12-Month cost outcomes of community engagement versus technical assistance for depression quality improvement: A partnered, cluster randomized, comparative-effectiveness trial Article

Chung, B, Ong, M, Ettner, SL et al. (2018). 12-Month cost outcomes of community engagement versus technical assistance for depression quality improvement: A partnered, cluster randomized, comparative-effectiveness trial . ETHNICITY & DISEASE, 28 349-356. 10.18865/ed.28.S2.349

cited authors

  • Chung, B; Ong, M; Ettner, SL; Jones, F; Gilmore, J; McCreary, M; Ngo, VK; Sherbourne, C; Tang, L; Dixon, E; Koegel, P; Miranda, J; Wells, KB

authors

abstract

  • Objective: To compare community engagement and planning (CEP) for coalition support to implement depression quality improvement (QI) to resources for services (RS) effects on service-use costs over a 12-month period. Design: Matched health and community programs (N=93) were cluster-randomized within communities to CEP or RS. Setting: Two Los Angeles communities. Participants: Adults (N=1,013) with depressive symptoms (Patient Health Questionnaire (PHQ-8) ≥10); 85% African American and Latino. Interventions: CEP and RS to support programs in depression QI. Main outcome measures: Intervention training and service-use costs over 12 months. Results: CEP planning and training costs were almost 3 times higher than RS, largely due to greater CEP provider training participation vs RS, with no significant differences in 12-month service-use costs. Conclusions: Compared with RS, CEP had higher planning and training costs with similar service-use costs.

publication date

  • September 1, 2018

published in

Digital Object Identifier (DOI)

start page

  • 349

end page

  • 356

volume

  • 28