Trial Outcomes & Findings for Collaborative Care to Reduce Depression and Increase Cancer Screening Among Low-Income Urban Women (NCT NCT02273206)

NCT ID: NCT02273206

Last Updated: 2020-03-12

Results Overview

Comparison of the proportion of patients who were up to date for colorectal cancer, breast cancer and cervical cancer screenings before and after the intervention. (Chart Review)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

802 participants

Primary outcome timeframe

Baseline - 12 months

Results posted on

2020-03-12

Participant Flow

Among the 802 participants who were recruited for the study, 759 completed the baseline assessment and were randomized to one of the two intervention groups. Two participants were found to be ineligible after randomization and were excluded; as a result, 757 participants are included in the analyses.

Participant milestones

Participant milestones
Measure
Collaborative Care Intervention (CCI)
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services.
Prevention Care Management (PCM) Intervention
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening.
Overall Study
STARTED
378
379
Overall Study
COMPLETED
353
337
Overall Study
NOT COMPLETED
25
42

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Some participants did not provide a response for this question.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Collaborative Care Intervention (CCI)
n=378 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services.
Prevention Care Management (PCM) Intervention
n=379 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening.
Total
n=757 Participants
Total of all reporting groups
Age, Continuous
56.2 years
STANDARD_DEVIATION 4.3 • n=378 Participants
55.8 years
STANDARD_DEVIATION 4.2 • n=379 Participants
56.0 years
STANDARD_DEVIATION 4.3 • n=757 Participants
Sex: Female, Male
Female
378 Participants
n=378 Participants
379 Participants
n=379 Participants
757 Participants
n=757 Participants
Sex: Female, Male
Male
0 Participants
n=378 Participants
0 Participants
n=379 Participants
0 Participants
n=757 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
289 Participants
n=378 Participants
301 Participants
n=379 Participants
590 Participants
n=757 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
89 Participants
n=378 Participants
78 Participants
n=379 Participants
167 Participants
n=757 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=378 Participants
0 Participants
n=379 Participants
0 Participants
n=757 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=376 Participants • Some participants did not provide a response for this question.
0 Participants
n=379 Participants • Some participants did not provide a response for this question.
0 Participants
n=755 Participants • Some participants did not provide a response for this question.
Race (NIH/OMB)
Asian
0 Participants
n=376 Participants • Some participants did not provide a response for this question.
0 Participants
n=379 Participants • Some participants did not provide a response for this question.
0 Participants
n=755 Participants • Some participants did not provide a response for this question.
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=376 Participants • Some participants did not provide a response for this question.
0 Participants
n=379 Participants • Some participants did not provide a response for this question.
0 Participants
n=755 Participants • Some participants did not provide a response for this question.
Race (NIH/OMB)
Black or African American
82 Participants
n=376 Participants • Some participants did not provide a response for this question.
67 Participants
n=379 Participants • Some participants did not provide a response for this question.
149 Participants
n=755 Participants • Some participants did not provide a response for this question.
Race (NIH/OMB)
White
19 Participants
n=376 Participants • Some participants did not provide a response for this question.
12 Participants
n=379 Participants • Some participants did not provide a response for this question.
31 Participants
n=755 Participants • Some participants did not provide a response for this question.
Race (NIH/OMB)
More than one race
0 Participants
n=376 Participants • Some participants did not provide a response for this question.
0 Participants
n=379 Participants • Some participants did not provide a response for this question.
0 Participants
n=755 Participants • Some participants did not provide a response for this question.
Race (NIH/OMB)
Unknown or Not Reported
275 Participants
n=376 Participants • Some participants did not provide a response for this question.
300 Participants
n=379 Participants • Some participants did not provide a response for this question.
575 Participants
n=755 Participants • Some participants did not provide a response for this question.
Region of Enrollment
United States
378 participants
n=378 Participants
379 participants
n=379 Participants
757 participants
n=757 Participants
Primary Language
English
163 Participants
n=378 Participants
167 Participants
n=379 Participants
330 Participants
n=757 Participants
Primary Language
Spanish
215 Participants
n=378 Participants
212 Participants
n=379 Participants
427 Participants
n=757 Participants
Country of Birth
Born in U.S.
142 Participants
n=377 Participants • Some participants did not provide a response for this question.
154 Participants
n=377 Participants • Some participants did not provide a response for this question.
296 Participants
n=754 Participants • Some participants did not provide a response for this question.
Country of Birth
Born outside of U.S.
235 Participants
n=377 Participants • Some participants did not provide a response for this question.
223 Participants
n=377 Participants • Some participants did not provide a response for this question.
458 Participants
n=754 Participants • Some participants did not provide a response for this question.
Marital Status
Married/cohabitating
95 Participants
n=376 Participants • Some participants did not provide a response for this question.
95 Participants
n=378 Participants • Some participants did not provide a response for this question.
190 Participants
n=754 Participants • Some participants did not provide a response for this question.
Marital Status
Single/divorced/widowed/separated
271 Participants
n=376 Participants • Some participants did not provide a response for this question.
274 Participants
n=378 Participants • Some participants did not provide a response for this question.
545 Participants
n=754 Participants • Some participants did not provide a response for this question.
Marital Status
Other
10 Participants
n=376 Participants • Some participants did not provide a response for this question.
9 Participants
n=378 Participants • Some participants did not provide a response for this question.
19 Participants
n=754 Participants • Some participants did not provide a response for this question.
Education
Less than 8 years
89 Participants
n=376 Participants • Some participants did not provide a response for this question.
81 Participants
n=376 Participants • Some participants did not provide a response for this question.
170 Participants
n=752 Participants • Some participants did not provide a response for this question.
Education
8-11 years
113 Participants
n=376 Participants • Some participants did not provide a response for this question.
131 Participants
n=376 Participants • Some participants did not provide a response for this question.
244 Participants
n=752 Participants • Some participants did not provide a response for this question.
Education
Completed High School
90 Participants
n=376 Participants • Some participants did not provide a response for this question.
82 Participants
n=376 Participants • Some participants did not provide a response for this question.
172 Participants
n=752 Participants • Some participants did not provide a response for this question.
Education
Post High School and higher
84 Participants
n=376 Participants • Some participants did not provide a response for this question.
82 Participants
n=376 Participants • Some participants did not provide a response for this question.
166 Participants
n=752 Participants • Some participants did not provide a response for this question.
Employment
Employed
76 Participants
n=378 Participants
78 Participants
n=379 Participants
154 Participants
n=757 Participants
Employment
Unemployed
102 Participants
n=378 Participants
108 Participants
n=379 Participants
210 Participants
n=757 Participants
Employment
Homemaker
61 Participants
n=378 Participants
59 Participants
n=379 Participants
120 Participants
n=757 Participants
Employment
Other
139 Participants
n=378 Participants
134 Participants
n=379 Participants
273 Participants
n=757 Participants
Household income
