Realizing Opportunities for Self Empowerment
Status: | Completed |
---|---|
Conditions: | Depression, Depression |
Therapuetic Areas: | Psychiatry / Psychology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 1/9/2019 |
Start Date: | January 2014 |
End Date: | August 2017 |
Patient Priorities and Community Context: Navigation for Disadvantaged Women With Depression
The purpose of this study is to determine whether priority-based patient navigation will
improve patient satisfaction, quality of life (QOL), and depression when compared to
screening-and-referral for socioeconomically disadvantaged women's health patients with
depression. The investigators goal is to establish patient-driven, effective, generalizable,
and disseminable interventions to reduce depression-related disparities and improve outcomes.
improve patient satisfaction, quality of life (QOL), and depression when compared to
screening-and-referral for socioeconomically disadvantaged women's health patients with
depression. The investigators goal is to establish patient-driven, effective, generalizable,
and disseminable interventions to reduce depression-related disparities and improve outcomes.
- In this comparative effectiveness study, 200 participants who are patients at the
University of Rochester Women's Health Practice or Highland Woman's Health and report
significant depressive symptoms will be randomized to either PSP (Personal Support for
Progress) or ESR (Enhanced Screening and Referral). Participants assigned to PSP will
work with a patient navigator to prioritize their concerns, develop a personalized care
plan, and implement their plan. Participants assigned to ESR will receive a personalized
report of community resources that may be helpful for their identified needs.
- The investigators will use a simple 1:1 randomized design with treatment assignment
being conducted using a random number generator. All analyses will follow an
intent-to-treat protocol, such that all participants randomized will be followed for
data collection and analyzed according to her randomized condition
- Each participant will be assessed 4 times for outcome changes: at baseline, post
treatment (4 months), and two follow up ( at 7 and 10 months).
- Assessments are self report on iPads and they are linked directly to a Red Cap database.
University of Rochester Women's Health Practice or Highland Woman's Health and report
significant depressive symptoms will be randomized to either PSP (Personal Support for
Progress) or ESR (Enhanced Screening and Referral). Participants assigned to PSP will
work with a patient navigator to prioritize their concerns, develop a personalized care
plan, and implement their plan. Participants assigned to ESR will receive a personalized
report of community resources that may be helpful for their identified needs.
- The investigators will use a simple 1:1 randomized design with treatment assignment
being conducted using a random number generator. All analyses will follow an
intent-to-treat protocol, such that all participants randomized will be followed for
data collection and analyzed according to her randomized condition
- Each participant will be assessed 4 times for outcome changes: at baseline, post
treatment (4 months), and two follow up ( at 7 and 10 months).
- Assessments are self report on iPads and they are linked directly to a Red Cap database.
Inclusion Criteria:
- Diagnosed with depression (PHQ9 score 10 or higher)
- Patient of University of Rochester Women's Health Practice or Highland Women's Health
- Monroe County resident
- English speaking
Exclusion Criteria:
- Currently receiving case management services
- In need of acute psychiatric services
- Unable to commit to the duration of the project
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