Institutional members access full text with Ovid®

Telephone Depression Care Management for Latino Medicaid Health Plan Members: A Pilot Randomized Controlled Trial

Uebelacker, Lisa A. PhD*†; Marootian, Beth Ann MPH‡; Tigue, Patrick MPP‡; Haggarty, Ryan PhD*†; Primack, Jennifer M. PhD*†; Miller, Ivan W. PhD*†

Journal of Nervous & Mental Disease: September 2011 - Volume 199 - Issue 9 - pp 678-683
doi: 10.1097/NMD.0b013e318229d100
Original Articles

The objective of this pilot study was to provide a preliminary test of feasibility, acceptability, and efficacy of telephone depression care management among Latino Medicaid health plan members. Thirty-eight depressed primary care patients were enrolled in a pilot randomized trial of telephone depression care management + treatment as usual (TAU) versus TAU only. Bilingual care managers conducted care management for 3 months following an antidepressant prescription. For 1 year, research staff attempted to contact 929 potentially eligible members and enrolled 38. Qualitative analyses suggested that, of the participants we interviewed, most expressed satisfaction with the program. Participants suggested ways to improve recruitment, such as face-to-face contact. When compared with the group receiving TAU, there was a trend for the intervention group to experience less depression in time. This pilot study suggests that this program may be promising; however, there is need to investigate ways to better reach those who might find the program helpful.

*Alpert Medical School of Brown University, Providence, RI; †Butler Hospital,Providence, RI; and ‡Neighborhood Health Plan of Rhode Island, Providence, RI.

This project was supported by a grant from Robert Wood Johnson Foundation to Neighborhood Health Plan of Rhode Island (PI: B. A. Marootian).

The authors report no other financial or other relationship relevant to the subject of this article.

Registered at: www.clinicaltrials.gov, NCT00571454.

Send reprint requests to Lisa A. Uebelacker, PhD, 345 Blackstone Boulevard, Providence, RI 02906. E-mail: luebelacker@butler.org.

© 2011 Lippincott Williams & Wilkins, Inc.