NDLI: Participation in Training for Depression Care Quality Improvement: A Randomized Trial of Community Engagement or Technical Support.

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Participation in Training for Depression Care Quality Improvement: A Randomized Trial of Community Engagement or Technical Support.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Chung, Bowen Ngo, Victoria K. Ong, Michael K. Pulido, Esmeralda Jones, Felica Gilmore, James Stoker-Mtume, Norma Johnson, Megan Tang, Lingqi Wells, Kenneth Brooks Sherbourne, Cathy Miranda, Jeanne
Description	Author Affiliation: Chung B ( Dr. Chung is with the Department of Psychiatry, Harbor-University of California, Los Angeles (UCLA), Medical Center, and he is also with RAND Health, RAND Corporation, Santa Monica, California, where Dr. Ngo, Dr. Wells, Dr. Sherbourne, and Dr. Miranda are also affiliated (e-mail: bchung@mednet.ucla.); Ngo VK ( Dr. Chung is with the Department of Psychiatry, Harbor-University of California, Los Angeles (UCLA), Medical Center, and he is also with RAND Health, RAND Corporation, Santa Monica, California, where Dr. Ngo, Dr. Wells, Dr. Sherbourne, and Dr. Miranda are also affiliated (e-mail: bchung@mednet.ucla.); Ong MK ( Dr. Chung is with the Department of Psychiatry, Harbor-University of California, Los Angeles (UCLA), Medical Center, and he is also with RAND Health, RAND Corporation, Santa Monica, California, where Dr. Ngo, Dr. Wells, Dr. Sherbourne, and Dr. Miranda are also affiliated (e-mail: bchung@mednet.ucla.); Pulido E ( Dr. Chung is with the Department of Psychiatry, Harbor-University of California, Los Angeles (UCLA), Medical Center, and he is also with RAND Health, RAND Corporation, Santa Monica, California, where Dr. Ngo, Dr. Wells, Dr. Sherbourne, and Dr. Miranda are also affiliated (e-mail: bchung@mednet.ucla.); Jones F ( Dr. Chung is with the Department of Psychiatry, Harbor-University of California, Los Angeles (UCLA), Medical Center, and he is also with RAND Health, RAND Corporation, Santa Monica, California, where Dr. Ngo, Dr. Wells, Dr. Sherbourne, and Dr. Miranda are also affiliated (e-mail: bchung@mednet.ucla.); Gilmore J ( Dr. Chung is with the Department of Psychiatry, Harbor-University of California, Los Angeles (UCLA), Medical Center, and he is also with RAND Health, RAND Corporation, Santa Monica, California, where Dr. Ngo, Dr. Wells, Dr. Sherbourne, and Dr. Miranda are also affiliated (e-mail: bchung@mednet.ucla.); Stoker-Mtume N ( Dr. Chung is with the Department of Psychiatry, Harbor-University of California, Los Angeles (UCLA), Medical Center, and he is also with RAND Health, RAND Corporation, Santa Monica, California, where Dr. Ngo, Dr. Wells, Dr. Sherbourne, and Dr. Miranda are also affiliated (e-mail: bchung@mednet.ucla.); Johnson M ( Dr. Chung is with the Department of Psychiatry, Harbor-University of California, Los Angeles (UCLA), Medical Center, and he is also with RAND Health, RAND Corporation, Santa Monica, California, where Dr. Ngo, Dr. Wells, Dr. Sherbourne, and Dr. Miranda are also affiliated (e-mail: bchung@mednet.ucla.); Tang L ( Dr. Chung is with the Department of Psychiatry, Harbor-University of California, Los Angeles (UCLA), Medical Center, and he is also with RAND Health, RAND Corporation, Santa Monica, California, where Dr. Ngo, Dr. Wells, Dr. Sherbourne, and Dr. Miranda are also affiliated (e-mail: bchung@mednet.ucla.); Wells KB ( Dr. Chung is with the Department of Psychiatry, Harbor-University of California, Los Angeles (UCLA), Medical Center, and he is also with RAND Health, RAND Corporation, Santa Monica, California, where Dr. Ngo, Dr. Wells, Dr. Sherbourne, and Dr. Miranda are also affiliated (e-mail: bchung@mednet.ucla.); Sherbourne C ( Dr. Chung is with the Department of Psychiatry, Harbor-University of California, Los Angeles (UCLA), Medical Center, and he is also with RAND Health, RAND Corporation, Santa Monica, California, where Dr. Ngo, Dr. Wells, Dr. Sherbourne, and Dr. Miranda are also affiliated (e-mail: bchung@mednet.ucla.); Miranda J ( Dr. Chung is with the Department of Psychiatry, Harbor-University of California, Los Angeles (UCLA), Medical Center, and he is also with RAND Health, RAND Corporation, Santa Monica, California, where Dr. Ngo, Dr. Wells, Dr. Sherbourne, and Dr. Miranda are also affiliated (e-mail: bchung@mednet.ucla.)
Abstract	OBJECTIVE: Community engagement and planning (CEP) could improve dissemination of depression care quality improvement in underresourced communities, but whether its effects on provider training participation differ from those of standard technical assistance, or resources for services (RS), is unknown. This study compared program- and staff-level participation in depression care quality improvement training among programs enrolled in CEP, which trained networks of health care and social-community agencies jointly, and RS, which provided technical support to individual programs. METHODS: Matched programs from health care and social-community service sectors in two communities were randomly assigned to RS or CEP. Data were from 1,622 eligible staff members from 95 enrolled programs. Primary outcomes were any staff trained (for programs) and total hours of training (for staff). Secondary staff-level outcomes were hours of training in specific depression collaborative care components. RESULTS: CEP programs were more likely than RS programs to participate in any training (p=.006). Within health care sectors, CEP programs were more likely than RS programs to participate in training (p=.016), but within social-community sectors, there was no difference in training by intervention. Among staff who participated in training, mean training hours were greater among CEP programs versus RS programs for any type of training (p<.001) and for training related to each component of depression care (p<.001) except medication management. CONCLUSIONS: CEP may be an effective strategy to promote staff participation in depression care improvement efforts in underresourced communities.
File Format	HTM / HTML
ISSN	10752730
e-ISSN	15579700
DOI	10.1176/appi.ps.201400099
Journal	Psychiatric Services
Issue Number	8
Volume Number	66
Language	English
Publisher	American Psychiatric Association
Publisher Date	2015-08-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Psychiatry Community Mental Health Services Depressive Disorder Therapy Health Personnel Program Evaluation Quality Improvement Statistics & Numerical Data Community-based Participatory Research Evidence-based Practice Randomized Controlled Trial Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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