$0 to $9,999
258 Participants
n=374 Participants • Some participants did not provide a response for this question.
242 Participants
n=373 Participants • Some participants did not provide a response for this question.
500 Participants
n=747 Participants • Some participants did not provide a response for this question.
Household income
$10,000 to $14,999
42 Participants
n=374 Participants • Some participants did not provide a response for this question.
69 Participants
n=373 Participants • Some participants did not provide a response for this question.
111 Participants
n=747 Participants • Some participants did not provide a response for this question.
Household income
$15,000 or more
74 Participants
n=374 Participants • Some participants did not provide a response for this question.
62 Participants
n=373 Participants • Some participants did not provide a response for this question.
136 Participants
n=747 Participants • Some participants did not provide a response for this question.
Insurance
Medicaid + Medicare
32 Participants
n=377 Participants • Some participants did not provide a response for this question.
32 Participants
n=379 Participants • Some participants did not provide a response for this question.
64 Participants
n=756 Participants • Some participants did not provide a response for this question.
Insurance
Medicaid
275 Participants
n=377 Participants • Some participants did not provide a response for this question.
285 Participants
n=379 Participants • Some participants did not provide a response for this question.
560 Participants
n=756 Participants • Some participants did not provide a response for this question.
Insurance
Medicare
17 Participants
n=377 Participants • Some participants did not provide a response for this question.
12 Participants
n=379 Participants • Some participants did not provide a response for this question.
29 Participants
n=756 Participants • Some participants did not provide a response for this question.
Insurance
Employer
12 Participants
n=377 Participants • Some participants did not provide a response for this question.
17 Participants
n=379 Participants • Some participants did not provide a response for this question.
29 Participants
n=756 Participants • Some participants did not provide a response for this question.
Insurance
No insurance
41 Participants
n=377 Participants • Some participants did not provide a response for this question.
33 Participants
n=379 Participants • Some participants did not provide a response for this question.
74 Participants
n=756 Participants • Some participants did not provide a response for this question.
Years receiving care at the community health center before consent
< 3
126 Participants
n=377 Participants • Some participants did not provide a response for this question.
138 Participants
n=377 Participants • Some participants did not provide a response for this question.
264 Participants
n=754 Participants • Some participants did not provide a response for this question.
Years receiving care at the community health center before consent
≥ 3
251 Participants
n=377 Participants • Some participants did not provide a response for this question.
239 Participants
n=377 Participants • Some participants did not provide a response for this question.
490 Participants
n=754 Participants • Some participants did not provide a response for this question.
Patient Health Questionnaire-9 (PHQ9) Score Group
Mild Depression (5-9)
104 Participants
n=377 Participants • Some participants did not provide a response for this question.
104 Participants
n=379 Participants • Some participants did not provide a response for this question.
208 Participants
n=756 Participants • Some participants did not provide a response for this question.
Patient Health Questionnaire-9 (PHQ9) Score Group
Moderate Depression (10-14)
159 Participants
n=377 Participants • Some participants did not provide a response for this question.
147 Participants
n=379 Participants • Some participants did not provide a response for this question.
306 Participants
n=756 Participants • Some participants did not provide a response for this question.
Patient Health Questionnaire-9 (PHQ9) Score Group
Moderately Severe Depression (15-19)
80 Participants
n=377 Participants • Some participants did not provide a response for this question.
102 Participants
n=379 Participants • Some participants did not provide a response for this question.
182 Participants
n=756 Participants • Some participants did not provide a response for this question.
Patient Health Questionnaire-9 (PHQ9) Score Group
Severe Depression (20-27)
34 Participants
n=377 Participants • Some participants did not provide a response for this question.
26 Participants
n=379 Participants • Some participants did not provide a response for this question.
60 Participants
n=756 Participants • Some participants did not provide a response for this question.
Cancer Screening
Up to date for Colorectal Cancer Screening
83 Participants
n=378 Participants
102 Participants
n=379 Participants
185 Participants
n=757 Participants
Cancer Screening
Up to date for Breast Cancer Screening
166 Participants
n=378 Participants
159 Participants
n=379 Participants
325 Participants
n=757 Participants
Cancer Screening
Up to date for Cervical Cancer Screening
160 Participants
n=378 Participants
158 Participants
n=379 Participants
318 Participants
n=757 Participants
Cancer history
28 Participants
n=377 Participants • Some participants did not provide a response for this question.
32 Participants
n=376 Participants • Some participants did not provide a response for this question.
60 Participants
n=753 Participants • Some participants did not provide a response for this question.
Hysterectomy
84 Participants
n=377 Participants • Some participants did not provide a response for this question.
83 Participants
n=374 Participants • Some participants did not provide a response for this question.
167 Participants
n=751 Participants • Some participants did not provide a response for this question.
Smoking Status
Current
92 Participants
n=308 Participants • Electronic health record data for this measure is not available for all participants.
89 Participants
n=320 Participants • Electronic health record data for this measure is not available for all participants.
181 Participants
n=628 Participants • Electronic health record data for this measure is not available for all participants.
Smoking Status
Former
50 Participants
n=308 Participants • Electronic health record data for this measure is not available for all participants.
53 Participants
n=320 Participants • Electronic health record data for this measure is not available for all participants.
103 Participants
n=628 Participants • Electronic health record data for this measure is not available for all participants.
Smoking Status
Never
166 Participants
n=308 Participants • Electronic health record data for this measure is not available for all participants.
178 Participants
n=320 Participants • Electronic health record data for this measure is not available for all participants.
344 Participants
n=628 Participants • Electronic health record data for this measure is not available for all participants.
Comorbid Condition- Asthma
124 Participants
n=377 Participants • Electronic health record data for this measure is not available for all participants.
123 Participants
n=378 Participants • Electronic health record data for this measure is not available for all participants.
247 Participants
n=755 Participants • Electronic health record data for this measure is not available for all participants.
Comorbid Condition- Hypertension
242 Participants
n=377 Participants • Electronic health record data for this measure is not available for all participants.
245 Participants
n=378 Participants • Electronic health record data for this measure is not available for all participants.
487 Participants
n=755 Participants • Electronic health record data for this measure is not available for all participants.
Comorbid Condition- Hyperlipidemia
220 Participants
n=377 Participants • Electronic health record data for this measure is not available for all participants.
209 Participants
n=378 Participants • Electronic health record data for this measure is not available for all participants.
429 Participants
n=755 Participants • Electronic health record data for this measure is not available for all participants.
Comorbid Condition- Diabetes
157 Participants
n=377 Participants • Electronic health record data for this measure is not available for all participants.
152 Participants
n=378 Participants • Electronic health record data for this measure is not available for all participants.
309 Participants
n=755 Participants • Electronic health record data for this measure is not available for all participants.

