First Author, Year Location Study Design |
Sample Sizes/ Population/Setting |
Technology/Intervention | Comparators | Main Outcomes Intervention v. Comparators | Global Quality Rating |
---|---|---|---|---|---|
Ashing, 2014 [34] USA, CA RCT |
n=252/Randomized n=221 (I: n=110, 99 completed, C: n=111, 100 completed); 18+ y.o., English or Spanish speaking Latina BCA survivors via CA Cancer Registry; general population | Telephone. Eight bi-weekly psycho-educational interventions, 40-50 minutes plus survivorship booklet. | Survivorship booklet only. | Level of depressive symptoms. Over time, within language group, significantly decreased. Follow-up also showed significant decrease in symptoms. By language preference, both English and Spanish language-preferred showed significant decrease from baseline to follow-up. | Strong |
Badger, 2013 [36] USA, AZ Cohort |
n=80 dyads (160 total) (I: n=40, C: n=40), Latina BCA survivors and their supportive partners; general population | Telephone. (TIP-C intervention) Weekly interpersonal psychotherapy + CA education for BCA survivors, every other week for supportive partners. English or Spanish. | (THE intervention) Standardized educational materials sent prior to intervention, reviewed over the phone. Weekly sessions for BCA survivors, every other week for supportive partners. English or Spanish. | Psychological, physical, social, and spiritual QOL. Significant improvements (in all EXCEPT spiritual) for BCA survivors in both groups over time. Significant improvements (in ALL QOL areas) for supportive partners in both groups over time. No clear support demonstrating one intervention better than the other. | Moderate |
Ell, 2011 [40] USA, CA RCT |
n=387 (I: n=193, 138 @ 24 mos; C: n=194, 126@ 24 mos) low-income adults with diabetes & depression - part of Multifaceted Diabetes and Depression Program (MDDP); English or Spanish speaking, in primary safety net care | Telephone. Educational pamphlets and resource lists plus socioculturally adapted collaborative care for depression in primary care (psychotherapy, antidepressants, or both; telephone symptom monitoring & relapse prevention) | Enhanced Usual Care includes same pamphlets and resource lists as intervention group. PCPs also could Rx antidepressants and provide counseling or refer for community mental health. | Depression care. More going Tx at 24 months; Depression symptoms. Improved at 24 month; QOL. Overall improvement, narrowing over time, not significant at 24 mos; DM clinical outcomes. No significant differences. | Strong |
Wu, 2014 [49] USA, CA Cohort |
n=1406 (I: n=442, C1: n=484, C2: n=480) low-income, predominantly Hispanic/Latino adults with diabetes, English or Spanish speaking, county safety net clinics | Telephone IVR. Technology-facilitated depression care (TC). Educational/resource materials + calls from automated telephonic assessment (ATA) call system. Monthly ATA calls for depressed at baseline, Q 3 mos. for not depressed at baseline. TC group also gets telephone appt reminders. | In addition to educational and resource materials: 1) Usual care (UC), traditional clinic depression and diabetes care; 2) Collaborative care team supported care (SC) includes RN, NP, SW to assist with MH issues for 6 mos, then return to usual care. | Depression outcomes. Treatment adherence. Social and economic stress reduction. DM self-care mgmt. Health care utilization. Care mgmt. model cost. Cost-effectiveness. Comparisons. No results; project in progress. Goal: reduce health disparities via improved outcomes and reduced costs. | Weak |