Effectiveness of the Engagement and Counseling for Latinos (Ecla) Intervention in Low-income Latinos
Bibliographic Data
| ID | 9104023 |
|---|---|
| Authors | Margarita Alegria (0000-0003-2241-707X, corresponding author), Evette Ludman (Kaiser Permanente Washington Health Research Institute), E Nilay Kafali (0009-0009-0334-2106, corresponding author), Sheri Lapatin (corresponding author), D M Unsihuay Vila (University of Puerto Rico, Medical Sciences Campus), Doriliz Vila, Patrick E Shrout (0000-0003-2139-0485, New York University), Kristen Keefe (0000-0003-3427-6817, Clark University), Benjamin Lê Cook (0000-0003-0135-0806, corresponding author), Andrea Ault (corresponding author), Xinliang Li (0000-0003-4885-565X, corresponding author), Amy M Bauer (0000-0003-1909-0213, University of Washington), Claudia Epelbaum (Beth Israel Deaconess Medical Center), Carmela Alcántara (0000-0002-6460-3842, Columbia University Irving Medical Center, corresponding author), Tulia I G Pineda (corresponding author), Gloria Gonzalez Tejera (Kaiser Permanente Washington Health Research Institute), Gloria Suau, Gloria M Suau (University of Puerto Rico System), Karla Leon (corresponding author), Anna Sophia Lessios (0000-0003-3493-0540, corresponding author), Rafael R Ramírez (0000-0002-8608-9004), Rafael Ramirez (0000-0001-6836-1687, University of Puerto Rico, Medical Sciences Campus), Glorisa Canino (0000-0003-1775-4020, University of Puerto Rico, Medical Sciences Campus) |
| Year | 2014 |
| Volume | 52 |
| Issue | 11 |
| Pages | 989-997 |
| Publication date | 2014-11-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000000232 |
| PMID | 25310525 |
| PMCID | PMC4201237 |
| OpenAlex | W2331876670 |
| Language | EN |
| Citations received | 6 |
| References cited | 45 |
BACKGROUND: Persistent disparities in access and quality of mental health care for Latinos indicate a need for evidence-based, culturally adapted, and outside-the-clinic-walls treatments. OBJECTIVE: Evaluate treatment effectiveness of telephone (ECLA-T) or face-to-face (ECLA-F) delivery of a 6-8 session cognitive behavioral therapy and care management intervention for low-income Latinos, as compared to usual care for depression. DESIGN: Multisite randomized controlled trial. SETTING: Eight community health clinics in Boston, Massachusetts and San Juan, Puerto Rico. PARTICIPANTS: 257 Latino patients recruited from primary care between May 2011 and September 2012. MAIN OUTCOME MEASURES: The primary outcome was severity of depression, assessed with the Patient Health Questionnaire-9 and the Hopkins Symptom Checklist-20. The secondary outcome was functioning over the previous 30 days, measured using the World Health Organization Disability Assessment Schedule (WHO-DAS 2.0). RESULTS: Both telephone and face-to-face versions of the Engagement and Counseling for Latinos (ECLA) were more effective than usual care. The effect sizes of both intervention conditions on Patient Health Questionnaire-9 were moderate when combined data from both sites are analyzed (0.56 and 0.64 for face-to-face and telephone, respectively). Similarly, effect sizes of ECLA-F and ECLA-T on the Hopkins Symptom Checklist were quite large in the Boston site (0.64 and 0.73. respectively) but not in Puerto Rico (0.10 and 0.03). CONCLUSIONS AND RELEVANCE: The intervention appears to help Latino patients reduce depressive symptoms and improve functioning. Of particular importance is the higher treatment initiation for the telephone versus face-to-face intervention (89.7% vs. 78.8%), which suggests that telephone-based care may improve access and quality of care
Checklist · Depression (economics) · Face-to-face · Family medicine · Health care · Intervention (counseling) · Mental health · Physical therapy · Psychiatry · Quality of life (healthcare) · Randomized controlled trial · Telephone counseling · Digital Mental Health Interventions · Medicine · Mental Health Treatment and Access · Nursing · Psychology · Telemedicine and Telehealth Implementation · Gerontology
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| Unique citing works | 6 |
|---|---|
| Citations per year | 1 |
| Citation span | 2020 - 2025 (6) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 5 |