PRIMARY outcome

Timeframe: Baseline - 12 months

Comparison of the proportion of patients who were up to date for colorectal cancer, breast cancer and cervical cancer screenings before and after the intervention. (Chart Review)

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=378 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=379 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Assessment of Colorectal, Breast, and Cervical Cancer Screening Up to Date Status
Cervical Cancer Screening - Baseline
42.3 Percentage (%) of Participants
41.7 Percentage (%) of Participants
Assessment of Colorectal, Breast, and Cervical Cancer Screening Up to Date Status
Cervical Cancer Screening - Follow Up
61.6 Percentage (%) of Participants
64.6 Percentage (%) of Participants
Assessment of Colorectal, Breast, and Cervical Cancer Screening Up to Date Status
Colorectal Cancer Screening - Baseline
22.0 Percentage (%) of Participants
26.9 Percentage (%) of Participants
Assessment of Colorectal, Breast, and Cervical Cancer Screening Up to Date Status
Colorectal Cancer Screening - Follow Up
56.9 Percentage (%) of Participants
52.8 Percentage (%) of Participants
Assessment of Colorectal, Breast, and Cervical Cancer Screening Up to Date Status
Breast Cancer Screening - Baseline
43.9 Percentage (%) of Participants
42.0 Percentage (%) of Participants
Assessment of Colorectal, Breast, and Cervical Cancer Screening Up to Date Status
Breast Cancer Screening - Follow Up
66.7 Percentage (%) of Participants
66.8 Percentage (%) of Participants

PRIMARY outcome

Timeframe: Baseline - 12 months

Multivariate logistic regression model was used to assess which factors contributed to colorectal cancer screening up to date status.

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=378 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=379 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Assessment of Colorectal Cancer Screening Up to Date Status After Intervention
Up to Date at Baseline
22.0 percentage of participants
26.9 percentage of participants
Assessment of Colorectal Cancer Screening Up to Date Status After Intervention
Up to Date at Follow Up
56.9 percentage of participants
52.8 percentage of participants

PRIMARY outcome

Timeframe: Baseline - 12 months

Multivariate logistic regression model was used to assess which factors contributed to breast cancer screening up to date status

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=378 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=379 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Assessment of Breast Cancer Screening Up to Date Status After Intervention
Up to Date at Baseline
43.9 Percentage of Participants
42.0 Percentage of Participants
Assessment of Breast Cancer Screening Up to Date Status After Intervention
Up to Date at Follow Up
66.7 Percentage of Participants
66.8 Percentage of Participants

PRIMARY outcome

Timeframe: Baseline - 12 months

Multivariate logistic regression model was used to assess which factors contributed to cervical cancer screening up to date status

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=378 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=379 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Assessment of Cervical Cancer Screening Up to Date Status After Intervention
Up to Date at Baseline
42.3 Percentage of participants
41.7 Percentage of participants
Assessment of Cervical Cancer Screening Up to Date Status After Intervention
Up to Date at Follow Up
61.6 Percentage of participants
64.6 Percentage of participants

PRIMARY outcome

Timeframe: Baseline - 12 months

Population: These data are collected at baseline and 12 months. Not all participants completed all instruments at both time points.

Comparison of change in depression between the CCI and PCM arm before and after intervention. (Self-Report). The Patient Health Questionnaire-9 (PHQ9) is a well-validated measure of Diagnostic and Statistical Manual of Mental Disorders 4th Edition (DSM-IV) criteria for screening and diagnosing depressive episode, assessing severity, and monitoring treatment response. The PHQ9 score ranges from the minimum of 0 (no depression) to the maximum of 27 (severe depression). The detailed PHQ9 scores and corresponding level of depression severity are as follow: 0 (no depression), 1-4 (mild depression), 5-9 (medium-mild depression), 10-14 (moderate depression), 15-19 (moderately severe depression) and 20-27 (severe depression). The mean change in PHQ9 score is the mean of the differences between PHQ9 score at baseline and the PHQ9 score at follow up for all cases in the respective intervention arm; the greater the change in PHQ9 score, the greater the improvement in depression severity.

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=306 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=323 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Comparison of Change in Patient Health Questionnaire-9 (PHQ9) Score by Intervention Arm
Mean PHQ9 Score at Baseline
12.90 units on a scale
Standard Deviation 4.22
12.96 units on a scale
Standard Deviation 4.08
Comparison of Change in Patient Health Questionnaire-9 (PHQ9) Score by Intervention Arm
Mean PHQ9 Score at Follow Up
8.24 units on a scale
Standard Deviation 6.67
7.84 units on a scale
Standard Deviation 6.24
Comparison of Change in Patient Health Questionnaire-9 (PHQ9) Score by Intervention Arm
Mean Change in PHQ9 Score
4.60 units on a scale
Standard Deviation 6.67
5.05 units on a scale
Standard Deviation 6.44

PRIMARY outcome

Timeframe: Baseline - 6 months

Population: This data is collected at baseline and 6 months. Not all participants completed all instruments at all time points.

The SCL-20 consists of the 20 depression items on a 4-point scale from the SCL-90, and has been shown to be a valid and reliable measure of depression in diverse outpatient and community populations.

