a community-integrated home based depression intervention for older african americans descripton of the beat the blues randomized trial and intervention costs基于社会综合国内老年抑郁症干预对非洲裔美国人descripton击败蓝军随机试验和干预的成本.pdfVIP

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a community-integrated home based depression intervention for older african americans descripton of the beat the blues randomized trial and intervention costs基于社会综合国内老年抑郁症干预对非洲裔美国人descripton击败蓝军随机试验和干预的成本.pdf

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a community-integrated home based depression intervention for older african americans descripton of the beat the blues randomized trial and intervention costs基于社会综合国内老年抑郁症干预对非洲裔美国人descripton击败蓝军随机试验和干预的成本

Gitlin et al. BMC Geriatrics 2012, 12:4 /1471-2318/12/4 STUDY PROTOCOL Open Access A community-integrated home based depression intervention for older African Americans: descripton of the Beat the Blues randomized trial and intervention costs 1* 2 2 3 4 3 Laura N Gitlin , Lynn Fields Harris , Megan McCoy , Nancy L Chernett , Eric Jutkowitz and Laura T Pizzi , for the Beat the Blues Team Abstract Background: Primary care is the principle setting for depression treatment; yet many older African Americans in the United States fail to report depressive symptoms or receive the recommended standard of care. Older African Americans are at high risk for depression due to elevated rates of chronic illness, disability and socioeconomic distress. There is an urgent need to develop and test new depression treatments that resonate with minority populations that are hard-to-reach and underserved and to evaluate their cost and cost-effectiveness. Methods/Design: Beat the Blues (BTB) is a single-blind parallel randomized trial to assess efficacy of a non- pharmacological intervention to reduce depressive symptoms and improve quality of life in 208 African Americans 55+ years old. It involves a collaboration with a senior center whose care management staff screen for depressive symptoms (telephone or in-person) using the Patient Health Questionnaire (PHQ-9). Individuals screened positive (PHQ-9 ≥ 5) on two separate occasions over 2 weeks are referred to local mental health resources and BTB. Interested and eligible participants who consent receive a baseline home interview and then are randomly assigned to receive BTB immediately or 4 months later (wait-list control). All participants are interv