Outreach to Reduce Depression Disparities
Part of paid clinical trials in Honolulu, Hawaii.
- Sponsor
- Kaiser Permanente
- Study ID
- NCT05580406
- Status
- Completed
Conditions
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Outreach messaging — BEHAVIORALParticipants will receive outreach messages via health care system secure messaging and/or phone following a new diagnosis of depression made in primary care if the participant has failed to initiate treatment (pharmacotherapy or psychotherapy) within 30 days of new diagnosis.
Study Details
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 Dates
- Start date
- Apr 13, 2023
- Status verified
- Apr 2026
- Primary completion
- Dec 10, 2024
- Completion
- Dec 10, 2024
Study Design
- Enrollment
- 309 participants (actual)
- Allocation
- NA
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- No Intervention: Usual CareParticipants assigned to usual care will not receive outreach messages (online or via telephone) by study staff.
- Experimental: Outreach MessagingParticipants in the outreach messaging arm will receive messages via online secure message system (embedded within the health care record) and/or telephone.
Primary Outcome Measure
Number of Participants With Initiation of Formal Depression Treatment [ Time Frame: within 60 days of randomization ]
Locations (2)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Kaiser Permanente, Hawaii Market | Honolulu | Hawaii | 96817 | - |
| Henry Ford Health | Detroit | Michigan | 48202 | - |
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