Ellen Poleshuck1, Marsha Wittink2, Hugh Crean3, Tara Gellasch4, Mardy Sandler5, Elaine Bell2, Iwona Juskiewicz2, Catherine Cerulli2. 1. Department of Psychiatry, University of Rochester, 300 Crittenden Boulevard, Rochester, NY 14642, USA; Department of Obstetrics and Gynecology, University of Rochester, 401 Elmwood Ave, Rochester, NY 14642, USA. Electronic address: Ellen_Poleshuck@urmc.rochester.edu. 2. Department of Psychiatry, University of Rochester, 300 Crittenden Boulevard, Rochester, NY 14642, USA. 3. School of Nursing, University of Rochester, 255 Crittenden Boulevard, Rochester, NY 14642, USA. 4. Newark Wayne, Rochester Regional Health System, 1200 Driving Park Avenue, Newark, NY 14513, USA. 5. Division of Social Work, University of Rochester, 601 Elmwood Ave, Rochester, NY 14642, USA.
Abstract
INTRODUCTION: Significant health disparities exist among socioeconomically disadvantaged women, who experience elevated rates of depression and increased risk for poor depression treatment engagement and outcomes. We aimed to use stakeholder input to develop innovative methods for a comparative effectiveness trial to address the needs of socioeconomically disadvantaged women with depression in women's health practices. METHODS: Using a community advisory board, focus groups, and individual patient input, we determined the feasibility and acceptability of an electronic psychosocial screening and referral tool; developed and finalized a prioritization tool for women with depression; and piloted the prioritization tool. Two intervention approaches, enhanced screening and referral using an electronic psychosocial screening, and mentoring using the prioritization tool, were developed as intervention options for socioeconomically disadvantaged women attending women's health practices. We describe the developmental steps and the final design for the comparative effectiveness trial evaluating both intervention approaches. CONCLUSIONS: Stakeholder input allowed us to develop an acceptable clinical trial of two patient-centered interventions with patient-driven outcomes.
RCT Entities:
INTRODUCTION: Significant health disparities exist among socioeconomically disadvantaged women, who experience elevated rates of depression and increased risk for poor depression treatment engagement and outcomes. We aimed to use stakeholder input to develop innovative methods for a comparative effectiveness trial to address the needs of socioeconomically disadvantaged women with depression in women's health practices. METHODS: Using a community advisory board, focus groups, and individual patient input, we determined the feasibility and acceptability of an electronic psychosocial screening and referral tool; developed and finalized a prioritization tool for women with depression; and piloted the prioritization tool. Two intervention approaches, enhanced screening and referral using an electronic psychosocial screening, and mentoring using the prioritization tool, were developed as intervention options for socioeconomically disadvantaged women attending women's health practices. We describe the developmental steps and the final design for the comparative effectiveness trial evaluating both intervention approaches. CONCLUSIONS: Stakeholder input allowed us to develop an acceptable clinical trial of two patient-centered interventions with patient-driven outcomes.
Authors: Allison Tong; Nicole Scholes-Robertson; Carmel Hawley; Andrea K Viecelli; Simon A Carter; Adeera Levin; Brenda R Hemmelgarn; Tess Harris; Jonathan C Craig Journal: Nat Rev Nephrol Date: 2022-06-06 Impact factor: 42.439
Authors: Ellen Robin Embick; Daniel D Maeng; Iwona Juskiewicz; Catherine Cerulli; Hugh F Crean; Marsha Wittink; Ellen Poleshuck Journal: Arch Womens Ment Health Date: 2020-06-16 Impact factor: 4.405