In addition to the main outcomes (i.e.,
depression symptom reduction; depression remission; functional
status improvement; and receipt of guideline concordant treatment)
and process measures (i.e., satisfaction and quality of technical
and interpersonal aspects of care in general; satisfaction
with depression care in particular; and patients’ and clinicians’
attitudes regarding care of depression), baseline data were
collected to describe the characteristics between the intervention
groups assigned by randomization. In general, we selected
instruments that are brief, have been used successfully in
primary care settings, and are reliable and valid in primary
care clinicians and African Americans.
Schedule of data collected from primary care clinicians in
the BRIDGE study
| Overall data collection |
Pre
intervention
|
Post
intervention
|
| Demographics (age, gender, race, ethnicity, place of birth, residency training, board certification status, practice experience) |
X |
|
| Specialty (internal medicine or family medicine) |
X |
|
| Previous communication skills CME training |
X |
X |
| Previous mental health CME training |
X |
X |
| Readiness to change behavior re: management of depression |
X |
|
| Knowledge, attitudes, self-efficacy re: managing depression |
X |
|
| Attitudes about race 1 |
X |
X |
| Self-reported communication and PDM style |
X |
|
| Job stress and satisfaction |
X |
|
| Self-efficacy in managing adherence problems, depression, and patients from socially and culturally diverse backgrounds |
X |
X |
| |
|
|
Visit level data collection
|
|
|
| Videotape with simulated patient |
X |
|
| Audiotapes with 5 to 10 depressed patients |
|
X |
| Visit-specific satisfaction with each patient |
|
X |
| Perceptions of patients’ social and behavioral characteristics |
|
X |
| Use/process evaluation of CD-ROM/workbook 2 |
|
X |
| Rating of intervention effectiveness |
|
X |
1Explicit attitudes measured at baseline before enrollment visit; implicit attitudes measured only at end of study using the Implicit Association Test (IAT).
2Patient-centered intervention providers only |
Schedule of variables collected from patients in the BRIDGE
study
| Measurement/collection method |
Enrollment
visit
|
6
months
|
12
months
|
18
months
|
| Questionnaires |
|
|
|
|
Sociodemographics
Age, sex, race/ethnicity,education, income, employment 1, health insurance 1, financial stress |
X |
|
X |
X |
Attitudes, beliefs, and other behavioral measures
Trust in health professionals, preferred role in decision-making, depression treatment preferences, spirituality, respect, perceived involvement in care 2, racial identity, social support, life events |
X |
X |
X |
X |
| |
|
|
|
Health Status
Physical and mental, measured by MOS-SF12, CIDI 3 & CES-D, psychiatric co-morbidity 4, disability days
Healthcare Utilization
Mental healthcare utilization (receipt of antidepressant medication and/or counseling)
General healthcare utilization (emergency room visits and hospitalizations)
Healthcare Process
PDM with providers, visit-specific and overall satisfaction, satisfaction with case manager 5 , ratings of depression care management and intervention materials 6 |
X
X
X |
X
X
X |
X
X
X |
X
X
X |
| Audiotapes (patient-provider communication) 7 |
X |
|
|
|
CIDI = Composite International Diagnostic Interview, Depression Scale, CES-D = Center for Epidemiologic Studies Depression Scale, PDM = participatory decision making; 1measured at 12 and 18 months; 2measured only at 18 months; 3not measured at six months; 4Substance abuse, panic attacks, anxiety, and traumatic events; 5measured only at six and 12 months; 6measured only at 12 months only; 7collected at enrollment visit and after primary care provider intervention. |
|
