Participation in training for depression care quality improvement: A randomized trial of community engagement or technical support
Article
Chung, B, Ngo, VK, Ong, MK et al. (2015). Participation in training for depression care quality improvement: A randomized trial of community engagement or technical support
. PSYCHIATRIC SERVICES, 66(8), 831-839. 10.1176/appi.ps.201400099
Chung, B, Ngo, VK, Ong, MK et al. (2015). Participation in training for depression care quality improvement: A randomized trial of community engagement or technical support
. PSYCHIATRIC SERVICES, 66(8), 831-839. 10.1176/appi.ps.201400099
Objective: Community engagement and planning (CEP) could improve dissemination of depression care quality improvement in underresourced communities, but whether its effects on provider training participation differ from those of standard technical assistance, or resources for services (RS), is unknown. This study compared program- and stafflevel participation in depression care quality improvement training among programs enrolled in CEP, which trained networks of health care and social-community agencies jointly, and RS, which provided technical support to individual programs. Methods: Matched programs from health care and socialcommunity service sectors in two communities were randomly assigned to RS or CEP. Data were from 1,622 eligible staff members from 95 enrolled programs. Primary outcomes were any staff trained (for programs) and total hours of training (for staff). Secondary staff-level outcomes were hours of training in specific depression collaborative care components. Results: CEP programs were more likely than RS programs to participate in any training (p=.006). Within health care sectors, CEP programsweremore likely than RS programs to participate in training (p=.016), butwithin social-community sectors, there was no difference in training by intervention. Among staff who participated in training,mean training hourswere greater among CEP programs versus RS programs for any type of training (p<.001) and for training related to each component of depression care (p<.001) exceptmedicationmanagement. Conclusions: CEP may be an effective strategy to promote staff participation in depression care improvement efforts in underresourced communities.