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=327 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=333 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Change From Baseline in The Hopkins Symptom Checklist (SCL-20) at 6 Months
Baseline · No Depression (<0.5)
37 Participants
43 Participants
Change From Baseline in The Hopkins Symptom Checklist (SCL-20) at 6 Months
Baseline · Mild to Moderate Depression (0.5 - 1.7)
198 Participants
189 Participants
Change From Baseline in The Hopkins Symptom Checklist (SCL-20) at 6 Months
Baseline · Severe Depression (> 1.7)
92 Participants
101 Participants
Change From Baseline in The Hopkins Symptom Checklist (SCL-20) at 6 Months
6 month · No Depression (<0.5)
100 Participants
97 Participants
Change From Baseline in The Hopkins Symptom Checklist (SCL-20) at 6 Months
6 month · Mild to Moderate Depression (0.5 - 1.7)
137 Participants
147 Participants
Change From Baseline in The Hopkins Symptom Checklist (SCL-20) at 6 Months
6 month · Severe Depression (> 1.7)
55 Participants
56 Participants

PRIMARY outcome

Timeframe: Baseline - 12 months

Population: This data is collected at baseline and 12 months. Not all participants completed all instruments at all time points.

The SCL-20 consists of the 20 depression items on a 4-point scale from the SCL-90, and has been shown to be a valid and reliable measure of depression in diverse outpatient and community populations.

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=327 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=333 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Change From Baseline in The Hopkins Symptom Checklist (SCL-20) at 12 Months
Baseline · No Depression (<0.5)
37 Participants
43 Participants
Change From Baseline in The Hopkins Symptom Checklist (SCL-20) at 12 Months
Baseline · Mild to Moderate Depression (0.5 - 1.7)
198 Participants
189 Participants
Change From Baseline in The Hopkins Symptom Checklist (SCL-20) at 12 Months
Baseline · Severe Depression (> 1.7)
92 Participants
101 Participants
Change From Baseline in The Hopkins Symptom Checklist (SCL-20) at 12 Months
12 Months · No Depression (<0.5)
113 Participants
120 Participants
Change From Baseline in The Hopkins Symptom Checklist (SCL-20) at 12 Months
12 Months · Mild to Moderate Depression (0.5 - 1.7)
121 Participants
141 Participants
Change From Baseline in The Hopkins Symptom Checklist (SCL-20) at 12 Months
12 Months · Severe Depression (> 1.7)
63 Participants
50 Participants

PRIMARY outcome

Timeframe: Baseline - 12 months

Population: This data is collected at baseline and 12 months. Not all participants completed all instruments at all time points.

Self-Report: We will ask participants about their participation (yes/no) in specific screening methods: Pap testing (past 3 years), mammography (past 2 years), and colorectal screening (fecal occult blood tests (FOBT)/fecal immunohistochemical tests (FIT)), past year; flexible sigmoidoscopy, the past 5 years; and colonoscopy, past 10 years).

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=378 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=379 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Changes From Baseline in Number of Participants With Colorectal, Breast, and/or Cervical Cancer Screening
Colorectal Cancer Screening - Baseline
42.9 Percentage (%) of Participants
44.1 Percentage (%) of Participants
Changes From Baseline in Number of Participants With Colorectal, Breast, and/or Cervical Cancer Screening
Colorectal Cancer Screening - Follow Up
71.2 Percentage (%) of Participants
68.5 Percentage (%) of Participants
Changes From Baseline in Number of Participants With Colorectal, Breast, and/or Cervical Cancer Screening
Breast Cancer Screening - Baseline
69.2 Percentage (%) of Participants
72.1 Percentage (%) of Participants
Changes From Baseline in Number of Participants With Colorectal, Breast, and/or Cervical Cancer Screening
Breast Cancer Screening - Follow Up
89.9 Percentage (%) of Participants
87.6 Percentage (%) of Participants
Changes From Baseline in Number of Participants With Colorectal, Breast, and/or Cervical Cancer Screening
Cervical Cancer Screening - Baseline
83.3 Percentage (%) of Participants
82.2 Percentage (%) of Participants
Changes From Baseline in Number of Participants With Colorectal, Breast, and/or Cervical Cancer Screening
Cervical Cancer Screening - Follow Up
87.2 Percentage (%) of Participants
90.6 Percentage (%) of Participants

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months

Population: This data is collected at baseline, 6 months and 12 months for 3 different instruments. Not all participants completed all instruments at all time points.

Participants were asked how many times in the past six months they had seen a provider to talk about or to receive medication for feeling sad, nervous, hopeless, or blue. This question was adapted from the NCI's HINTS survey. Two categories were created using the median as a cut point. The two categories were high utilization and low utilization.

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=378 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=379 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Mental Health Care Utilization: Assessed by Patient Report
Mental Health Visits - Baseline · High Utilization
162 Participants
165 Participants
Mental Health Care Utilization: Assessed by Patient Report
Mental Health Visits - Baseline · Low Utilization
216 Participants
214 Participants
Mental Health Care Utilization: Assessed by Patient Report
Mental Health Visits - 6 Months · High Utilization
116 Participants
136 Participants
Mental Health Care Utilization: Assessed by Patient Report
Mental Health Visits - 6 Months · Low Utilization
197 Participants
190 Participants
Mental Health Care Utilization: Assessed by Patient Report
Mental Health Visits - 12 Months · High Utilization
125 Participants
132 Participants
Mental Health Care Utilization: Assessed by Patient Report
Mental Health Visits - 12 Months · Low Utilization
191 Participants
201 Participants
Mental Health Care Utilization: Assessed by Patient Report
Mental Health Prescriptions - Baseline · High Utilization
137 Participants
145 Participants
Mental Health Care Utilization: Assessed by Patient Report
Mental Health Prescriptions - Baseline · Low Utilization
241 Participants
234 Participants
Mental Health Care Utilization: Assessed by Patient Report
Mental Health Prescriptions - 6 Months · High Utilization
126 Participants
130 Participants
Mental Health Care Utilization: Assessed by Patient Report
Mental Health Prescriptions - 6 Months · Low Utilization
187 Participants
196 Participants
Mental Health Care Utilization: Assessed by Patient Report
Mental Health Prescriptions - 12 Months · High Utilization
128 Participants
135 Participants
Mental Health Care Utilization: Assessed by Patient Report
Mental Health Prescriptions - 12 Months · Low Utilization
188 Participants
198 Participants

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months

Population: This data is collected at baseline, 6 months and 12 months for 3 different instruments. Not all participants completed all instruments at all time points.

The Satisfaction with Decision Scale is a 6-item measure that uses a five-point Likert-type scale; it is grounded in a conceptual model of an effective decision, i.e., one that is informed, consistent with the decision-maker's values, and behaviorally implemented. This scale has been tailored to healthcare decisions to receive treatment for emotional or mental health and to have cervical, breast, and colon cancer screening.The continuous summary score was converted into two categories using the median as a cut point. The two categories are high satisfaction and low satisfaction.

