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01-08-2015 | Original Paper

Retaining Low-Income Minority Cancer Patients in a Depression Treatment Intervention Trial: Lessons Learned

Authors: Anjanette A. Wells, Lawrence A. Palinkas, Sha-Lai L. Williams, Kathleen Ell

Published in: Community Mental Health Journal | Issue 6/2015

Abstract

Previously published work finds significant benefit from medical and behavioral health team care among safety-net patients with major depression. This qualitative study assessed clinical social worker, psychiatrist and patient navigator strategies to increase depression treatment among low-income minority cancer patients participating in the ADAPt-C clinical depression trial. Patient care retention strategies were elicited through in-depth, semi-structured interviews with nine behavioral health providers. Using grounded theory, concepts from the literature and dropout barriers identified by patients, guided interview prompts. Retention strategies clustered around five dropout barriers: (1) informational, (2) instrumental, (3) provider–patient therapeutic alliance, (4) clinic setting, and (5) depression treatment. All strategies emphasized the importance of communication between providers and patients. Findings suggest that strong therapeutic alliance and telephone facilitates collaborative team provider communication and depression treatment retention among patients in safety-net oncology care systems.

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Title: Retaining Low-Income Minority Cancer Patients in a Depression Treatment Intervention Trial: Lessons Learned
Authors: Anjanette A. Wells
Lawrence A. Palinkas
Sha-Lai L. Williams
Kathleen Ell
Publication date: 01-08-2015
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 6/2015
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-014-9819-3

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Retaining Low-Income Minority Cancer Patients in a Depression Treatment Intervention Trial: Lessons Learned

Abstract

Keynote webinar | Spotlight on medication adherence

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