tailieunhanh - báo cáo khoa học: " A cluster randomized trial of standard quality improvement versus patient-centered interventions to enhance depression care for African Americans in the primary care setting: study protocol NCT00243425"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A cluster randomized trial of standard quality improvement versus patient-centered interventions to enhance depression care for African Americans in the primary care setting: study protocol NCT00243425 | Cooper et al. Implementation Science 2010 5 18 http content 5 1 18 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access A cluster randomized trial of standard quality improvement versus patient-centered interventions to enhance depression care for African Americans in the primary care setting study protocol NCT00243425 I II A r r r 1 2 3 4 5I Ì I f I c c r 1 2 3 D r I V I r 1 r 1 I Ì I D r3 D Dri 6 Ciii K l I r 5 Lisa A cooper Daniel E rord Dll K Ghods Debra L Roter Annelle B Primm Susan M Larson 7 8 9 10 1 2 11 James M Gill Cary J Noronna Elias K snaya Nae-Yun Wang Abstract Background Several studies document disparities in access to care and quality of care for depression for African Americans. Research suggests that patient attitudes and clinician communication behaviors may contribute to these disparities. Evidence links patient-centered care to improvements in mental health outcomes therefore quality improvement interventions tnat ennance tnis dimension of care are promising strategies to improve treatment and outcomes of depression among African Americans. This paper describes the design of the BRIDGE Blacks Receiving Interventions for Depression and Gaining Empowerment Study. The goal of the study is to compare the effectiveness of two interventions for African-American patients with depression-a standard quality improvement program and a patient-centered quality improvement program. The main hypothesis is that patients in the patient-centered group will have a greater reduction in their depression symptoms higher rates of depression remission and greater improvements in mental health functioning at six twelve and eighteen months than patients in the standard group. The study also examines patient ratings of care and receipt of guidelineconcordant treatment for depression. Methods Design A total of 36 primary care clinicians and 132 of their African-American patients with major depressive disorder were .