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=374 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=376 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Colorectal Cancer Screening - Baseline · High Satisfaction
161 Participants
180 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Colorectal Cancer Screening - Baseline · Low Satisfaction
212 Participants
196 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Colorectal Cancer Screening - 6 months · High Satisfaction
112 Participants
131 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Colorectal Cancer Screening - 6 months · Low Satisfaction
183 Participants
170 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Colorectal Cancer Screening - 12 months · High Satisfaction
135 Participants
148 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Colorectal Cancer Screening - 12 months · Low Satisfaction
170 Participants
175 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Breast Cancer Screening - Baseline · High Satisfaction
186 Participants
192 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Breast Cancer Screening - Baseline · Low Satisfaction
188 Participants
184 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Breast Cancer Screening - 6 months · High Satisfaction
147 Participants
145 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Breast Cancer Screening - 6 months · Low Satisfaction
151 Participants
158 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Breast Cancer Screening - 12 months · High Satisfaction
150 Participants
160 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Breast Cancer Screening - 12 months · Low Satisfaction
157 Participants
163 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Cervical Cancer Screening - Baseline · High Satisfaction
147 Participants
152 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Cervical Cancer Screening - Baseline · Low Satisfaction
148 Participants
142 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Cervical Cancer Screening - 6 months · High Satisfaction
99 Participants
101 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Cervical Cancer Screening - 6 months · Low Satisfaction
122 Participants
130 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Cervical Cancer Screening - 12 Months · High Satisfaction
107 Participants
120 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Cervical Cancer Screening - 12 Months · Low Satisfaction
119 Participants
131 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Mental Health Care - 12 Months · High Satisfaction
129 Participants
128 Participants
Satisfaction With Decision to Participate in Screening and Mental Health Care as Assessed by Decision Scale
Mental Health Care - 12 Months · Low Satisfaction
175 Participants
191 Participants

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months

Population: Data are collected at baseline, 6 months and 12 months. Not all participants completed the assessment at all time points.

This questionnaire, adopted from National Cancer Institute's (NCI) Health Information National Trends Survey (HINTS), assesses whether patients report that their primary care physician 1) has recommended cervical, breast, and colon cancer screening and 2) has recommended that the patient make an appointment with a mental health provider and/or take psychotropic medication. Two categories were created according to whether the patient received a physician recommendation (yes/no). The category of "Recommendation" for when they received a recommendation and a category of "No Recommendation" if they did not receive a recommendation

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=378 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=379 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Physician Recommendation of Screening/Mental Health Care
Colorectal Cancer Screening - Baseline · Recommendation
298 Participants
282 Participants
Physician Recommendation of Screening/Mental Health Care
Colorectal Cancer Screening - Baseline · No Recommendation
80 Participants
96 Participants
Physician Recommendation of Screening/Mental Health Care
Colorectal Cancer Screening - 6 Months · Recommendation
281 Participants
284 Participants
Physician Recommendation of Screening/Mental Health Care
Colorectal Cancer Screening - 6 Months · No Recommendation
23 Participants
30 Participants
Physician Recommendation of Screening/Mental Health Care
Colorectal Cancer Screening - 12 Months · Recommendation
281 Participants
308 Participants
Physician Recommendation of Screening/Mental Health Care
Colorectal Cancer Screening - 12 Months · No Recommendation
31 Participants
20 Participants
Physician Recommendation of Screening/Mental Health Care
Breast Cancer Screening - Baseline · Recommendation
340 Participants
339 Participants
Physician Recommendation of Screening/Mental Health Care
Breast Cancer Screening - Baseline · No Recommendation
37 Participants
37 Participants
Physician Recommendation of Screening/Mental Health Care
Breast Cancer Screening - 6 Months · Recommendation
299 Participants
303 Participants
Physician Recommendation of Screening/Mental Health Care
Breast Cancer Screening - 6 Months · No Recommendation
5 Participants
11 Participants
Physician Recommendation of Screening/Mental Health Care
Breast Cancer Screening - 12 Months · Recommendation
302 Participants
321 Participants
Physician Recommendation of Screening/Mental Health Care
Breast Cancer Screening - 12 Months · No Recommendation
10 Participants
8 Participants
Physician Recommendation of Screening/Mental Health Care
Cervical Cancer Screening - Baseline · Recommendation
309 Participants
297 Participants
Physician Recommendation of Screening/Mental Health Care
Cervical Cancer Screening - Baseline · No Recommendation
69 Participants
79 Participants
Physician Recommendation of Screening/Mental Health Care
Cervical Cancer Screening - 6 Months · Recommendation
281 Participants
283 Participants
Physician Recommendation of Screening/Mental Health Care
Cervical Cancer Screening - 6 Months · No Recommendation
23 Participants
31 Participants
Physician Recommendation of Screening/Mental Health Care
Cervical Cancer Screening - 12 Months · Recommendation
279 Participants
299 Participants
Physician Recommendation of Screening/Mental Health Care
Cervical Cancer Screening - 12 Months · No Recommendation
33 Participants
28 Participants
Physician Recommendation of Screening/Mental Health Care
Mental Health Care - Baseline · Recommendation
206 Participants
206 Participants
Physician Recommendation of Screening/Mental Health Care
Mental Health Care - Baseline · No Recommendation
172 Participants
168 Participants
Physician Recommendation of Screening/Mental Health Care
Mental Health Care - 6 Months · Recommendation
183 Participants
191 Participants
Physician Recommendation of Screening/Mental Health Care
Mental Health Care - 6 Months · No Recommendation
121 Participants
122 Participants
Physician Recommendation of Screening/Mental Health Care
Mental Health Care - 12 Months · Recommendation
182 Participants
203 Participants
Physician Recommendation of Screening/Mental Health Care
Mental Health Care - 12 Months · No Recommendation
130 Participants
125 Participants

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months

Population: This data is collected at baseline, 6 months and 12 months. Not all participants completed the assessment at all time points.

This Generalized Anxiety Disorder scale is based on diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders 4th Edition (DSM-IV) and measures probable anxiety disorder and severity of anxiety symptoms. Patients are asked to rate how often they have been bothered by 7 problems in the last 2 weeks on a 4-point scale. Standard cut points were used for the Generalized Anxiety Disorder measure. Minimal anxiety is (0-4). Mild Anxiety would be count as (5-9). Moderate Anxiety (10-14) and severe anxiety would be (15-21).

