abstract: 'Objective: This study assessed treatment preferences among low-income

  Latino patients in public-sector primary care clinics and examined

  whether a collaborative care intervention that included patient

  education and allowed patients to choose between medication, therapy, or

  both would increase the likelihood that patients received preferred

  treatment. Methods: A total of 339 Latino patients with probable

  depressive disorders were recruited; participants completed a baseline

  conjoint analysis preference survey and were randomly assigned to

  receive the intervention or enhanced usual care. At 16 weeks, a patient

  survey assessed depression treatment received during the study period.

  Logistic regression models were constructed to estimate treatment

  preferences, examine patient characteristics associated with treatment

  preferences, and examine patient characteristics associated with a match

  between stated preference and actual treatment received. Results: The

  conjoint analysis preference survey showed that patients preferred

  counseling or counseling plus medication over antidepressant medication

  alone and that they preferred treatment in primary care over specialty

  mental health care, but they showed no significant preference for

  individual versus group treatment. Patients also indicated that

  individual education sessions, telephone sessions, transportation

  assistance, and family involvement were barrier reduction strategies

  that would enhance their likelihood of accepting treatment. Compared

  with patients assigned to usual care, those in the intervention group

  were 21 times as likely to receive preferred treatment. Among all

  participants, women, unemployed persons, those who spoke English, and

  those referred by providers were more likely to receive preferred

  treatment. Conclusions: Collaborative care interventions that include

  psychotherapy can increase the likelihood that Latino patients receive

  preferred care; however, special efforts may be needed to address

  preferences of working persons, men, and Spanish-speaking patients.

  (Psychiatric Services 61: 1112-1118, 2010)'
affiliation: 'Dwight-Johnson, M (Corresponding Author), RAND Corp, 1776 Main St, Santa
  Monica, CA 90401 USA.

  Dwight-Johnson, Megan, RAND Corp, Santa Monica, CA 90401 USA.

  Lagomasino, Isabel T.; Green, Jennifer M., Univ So Calif, Dept Psychiat, Los Angeles,
  CA USA.

  Hay, Joel, Univ So Calif, Sch Pharm, Los Angeles, CA USA.

  Zhang, Lily; Tang, Lingqi, Univ Calif Los Angeles, Inst Neuropsychiat, Hlth Serv
  Res Ctr, Los Angeles, CA 90024 USA.

  Duan, Naihua, Columbia Univ, Dept Biostat, New York, NY USA.'
author: Dwight-Johnson, Megan and Lagomasino, Isabel T. and Hay, Joel and Zhang, Lily
  and Tang, Lingqi and Green, Jennifer M. and Duan, Naihua
author-email: meganj@rand.org
author_list:
- family: Dwight-Johnson
  given: Megan
- family: Lagomasino
  given: Isabel T.
- family: Hay
  given: Joel
- family: Zhang
  given: Lily
- family: Tang
  given: Lingqi
- family: Green
  given: Jennifer M.
- family: Duan
  given: Naihua
da: '2023-09-28'
doi: 10.1176/appi.ps.61.11.1112
eissn: 1557-9700
files: []
issn: 1075-2730
journal: PSYCHIATRIC SERVICES
keywords-plus: 'QUALITY IMPROVEMENT PROGRAMS; CONJOINT-ANALYSIS; PRIME-MD; PATIENT

  PREFERENCES; MEXICAN-AMERICANS; HEALTH; ACCEPTABILITY; INTERVENTIONS;

  VALIDATION; DISORDERS'
language: English
month: NOV
number: '11'
number-of-cited-references: '39'
orcid-numbers: Duan, Naihua/0000-0001-9411-2924
pages: 1112-1118
papis_id: 0bb950916fbc43c5999fddda7925e05c
ref: Dwightjohnson2010effectivenesscollabo
times-cited: '52'
title: Effectiveness of Collaborative Care in Addressing Depression Treatment Preferences
  Among Low-Income Latinos
type: Article
unique-id: WOS:000283651500012
usage-count-last-180-days: '0'
usage-count-since-2013: '12'
volume: '61'
web-of-science-categories: 'Health Policy \& Services; Public, Environmental \& Occupational
  Health;

  Psychiatry'
year: '2010'