Margarita Alegr??a|Evette Ludman|E. Nilay Kafali|Sheri Lapatin|Doriliz Vila|Patrick E. Shrout|Kristen Keefe|Benjamin Lê Cook|Andrea Ault|Xinliang Li|Amy M. Bauer|C. Epelbaum|Carmela Alcántara|Tulia I. G. Pineda|Gloria Gonzalez Tejera|Gloria M. Suau|Karla Leon|Anna Sophia Lessios|Rafael Ramírez|Glorisa Canino
Effectiveness of the Engagement and Counseling for Latinos (ECLA) Intervention in Low-income Latinos
Kaiser Permanente Washington Health Research Institute|University of Puerto Rico, Medical Sciences Campus|New York University|Clark University|University of Washington|Beth Israel Deaconess Medical Center|Columbia University Irving Medical Center|University of Puerto Rico System|University of Puerto Rico System|University of Puerto Rico, Medical Sciences Campus|University of Puerto Rico, Medical Sciences Campus
persistent disparities access quality mental health care latinos indicate need evidencebased culturally adapted outsidetheclinicwalls treatmentsevaluate treatment effectiveness telephone eclat facetoface eclaf delivery 68 session cognitive behavioral therapy care management intervention lowincome latinos compared usual care depressionmultisite randomized controlled trialeight community health clinics boston massachusetts san juan puerto rico257 latino patients recruited primary care may 2011 september 2012the primary outcome severity depression assessed patient health questionnaire9 hopkins symptom checklist20 secondary outcome functioning previous 30 days measured using world health organization disability assessment schedule whodas 20both telephone facetoface versions engagement counseling latinos ecla effective usual care effect sizes intervention conditions patient health questionnaire9 moderate combined data sites analyzed 056 064 facetoface telephone respectively similarly effect sizes eclaf eclat hopkins symptom checklist quite large boston site 064 073 respectively puerto rico 010 003the intervention appears help latino patients reduce depressive symptoms improve functioning particular importance higher treatment initiation telephone versus facetoface intervention 897 vs 788 suggests telephonebased care may improve access quality care