Reducing Disparities and Improving Care for Depression in Ob/Gyn Clinics (R01)
Susan D Reed, MD, MPH
In the proposed randomized controlled trial, 260 Ob/Gyn clinic patients with major depression and/or dysthymia will be assigned to either 1) an integrated depression intervention or 2) usual care. We will screen ~8,300 patients presenting for scheduled clinic appointments at 2 urban Ob/Gyn clinics over 18 months for major depression/dysthymia. A large number of these patients are low-income and minority women. Potentially eligible patients may also be referred by a clinic provider or reply to informational fl yers posted in the clinics. We will enroll a total of 260 patients in the trial. The integrated depression intervention will last 12 months. Outcomes will be assessed at baseline and at 6, 12 and 18 months post-baseline by telephone interviews by research staff who are blinded to study arm.
The Secondary Aims of our proposal are to: