A Randomized Hybrid Efficacy and Effectiveness Trial of Behavioral Activation for Latinos With Depression☆
Section snippets
Participants
The study protocol was approved by the Institutional Review Boards of the University of Wisconsin–Milwaukee and the Sixteenth Street Community Health Center (SSCHC). Written informed consent was obtained from all clients before initiating study participation.
Participants were low-income, monolingual Spanish-speaking Latinos who were referred for psychological services at the behavioral health clinic of the SSCHC over a 9-month period. The SSCHC is a large community health center that provides
Baseline Characteristics and Assessment Retention
Table 1 presents demographic and clinical characteristics of the sample at baseline. Significant differences between the treatment groups on randomization or other demographic and clinical characteristics were not observed.
Significant attrition to research assessment at posttreatment was observed. Of the 43 clients in the original sample, 15 (34.9%) clients did not provide posttreatment data, including 5 (23.8%) BAL clients and 10 (45.5%) TAU clients. This led to concerns about outcome analyses
Discussion
This project sought to evaluate Behavioral Activation for Latinos with depression by partnering with a bilingual (English-Spanish) community medical/mental health clinic and conducting a randomized controlled trial of BAL against an ecologically valid TAU comparison condition within the clinic setting. TAU was a stronger comparison condition than most previous TAU conditions as it took place at the same clinic, under the same guidelines and clinic protocols, with similar levels of ongoing
Conflict of Interest Statement
The authors declare that there are no conflicts of interest.
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Jonathan W. Kanter is now at the University of Washington. This study was supported by NIMH Grant (R34) MH085109-01A1 awarded to Jonathan W. Kanter and Azara L. Santiago-Rivera.