Outreach to Reduce Depression Disparities
Completed · Not applicable
Conditions studied: Depression
In brief
Previous research by Mental Health Research Network (MHRN) investigators and others demonstrates that online messaging and other telehealth technologies can effectively and efficiently address premature discontinuation of depression treatment. These interventions, however, have focused on adherence after treatment initiation and have been tested primarily in non-Hispanic white populations. Less is known about the acceptability and effectiveness of different communication modalities (online messaging, mailed letters, telephone) among racial and ethnic minority populations. Implementation of electronic-Health (eHealth) technologies must take care not to exacerbate health disparities. This clinical trial involves a pilot trial to evaluate a population-based outreach program to improve rates of depression treatment initiation among traditionally underserved racial and ethnic groups. This pilot work intends to inform a subsequent full-scale pragmatic trial to examine impact on health disparities.
Key facts
- Study ID
- NCT05580406
- Run by
- Kaiser Permanente
- People needed
- 309
- Starts
- 2023-04-13
- Expected to finish
- 2024-12-10
- Last updated by the study team
- 2026-05-01
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- New diagnosis of major depressive disorder or dysthymic disorder at a primary care visit ("new" defined as no depression diagnosis, psychotherapy visit or filled antidepressant prescription in the prior year)
- Continuously enrolled in the participating health system for 365 days prior to the eligible diagnosis (to assure capture of prior diagnoses or treatments)
- Patients Health Questionnaire-9 (PHQ-9) depression score of 10 or more within 14 days before to 7 days after the eligible diagnosis
- No filled prescription for any antidepressant medication OR psychotherapy visit attended within 30 days of the eligible diagnosis*
- No recorded PHQ-9 depression score less than 5 since the eligible diagnosis
- At least 18 years of age or older
You may not qualify if…
- Diagnosis of schizophrenia or bipolar disorder in the prior 2 years
- Not registered to use Electronic Health Record (EHR) patient portal
- Previously requested to not be contacted for research
Where it is running
- Kaiser Permanente, Hawaii Market — Honolulu, Hawaii, United States
- Henry Ford Health — Detroit, Michigan, United States
Full record on ClinicalTrials.gov
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