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=372 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=372 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Generalized Anxiety Disorder
Baseline · Minimal Anxiety (0-4)
79 Participants
79 Participants
Generalized Anxiety Disorder
Baseline · Mild Anxiety (5-9)
114 Participants
108 Participants
Generalized Anxiety Disorder
Baseline · Moderate Anxiety (10-14)
89 Participants
95 Participants
Generalized Anxiety Disorder
Baseline · Severe Anxiety (15-21)
90 Participants
90 Participants
Generalized Anxiety Disorder
6 months · Minimal Anxiety (0-4)
133 Participants
127 Participants
Generalized Anxiety Disorder
6 months · Mild Anxiety (5-9)
69 Participants
82 Participants
Generalized Anxiety Disorder
6 months · Moderate Anxiety (10-14)
61 Participants
42 Participants
Generalized Anxiety Disorder
6 months · Severe Anxiety (15-21)
37 Participants
50 Participants
Generalized Anxiety Disorder
12 months · Minimal Anxiety (0-4)
124 Participants
145 Participants
Generalized Anxiety Disorder
12 months · Mild Anxiety (5-9)
82 Participants
77 Participants
Generalized Anxiety Disorder
12 months · Moderate Anxiety (10-14)
46 Participants
56 Participants
Generalized Anxiety Disorder
12 months · Severe Anxiety (15-21)
56 Participants
44 Participants

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months

Population: This data is collected at baseline, 6 months and 12 months. Not all participants completed the assessment at all time points.

The quality of life was measured with the Medical Outcomes Study (MOS) Short Form Health Survey (SF-12) is a general measure of health status that assess the patient's perceived health status and whether health problems interfere with normal functioning. The SF-12 has demonstrated validity and test-retest reliability in the general population and in patients with chronic health conditions, and has been tested in five languages, including Spanish. It has been used extensively as a quality of life measure in collaborative care studies, including with low-income minority populations. It has also been used frequently in screening studies, for cancer and other conditions. The SF-12 has been validated as an indicator of effects of depression on quality of life in ethnically diverse patients. The continuous summary score was converted into 4 categories using quartiles as cutoff points. The four categories are Best Health, Good health, Fair Health and Worst Health.

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=370 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=359 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Medical Outcomes Study Health Survey-Short Form
Baseline · Best Health
96 Participants
88 Participants
Medical Outcomes Study Health Survey-Short Form
Baseline · Good Health
86 Participants
95 Participants
Medical Outcomes Study Health Survey-Short Form
Baseline · Fair Health
92 Participants
96 Participants
Medical Outcomes Study Health Survey-Short Form
Baseline · Worst Health
96 Participants
80 Participants
Medical Outcomes Study Health Survey-Short Form
6 months · Best Health
70 Participants
74 Participants
Medical Outcomes Study Health Survey-Short Form
6 months · Good Health
77 Participants
82 Participants
Medical Outcomes Study Health Survey-Short Form
6 months · Fair Health
65 Participants
75 Participants
Medical Outcomes Study Health Survey-Short Form
6 months · Worst Health
81 Participants
71 Participants
Medical Outcomes Study Health Survey-Short Form
12 months · Best Health
73 Participants
83 Participants
Medical Outcomes Study Health Survey-Short Form
12 months · Good Health
79 Participants
77 Participants
Medical Outcomes Study Health Survey-Short Form
12 months · Fair Health
72 Participants
83 Participants
Medical Outcomes Study Health Survey-Short Form
12 months · Worst Health
83 Participants
76 Participants

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months

Population: This data is collected at baseline, 6 months and 12 months. Not all participants completed the assessment at all time points.

This measure was adapted from the National Cancer Institute's HINTS questions for colorectal cancer. The continuous summary score was converted into 4 categories using quartiles as cut points. The categories for screening attitudes were as follows: positive attitudes, moderate attitudes, fair attitudes and negative attitudes.

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=377 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=377 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Breast, Cervical and Colorectal Cancer Screening Attitudes
Colorectal Cancer Screening - Baseline · Positive Attitudes
71 Participants
71 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Colorectal Cancer Screening - Baseline · Moderate Attitudes
45 Participants
55 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Colorectal Cancer Screening - Baseline · Fair Attitudes
161 Participants
152 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Colorectal Cancer Screening - Baseline · Negative Attitudes
95 Participants
95 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Colorectal Cancer Screening - 6 months · Positive Attitudes
65 Participants
64 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Colorectal Cancer Screening - 6 months · Moderate Attitudes
46 Participants
39 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Colorectal Cancer Screening - 6 months · Fair Attitudes
83 Participants
86 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Colorectal Cancer Screening - 6 months · Negative Attitudes
106 Participants
111 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Colorectal Cancer Screening - 12 months · Positive Attitudes
131 Participants
134 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Colorectal Cancer Screening - 12 months · Moderate Attitudes
0 Participants
0 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Colorectal Cancer Screening - 12 months · Fair Attitudes
0 Participants
0 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Colorectal Cancer Screening - 12 months · Negative Attitudes
177 Participants
189 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Breast Cancer Screening - Baseline · Positive Attitudes
71 Participants
79 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Breast Cancer Screening - Baseline · Moderate Attitudes
62 Participants
61 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Breast Cancer Screening - Baseline · Fair Attitudes
136 Participants
132 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Breast Cancer Screening - Baseline · Negative Attitudes
108 Participants
105 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Breast Cancer Screening - 6 months · Positive Attitudes
126 Participants
124 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Breast Cancer Screening - 6 months · Moderate Attitudes
0 Participants
0 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Breast Cancer Screening - 6 months · Fair Attitudes
0 Participants
0 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Breast Cancer Screening - 6 months · Negative Attitudes
174 Participants
182 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Breast Cancer Screening - 12 months · Positive Attitudes
131 Participants
142 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Breast Cancer Screening - 12 months · Moderate Attitudes
0 Participants
0 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Breast Cancer Screening - 12 months · Fair Attitudes
0 Participants
0 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Breast Cancer Screening - 12 months · Negative Attitudes
177 Participants
183 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Cervical Cancer Screening - Baseline · Positive Attitudes
60 Participants
64 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Cervical Cancer Screening - Baseline · Moderate Attitudes
51 Participants
58 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Cervical Cancer Screening - Baseline · Fair Attitudes
107 Participants
92 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Cervical Cancer Screening - Baseline · Negative Attitudes
82 Participants
81 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Cervical Cancer Screening - 6 months · Positive Attitudes
99 Participants
85 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Cervical Cancer Screening - 6 months · Moderate Attitudes
0 Participants
0 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Cervical Cancer Screening - 6 months · Fair Attitudes
0 Participants
0 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Cervical Cancer Screening - 6 months · Negative Attitudes
124 Participants
145 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Cervical Cancer Screening - 12 months · Positive Attitudes
98 Participants
108 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Cervical Cancer Screening - 12 months · Moderate Attitudes
0 Participants
0 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Cervical Cancer Screening - 12 months · Fair Attitudes
0 Participants
0 Participants
Breast, Cervical and Colorectal Cancer Screening Attitudes
Cervical Cancer Screening - 12 months · Negative Attitudes
129 Participants
142 Participants

