The Effectiveness of Collaborative Care on Depression Outcomes for Racial/Ethnic Minority Populations in Primary Care: A Systematic Review.
The Effectiveness of Collaborative Care on Depression Outcomes for Racial/Ethnic Minority Populations in Primary Care: A Systematic Review.
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DOI：
10.1016/j.psym.2020.03.007
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发表时间：
2020-11
期刊：
影响因子：
3.4
通讯作者：
Huang H
中科院分区：
文献类型：
--
作者：
Hu J;Wu T;Damodaran S;Tabb KM;Bauer A;Huang H
在美国，与白色成年人相比，种族/族裔少数群体经历了更大的心理健康负担。协作护理模式越来越多地被采用，以改善获得服务的机会，并促进精神疾病的诊断和治疗。这篇系统性综述旨在总结美国种族/少数民族抑郁症结局的协作护理。本综述遵循系统性综述和荟萃分析的首选报告项目方法。如果协作护理研究包括来自至少一个种族/少数民族群体的成年人，位于美国的初级保健诊所，并进行抑郁结果测量。华盛顿大学推进综合心理健康解决方案中心描述的核心原则被用来定义协作护理的组成部分。在筛选的398个标题中，对169篇全长文章进行了合格性评估，19项研究纳入我们的综述（10项随机对照试验，9项观察性试验）。结果表明，有潜力的协作护理，有或没有文化/语言的剪裁，是有效地改善抑郁症的种族/少数民族，包括那些从低社会经济背景。应探讨协作护理作为治疗抑郁症的种族/少数民族患者在初级保健的干预。问题仍然是什么样的文化适应的元素是最有帮助的，在招募少数民族患者进行这些研究的困难背后的因素，以及如何纳入虚拟组件的变化获得和提供护理。未来的研究还应该从研究较少的人群中招募个体。
Racial/ethnic minorities experience a greater burden of mental health outcomes compared to White adults in the United States. The Collaborative Care model is increasingly being adopted to improve access to services and to promote diagnosis and treatment of psychiatric diseases. This systematic review seeks to summarize what is known about Collaborative Care on depression outcomes for racial/ethnic minorities in the United States. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses method. Collaborative care studies were included if they comprised adults from at least one racial/ethnic minority group, were located in primary care clinics in the U.S., and had depression outcome measures. Core principles described by the University of Washington Advancing Integrated Mental Health Solutions Center were used to define the components of Collaborative Care. Of 398 titles screened, 169 full-length articles were assessed for eligibility, and 19 studies were included in our review (10 randomized controlled trials, 9 observational). Results show there is potential that Collaborative Care, with or without cultural/linguistic tailoring, is effective in improving depression for racial/ethnic minorities, including those from low socioeconomic backgrounds. Collaborative Care should be explored as an intervention for treating depression for racial/ethnic minority patients in primary care. Questions remain as to what elements of cultural adaptation are most helpful, factors behind the difficulty in recruiting minority patients for these studies, and how the inclusion of virtual components changes access to and delivery of care. Future research should also recruit individuals from less studied populations.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
9.7
作者：
Alegria, Margarita;Alvarez, Kiara;McPeck, Samantha
通讯作者：
McPeck, Samantha
影响因子：
3.8
作者：
Davis, Teri D.;Deen, Tisha;Fortney, John
通讯作者：
Fortney, John
影响因子：
5.7
作者：
Fortney, John C.;Pyne, Jeffrey M.;Henderson, Kathy L.
通讯作者：
Henderson, Kathy L.
影响因子：
2.8
作者：
Bowen, Deborah J.;Powers, Diane M.;Ratzliff, Anna D. H.
通讯作者：
Ratzliff, Anna D. H.