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BMC Primary Care
Published in: BMC Primary Care 1/2019

Open Access 01-12-2019 | Antidepressant Drugs | Research article

Culturally adapted depression education and engagement in treatment among Hispanics in primary care: outcomes from a pilot feasibility study

Authors: Katherine Sanchez, Michael O. Killian, Brittany H. Eghaneyan, Leopoldo J. Cabassa, Madhukar H. Trivedi

Published in: BMC Primary Care | Issue 1/2019

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Abstract

Background

Low use of anti-depressant medication, poor doctor-patient communication, and persistent stigma are key barriers to the treatment of depression in Hispanics. Common concerns include fears about the addictive and harmful properties of antidepressants, worries about taking too many pills, and the stigma attached to taking medications and seeking mental health treatments. In 2014, the Center for Medicare and Medicaid Services (CMS) funded the Depression Screening and Education: Options to Reduce Barriers to Treatment (DESEO) project to implement an education intervention designed to increase disease literacy and dispel myths about depression and its treatment among Hispanic patients thus reducing stigma and increasing treatment engagement.

Methods

The DESEO study utilized a one-group pretest-posttest design to assess the effects a culturally-adapted Depression Education Intervention’s (DEI) on depression knowledge, stigma, and engagement in treatment in a sample of 350 Hispanic primary care patients with depression. The DEI utilized a fotonovela, a health education tool available in English and Spanish that uses posed photographs, captions, and soap opera narratives to raise awareness about depression and depression treatments.

Results

Participants reported significant decreases in depression symptoms and reported stigma about mental health care. Additionally, participants reported increased knowledge of depression yet greater negative perceptions about antidepressant medication. Finally, 89.5% of participants reported entering some form of treatment at follow-up.

Conclusions

Culturally adapted depression education shows promise in increasing understanding of depression, decreasing stigma, and increasing treatment engagement among Hispanic patients in a community-based health center. Results have implications for practice in addressing common concerns about depression treatments which include fears about the addictive and harmful properties of antidepressants, worries about taking too many pills, and the stigma attached to taking psychotropic medications.

Trial registration

The study was retrospectively registered with www.​clinicaltrials.​gov: NCT02491034 July 2, 2015.
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Metadata
Title
Culturally adapted depression education and engagement in treatment among Hispanics in primary care: outcomes from a pilot feasibility study
Authors
Katherine Sanchez
Michael O. Killian
Brittany H. Eghaneyan
Leopoldo J. Cabassa
Madhukar H. Trivedi
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2019
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-019-1031-7

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