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months

Population: This data is collected at baseline, 6 months and 12 months. Not all participants completed the assessment at all time points.

The Satisfaction with Decision Scale is a 6-item measure that uses a five-point Likert-type scale; it is grounded in a conceptual model of an effective decision, i.e., one that is informed, consistent with the decision-maker's values, and behaviorally implemented. This scale has been tailored to healthcare decisions to have cervical, breast, and colon cancer screening.The satisfaction with decision scale of cancer screening and its continuous summary score was converted into two categories (high satisfaction and low satisfaction) using the median as the cutoff point.

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=373 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=376 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Satisfaction With Decision Scale- Cancer Screening (Data Reported in Outcome Measure #10)
Colorectal Cancer Screening - Baseline · High Satisfaction
161 Participants
180 Participants
Satisfaction With Decision Scale- Cancer Screening (Data Reported in Outcome Measure #10)
Colorectal Cancer Screening - Baseline · Low Satisfaction
212 Participants
196 Participants
Satisfaction With Decision Scale- Cancer Screening (Data Reported in Outcome Measure #10)
Colorectal Cancer Screening - 6 months · High Satisfaction
112 Participants
131 Participants
Satisfaction With Decision Scale- Cancer Screening (Data Reported in Outcome Measure #10)
Colorectal Cancer Screening - 6 months · Low Satisfaction
183 Participants
170 Participants
Satisfaction With Decision Scale- Cancer Screening (Data Reported in Outcome Measure #10)
Colorectal Cancer Screening - 12 Months · High Satisfaction
135 Participants
148 Participants
Satisfaction With Decision Scale- Cancer Screening (Data Reported in Outcome Measure #10)
Colorectal Cancer Screening - 12 Months · Low Satisfaction
170 Participants
175 Participants

SECONDARY outcome

Timeframe: 12 months

The Satisfaction with Decision Scale is a 6-item measure that uses a five-point Likert-type scale; it is grounded in a conceptual model of an effective decision, i.e., one that is informed, consistent with the decision-maker's values, and behaviorally implemented. This scale has been tailored to healthcare decisions to have mental health care.The satisfaction with decision scale of mental health and its continuous summary score was converted into two categories (high satisfaction and low satisfaction) using the median as the cutoff point.

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=304 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=319 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Satisfaction With Decision Scale- Mental Health (Data Reported in Secondary Outcome Measure #10)
High Satisfaction
129 Participants
128 Participants
Satisfaction With Decision Scale- Mental Health (Data Reported in Secondary Outcome Measure #10)
Low Satisfaction
175 Participants
191 Participants

SECONDARY outcome

Timeframe: Baseline and 12 months

Population: This data is collected at baseline and 12 months. Not all participants completed this instrument at all time points.

This measure was adapted from the Link's Devaluation-Discrimination Scale.The continuous summary score was converted into 4 categories using quartiles as cut points. The 4 categories were as follows: Low stigma, minimal stigma, moderate stigma and high stigma.

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=192 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=193 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Devaluation-Discrimination Scale
Baseline · Low Stigma
68 Participants
50 Participants
Devaluation-Discrimination Scale
Baseline · Minimal Stigma
42 Participants
45 Participants
Devaluation-Discrimination Scale
Baseline · Moderate Stigma
46 Participants
49 Participants
Devaluation-Discrimination Scale
Baseline · High Stigma
36 Participants
49 Participants
Devaluation-Discrimination Scale
12 months · Low Stigma
50 Participants
55 Participants
Devaluation-Discrimination Scale
12 months · Minimal Stigma
36 Participants
48 Participants
Devaluation-Discrimination Scale
12 months · Moderate Stigma
30 Participants
26 Participants
Devaluation-Discrimination Scale
12 months · High Stigma
44 Participants
34 Participants

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months

Population: This data is collected at baseline, 6 months and 12 months. Not all participants completed this instrument at all time points.

The Ambulatory Care Experiences Survey produces 11 summary measures covering 2 broad dimensions of patients' experiences: quality of physician-patient interactions and organizational features of care. The continuous summary score was converted into 4 categories (High, Moderate, Fair and Low) using quartiles as cut-points.

