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 — BEHAVIORAL
    Participants 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 Care
    Participants assigned to usual care will not receive outreach messages (online or via telephone) by study staff.
  • Experimental: Outreach Messaging
    Participants 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)

FacilityCityStateZIPSite coordinators
Kaiser Permanente, Hawaii MarketHonoluluHawaii96817-
Henry Ford HealthDetroitMichigan48202-

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