A study of the effectiveness of telepsychiatry-based culturally sensitive collaborative treatment of depressed Chinese Americans.
A study of the effectiveness of telepsychiatry-based culturally sensitive collaborative treatment of depressed Chinese Americans.
复制标题
DOI：
10.1186/1471-244x-11-154
复制
发表时间：
2011-09-26
期刊：
影响因子：
4.4
通讯作者：
Fava M
中科院分区：
文献类型：
--
作者：
Yeung A;Hails K;Chang T;Trinh NH;Fava M
患有严重抑郁障碍(MDD)的华裔美国患者往往没有充分利用精神健康服务，比起精神健康专家，他们更有可能在初级保健环境中寻求帮助。我们的团队报告说，文化敏感的协同治疗(CSCT)在提高初级保健中抑郁的华裔美国人的认可度和治疗参与度方面是有效的。目前的研究建立在先前研究的基础上，将远程医疗技术纳入CSCT模型。我们提出了一项随机对照试验来评估针对华裔美国人的基于心灵感应的文化敏感协同治疗(T-CSCT)干预的可接受性和有效性。符合研究资格标准的患者将接受照常治疗或接受调查中的干预。为期6个月的干预包括：1)通过视频会议使用文化敏感的方案进行初步的精神病学面谈；2)与分配给患者的护理经理进行8次预定的电话访问，后者将监测患者的进展以及药物副作用和剂量；以及3)患者的初级保健医生、精神病学家和护理经理之间的合作。结果测量包括抑郁症状的严重程度以及患者和PCP对基于精神分裂症的护理管理服务的满意度。本研究对T-CSCT模式进行了研究，相信通过采用远程医疗技术，将增加CSCT模式的可行性和实用性。我们预计，这一模式将扩大接触到精通患者母语的有文化能力的精神科医生的机会，以改善初级保健环境中抑郁症少数族裔患者的治疗。NCT00854542
Chinese American patients with Major Depressive Disorder (MDD) tend to underutilize mental health services and are more likely to seek help in primary care settings than from mental health specialists. Our team has reported that Culturally Sensitive Collaborative Treatment (CSCT) is effective in improving recognition and treatment engagement of depressed Chinese Americans in primary care. The current study builds on this prior research by incorporating telemedicine technology into the CSCT model. We propose a randomized controlled trial to evaluate the acceptability and effectiveness of a telepsychiatry-based culturally sensitive collaborative treatment (T-CSCT) intervention targeted toward Chinese Americans. Patients meeting the study's eligibility criteria will receive either treatment as usual or the intervention under investigation. The six-month intervention involves: 1) an initial psychiatric interview using a culturally sensitive protocol via videoconference; 2) eight scheduled phone visits with a care manager assigned to the patient, who will monitor the patient's progress, as well as medication side effects and dosage if applicable; and 3) collaboration between the patient's PCP, psychiatrist, and care manager. Outcome measures include depressive symptom severity as well as patient and PCP satisfaction with the telepsychiatry-based care management service. The study investigates the T-CSCT model, which we believe will increase the feasibility and practicality of the CSCT model by adopting telemedicine technology. We anticipate that this model will expand access to culturally competent psychiatrists fluent in patients' native languages to improve treatment of depressed minority patients in primary care settings. NCT00854542