To compare the effectiveness of depression care training for community-based agency staff plus resiliency education for patients versus depression training for staff alone in improving depression symptoms in adults with depression who identify as lesbian, gay, bisexual, transgender, or queer (LGBTQ+)
|Randomized controlled trial
|253 adults with depression
- Depression care training for community-based agency staff plus resiliency education for people receiving services
- Depression care training for community-based agency staff alone
Primary: depression symptoms
Secondary: mental health-related quality of life; physical health-related quality of life; resilience; mental wellness, such as feeling calm or peaceful, having energy, or being happy
|1-year follow-up for primary outcome
In this randomized controlled trial, researchers compared the effectiveness of two interventions in improving depression symptoms, quality of life, and wellness in adults with moderate to severe depression who identify as LGBTQ+.
Staff in community-based agencies in Los Angeles, California, and New Orleans, Louisiana, that primarily serve adults who identify as LGBTQ+ received evidence-based quality improvement training for depression care. Staff who were licensed providers received training in clinical assessment, medication management, and cognitive behavioral therapy. Non-clinical staff received training in depression screening, education coordination, and patient safety and referral. All staff received training in team management.
Researchers randomly assigned adults receiving services in these community-based agencies to one of two groups:
- Staff training plus resiliency education for people receiving services. This group received care from staff who took the training. In addition, people with depression could attend seven weekly classes on ways to improve mood and recover quickly from setbacks. They also received follow-up text messages on topics covered in the classes and ways to get care when needed. Community health workers led the classes.
- Staff training alone. This group received care from staff who took the training but did not attend the classes or receive follow-up messages.
The study included 253 adults with depression. Among participants, 34% were Hispanic, 29% were Black or African American, 28% were White, and 9% were another race or ethnicity. The average age was 42. Among participants, 66% were male, 27% were female, 2% were female-to-male transgender, 2% were male-to-female transgender, and 4% were genderqueer or did not subscribe to conventional gender distinctions; 88% identified as LGBTQ+ or as men who have sex with men.
At baseline, and 6 and 12 months later, participants completed telephone surveys about depression symptoms, physical and mental health-related quality of life, resilience, and mental wellness.
People who identify as LGBTQ+, community agencies, and LGBTQ+ health advocates helped to design and conduct the study.
Results and Limitations
PCORI is committed to making full information on all funded research projects publicly available. This summary does not include results and limitations from this study because the researchers have not yet responded to peer reviewers’ comments on their work. We will post the results and additional information if the researchers complete the peer review process.
|Genetic Alliance and PRIDEnet formerly were Network Partners in PCORnet®, the National Patient-Centered Clinical Research Network. PCORnet® has been developed with funding from the Patient-Centered Outcomes Research Institute (PCORI®).