS)\] and technical support alone or to a resiliency class (RC+), a 7-session resiliency, cognitive behavioral therapy class to enhance mood + automated mobile text reminders about basic reminders and care follow-up impact on improving adult patients' depressive symptoms. Depression QI (RS) training will be offered to three clusters of four to five LGBTQ-focused programs: two clusters in LA (Hollywood and South LA) and one cluster in NO. Clusters are comprised of one primary care, one mental health, and two to three community agencies (e.g., faith-based, social services/support, advocacy). All programs will receive depression QI training. Enrolled adult depressed patients (n=320) will be randomized individually to RC+ or RS (depression QI) alone to assess effects on primary outcomes: depressive symptoms \[8-item patient health questionnaire (PHQ-8) score and secondary outcomes: mental health quality of life \[12-item mental composite score (MCS-12) ≤ 40\], Resilience (Brief Resilience Scale), mental wellness, and physical health quality of life \[12-item physical composite (PCS-12)score\] at 6- and 12-month follow-up.

Key facts

Study ID: NCT02986126
Run by: Bowen Chung, MD, MSHS
People needed: 265
Starts: 2017-05-04
Expected to finish: 2019-11-01
Last updated by the study team: 2018-08-14

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

Age 18 or older
moderately to severely depressed (PHQ-8≥10)
Able to be contacted by phone (voice or text message), e-mail, or Facebook.
English or Spanish speaker

You may not qualify if…

Under age 18 years
Not moderately to severely depressed (PHQ-8≤10)
Does not currently have a phone, an email address, or a Facebook profile

Where it is running

R.O.A.D.S. Clinic — Compton, California, United States
The ADAM Project - YMSM Program — Long Beach, California, United States
The LGBTQ Center - Long Beach — Long Beach, California, United States
AMAAD — Los Angeles, California, United States
AIDS Health Foundation Healthcare Center - Downtown Los Angeles — Los Angeles, California, United States
AIDS Health Foundation Healthcare Center - Hollywood — Los Angeles, California, United States
AIDS Health Foundation Public Health Division — Los Angeles, California, United States
Metropolitan Community Church — Los Angeles, California, United States
OASIS Clinic — Los Angeles, California, United States
Southern Transmasculine Alliance — New Orleans, Louisiana, United States
New Orleans Musicians Clinic — New Orleans, Louisiana, United States
St. Anna's Church — New Orleans, Louisiana, United States
Crescent Care - The Community Awareness Network (CAN Office) — New Orleans, Louisiana, United States
Crescent City Sanctuary — New Orleans, Louisiana, United States
Metropolitan Community Church of New Orleans — New Orleans, Louisiana, United States
NOAGE — New Orleans, Louisiana, United States
Brotherhood — New Orleans, Louisiana, United States
Crescent Care - The Movement — New Orleans, Louisiana, United States
Crescent Care — New Orleans, Louisiana, United States
Odyssey Home — New Orleans, Louisiana, United States
Sisters of Perpetual Indulgence - The Big Easy Sisters — New Orleans, Louisiana, United States
Women with a Vision — New Orleans, Louisiana, United States

Full record on ClinicalTrials.gov

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