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Sponsored by: |
National Institute of Mental Health (NIMH) |
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Information provided by: | National Institute of Mental Health (NIMH) |
ClinicalTrials.gov Identifier: | NCT00356304 |
This study will determine the effectiveness of motivational interviewing in improving antidepressant medication adherence among Hispanics.
Condition | Intervention | Phase |
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Depression |
Behavioral: Motivational interviewing Behavioral: Treatment as usual |
Phase I |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study |
Official Title: | Antidepressant Adherence Among Hispanics: A Motivational Interviewing Approach |
Estimated Enrollment: | 90 |
Study Start Date: | April 2006 |
Estimated Study Completion Date: | August 2010 |
Estimated Primary Completion Date: | August 2010 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: Experimental
Participants will receive motivational interviewing in addition to their antidepressant therapy
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Behavioral: Motivational interviewing
Participants assigned to motivational interviewing will attend two 1-hour sessions of motivational interviewing over 2 consecutive weeks, followed by a third session 8 weeks later. Motivational interviewing is a type of counselling. Each session is of approximately 1 hour duration.
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2: Active Comparator
Participants will receive treatment as usual
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Behavioral: Treatment as usual
Participants will continue with their normal treatment regimen as usual.
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Depression is a serious mental illness characterized by symptoms that can interfere with a person's ability to work, study, eat, sleep, and enjoy activities that were once pleasurable. Studies have shown that people of Hispanic descent tend to underutilize mental health care services. Additionally, Hispanics have demonstrated lower compliance and completion rates for antidepressant treatment. This may be due to low socioeconomic status, lack of family financial support, and inadequate communication with mental health care providers. Motivational interviewing is a goal-oriented type of therapy that focuses on eliciting behavior change by identifying and mobilizing a person's values. This study will determine the effectiveness of culturally sensitive motivational interviewing in improving antidepressant medication adherence in Hispanics.
Participants in this 6-month, open-label study will be randomly assigned to receive either motivational interviewing in addition to their antidepressant therapy or treatment as usual. All participants will first attend a 45-minute screening visit, which will include questionnaires and an interview about psychiatric symptoms, medication attitudes, and medication adherence behavior. Participants will also receive an electronic medication container that will record how consistently medication is taken. Participants assigned to motivational interviewing will then attend two 1-hour sessions of motivational interviewing over 2 consecutive weeks, followed by a third session 8 weeks later. The group assigned to treatment as usual will not partake in motivational interviewing, but will continue to receive their normal care. All participants will return to the study site for follow-up assessments, which will include measures of antidepressant adherence, at Months 2 and 5.
Ages Eligible for Study: | 18 Years to 65 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Alejandro Interian, PhD | 732-235-3959 | interial@umdnj.edu |
Contact: Lina Aldana, PsyM | 732-235-5908 | aldanalm@umdnj.edu |
United States, New Jersey | |
University Behavioral Healthcare | Recruiting |
New Brunswick, New Jersey, United States, 08901 |
Principal Investigator: | Alejandro Interian, PhD | University of Medicine and Dentistry New Jersey |
Responsible Party: | UMDNJ--Robert Wood Johnson Medical School ( Alejandro Interian, PhD ) |
Study ID Numbers: | K23 MH074860, DSIR 8K-RT |
Study First Received: | July 21, 2006 |
Last Updated: | March 12, 2009 |
ClinicalTrials.gov Identifier: | NCT00356304 History of Changes |
Health Authority: | United States: Federal Government |
Dysthymia Major Depression Hispanics |
Latinos Motivational Interviewing Adherence |
Depression Mental Disorders Mood Disorders Dysthymic Disorder |
Depressive Disorder, Major Depressive Disorder Antidepressive Agents Behavioral Symptoms |
Depression Mental Disorders Mood Disorders Depressive Disorder Behavioral Symptoms |