2023-09-28 14:46:10 +00:00
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abstract: 'Objective: This study assessed treatment preferences among low-income
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Latino patients in public-sector primary care clinics and examined
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whether a collaborative care intervention that included patient
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education and allowed patients to choose between medication, therapy, or
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both would increase the likelihood that patients received preferred
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treatment. Methods: A total of 339 Latino patients with probable
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depressive disorders were recruited; participants completed a baseline
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conjoint analysis preference survey and were randomly assigned to
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receive the intervention or enhanced usual care. At 16 weeks, a patient
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survey assessed depression treatment received during the study period.
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Logistic regression models were constructed to estimate treatment
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preferences, examine patient characteristics associated with treatment
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preferences, and examine patient characteristics associated with a match
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between stated preference and actual treatment received. Results: The
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conjoint analysis preference survey showed that patients preferred
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counseling or counseling plus medication over antidepressant medication
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alone and that they preferred treatment in primary care over specialty
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mental health care, but they showed no significant preference for
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individual versus group treatment. Patients also indicated that
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individual education sessions, telephone sessions, transportation
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assistance, and family involvement were barrier reduction strategies
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that would enhance their likelihood of accepting treatment. Compared
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with patients assigned to usual care, those in the intervention group
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were 21 times as likely to receive preferred treatment. Among all
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participants, women, unemployed persons, those who spoke English, and
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those referred by providers were more likely to receive preferred
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treatment. Conclusions: Collaborative care interventions that include
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psychotherapy can increase the likelihood that Latino patients receive
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preferred care; however, special efforts may be needed to address
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preferences of working persons, men, and Spanish-speaking patients.
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(Psychiatric Services 61: 1112-1118, 2010)'
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affiliation: 'Dwight-Johnson, M (Corresponding Author), RAND Corp, 1776 Main St, Santa
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Monica, CA 90401 USA.
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Dwight-Johnson, Megan, RAND Corp, Santa Monica, CA 90401 USA.
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Lagomasino, Isabel T.; Green, Jennifer M., Univ So Calif, Dept Psychiat, Los Angeles,
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CA USA.
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Hay, Joel, Univ So Calif, Sch Pharm, Los Angeles, CA USA.
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Zhang, Lily; Tang, Lingqi, Univ Calif Los Angeles, Inst Neuropsychiat, Hlth Serv
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Res Ctr, Los Angeles, CA 90024 USA.
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Duan, Naihua, Columbia Univ, Dept Biostat, New York, NY USA.'
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author: Dwight-Johnson, Megan and Lagomasino, Isabel T. and Hay, Joel and Zhang, Lily
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and Tang, Lingqi and Green, Jennifer M. and Duan, Naihua
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author-email: meganj@rand.org
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author_list:
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- family: Dwight-Johnson
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given: Megan
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- family: Lagomasino
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given: Isabel T.
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- family: Hay
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given: Joel
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- family: Zhang
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given: Lily
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- family: Tang
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given: Lingqi
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- family: Green
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given: Jennifer M.
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- family: Duan
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given: Naihua
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da: '2023-09-28'
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doi: 10.1176/appi.ps.61.11.1112
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eissn: 1557-9700
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files: []
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issn: 1075-2730
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journal: PSYCHIATRIC SERVICES
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keywords-plus: 'QUALITY IMPROVEMENT PROGRAMS; CONJOINT-ANALYSIS; PRIME-MD; PATIENT
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PREFERENCES; MEXICAN-AMERICANS; HEALTH; ACCEPTABILITY; INTERVENTIONS;
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VALIDATION; DISORDERS'
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language: English
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month: NOV
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number: '11'
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number-of-cited-references: '39'
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orcid-numbers: Duan, Naihua/0000-0001-9411-2924
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pages: 1112-1118
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papis_id: 0bb950916fbc43c5999fddda7925e05c
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ref: Dwightjohnson2010effectivenesscollabo
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times-cited: '52'
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title: Effectiveness of Collaborative Care in Addressing Depression Treatment Preferences
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Among Low-Income Latinos
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000283651500012
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usage-count-last-180-days: '0'
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usage-count-since-2013: '12'
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volume: '61'
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web-of-science-categories: 'Health Policy \& Services; Public, Environmental \& Occupational
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Health;
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Psychiatry'
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year: '2010'
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