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=378 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=379 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Shared Decision Making - Baseline · High
114 Participants
123 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Shared Decision Making - Baseline · Moderate
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Shared Decision Making - Baseline · Fair
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Shared Decision Making - Baseline · Low
264 Participants
256 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Shared Decision Making - 6 Months · High
81 Participants
77 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Shared Decision Making - 6 Months · Moderate
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Shared Decision Making - 6 Months · Fair
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Shared Decision Making - 6 Months · Low
232 Participants
249 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Shared Decision Making - 12 Months · High
77 Participants
108 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Shared Decision Making - 12 Months · Moderate
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Shared Decision Making - 12 Months · Fair
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Shared Decision Making - 12 Months · Low
239 Participants
225 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Access - Baseline · High
24 Participants
23 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Access - Baseline · Moderate
25 Participants
22 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Access - Baseline · Fair
23 Participants
27 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Access - Baseline · Low
306 Participants
307 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Access - 6 Months · High
26 Participants
30 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Access - 6 Months · Moderate
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Access - 6 Months · Fair
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Access - 6 Months · Low
287 Participants
296 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Access - 12 Months · High
28 Participants
26 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Access - 12 Months · Moderate
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Access - 12 Months · Fair
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Access - 12 Months · Low
288 Participants
307 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Care Coordination - Baseline · High
67 Participants
61 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Care Coordination - Baseline · Moderate
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Care Coordination - Baseline · Fair
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Care Coordination - Baseline · Low
311 Participants
318 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Care Coordination - 6 Months · High
30 Participants
19 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Care Coordination - 6 Months · Moderate
22 Participants
22 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Care Coordination - 6 Months · Fair
23 Participants
27 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Care Coordination - 6 Months · Low
238 Participants
258 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Care Coordination - 12 Months · High
18 Participants
26 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Care Coordination - 12 Months · Moderate
9 Participants
4 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Care Coordination - 12 Months · Fair
39 Participants
31 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Care Coordination - 12 Months · Low
250 Participants
272 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Quality - Baseline · High
142 Participants
152 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Quality - Baseline · Moderate
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Quality - Baseline · Fair
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Quality - Baseline · Low
236 Participants
227 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Quality - 6 Months · High
121 Participants
115 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Quality - 6 Months · Moderate
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Quality - 6 Months · Fair
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Quality - 6 Months · Low
192 Participants
211 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Quality - 12 Months · High
116 Participants
122 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Quality - 12 Months · Moderate
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Quality - 12 Months · Fair
0 Participants
0 Participants
Ambulatory Care Experiences as Assessed by Ambulatory Care Experiences Survey
Quality - 12 Months · Low
200 Participants
211 Participants

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months

Population: This data is collected at baseline, 6 months and 12 months. Not all participants completed the assessment at all time points

In this questionnaire, respondents were asked if they had been prescribed medication for depression and about difficulties taking medication(s) regularly. Standard cut points was used for medical adherence. High adherence- around an 8. Medium adherence - 6-7.99. Low adherence would be anything less than 6.

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=125 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=131 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Medication Adherence
Baseline · High Adherence (8)
20 Participants
25 Participants
Medication Adherence
Baseline · Medium Adherence (6-7.99)
30 Participants
32 Participants
Medication Adherence
Baseline · Low Adherence (<6)
75 Participants
74 Participants
Medication Adherence
6 months · High Adherence (8)
20 Participants
23 Participants
Medication Adherence
6 months · Medium Adherence (6-7.99)
35 Participants
23 Participants
Medication Adherence
6 months · Low Adherence (<6)
60 Participants
68 Participants
Medication Adherence
12 months · High Adherence (8)
22 Participants
27 Participants
Medication Adherence
12 months · Medium Adherence (6-7.99)
33 Participants
31 Participants
Medication Adherence
12 months · Low Adherence (<6)
60 Participants
61 Participants

SECONDARY outcome

Timeframe: Baseline, 6 months and 12 months

Population: Data are collected at baseline, 6 months and 12 months. Not all participants completed the assessment at all time points.

This 5-item scale measures a sense of perceived self-efficacy associated with accessing and paying for the three different types of cancer screening and utilization of needed mental health services. The continuous study score was converted into 4 categories using quartiles as cut points. The 4 categories are high self-efficacy, moderate self- efficacy, minimal self-efficacy and low self-efficacy.

Outcome measures

Outcome measures
Measure
Collaborative Care Intervention (CCI)
n=373 Participants
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM)
n=373 Participants
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Self-efficacy and Behavior Towards Cancer Screening/Mental Health Utilization
Baseline · High Self-Efficacy
98 Participants
87 Participants
Self-efficacy and Behavior Towards Cancer Screening/Mental Health Utilization
Baseline · Moderate Self-Efficacy
87 Participants
98 Participants
Self-efficacy and Behavior Towards Cancer Screening/Mental Health Utilization
Baseline · Minimal Self-Efficacy
90 Participants
87 Participants
Self-efficacy and Behavior Towards Cancer Screening/Mental Health Utilization
Baseline · Low Self-Efficacy
98 Participants
101 Participants
Self-efficacy and Behavior Towards Cancer Screening/Mental Health Utilization
6 months · High Self-Efficacy
70 Participants
74 Participants
Self-efficacy and Behavior Towards Cancer Screening/Mental Health Utilization
6 months · Moderate Self-Efficacy
68 Participants
76 Participants
Self-efficacy and Behavior Towards Cancer Screening/Mental Health Utilization
6 months · Minimal Self-Efficacy
77 Participants
74 Participants
Self-efficacy and Behavior Towards Cancer Screening/Mental Health Utilization
6 months · Low Self-Efficacy
83 Participants
80 Participants
Self-efficacy and Behavior Towards Cancer Screening/Mental Health Utilization
12 months · High Self-Efficacy
71 Participants
79 Participants
Self-efficacy and Behavior Towards Cancer Screening/Mental Health Utilization
12 months · Moderate Self-Efficacy
81 Participants
81 Participants
Self-efficacy and Behavior Towards Cancer Screening/Mental Health Utilization
12 months · Minimal Self-Efficacy
77 Participants
79 Participants
Self-efficacy and Behavior Towards Cancer Screening/Mental Health Utilization
12 months · Low Self-Efficacy
77 Participants
85 Participants

Adverse Events

Collaborative Care Intervention (CCI)

Serious events: 1 serious events
Other events: 4 other events
Deaths: 5 deaths

Prevention Care Management (PCM) Intervention

Serious events: 0 serious events
Other events: 4 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Collaborative Care Intervention (CCI)
n=378 participants at risk
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM) Intervention
n=379 participants at risk
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Vascular disorders
Stroke
0.26%
1/378 • Number of events 1 • The adverse event data were collected over the 12 month period in which participants were followed.
0.00%
0/379 • The adverse event data were collected over the 12 month period in which participants were followed.

Other adverse events

Other adverse events
Measure
Collaborative Care Intervention (CCI)
n=378 participants at risk
Participants assigned to the CCI group received the Prevention Care Management (PCM) intervention, as well as motivational support to initiate or follow up on mental health treatment and linkages to social support services
Prevention Care Management (PCM) Intervention
n=379 participants at risk
The PCM intervention consisted of cancer screening telephone support, including education, patient navigation, and motivational interviewing to overcome barriers to screening
Psychiatric disorders
Suicidal Ideation
1.1%
4/378 • Number of events 4 • The adverse event data were collected over the 12 month period in which participants were followed.
1.1%
4/379 • Number of events 4 • The adverse event data were collected over the 12 month period in which participants were followed.

Additional Information

Andrea Cassells, MPH

Clinical Directors Network

Phone: 212-382-0699

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place