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Equity in Depression Care for Primary Care Patients with Language Barriers

Award Number: K23MD015115
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 08/01/2020
PERIOD OF PERFORMANCE END DATE: 03/31/2025

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Equity in Depression Care for Primary Care Patients with Language Barriers - Project Summary Depression is a leading cause of disability in the United States. Patients with limited English proficiency (LEP), particularly Asians and Latinos, who represent the largest demographics with LEP in the country, are at increased risk of poor provider recognition of depressive symptoms and under-treatment of depression. Universal depression screening in primary care, with a focus on initial depression treatment, may be a way to systematically identify patients with LEP who could benefit from treatment. However, barriers to depression care are likely multifactorial and are still poorly understood. The objective of this application is to understand whether universal approaches to depression screening and initial care for depression are equally effective for all groups, or whether targeted efforts are needed to increase depression screening, diagnosis and treatment in primary care among patients with LEP. Within the context of a primary care setting, the specific aims are to (1) evaluate differences in depression screening and initial treatment by patient preferred language after adoption of annual universal depression screening, (2) examine patterns of patient-provider communication about depressive symptoms, and (3) to involve key stakeholders to develop a patient- and provider-facing, practice-based intervention prototype to improve annual depression screening, elicit patient concerns and treatment preferences, foster improved communication and patient empowerment about initial treatment, and increase engagement in depression care. These aims will be achieved using mixed methods and health disparities research frameworks, and they address the NIMHD research priority areas of developing healthcare interventions to reduce health disparities and to improve patient-clinician communication and shared-decision making. The studies are novel in their focus on the mental health needs of primary care patients with LEP as well as the proposed use of mixed methods to develop a theory-driven intervention prototype. The proposed studies are informed by Dr. Maria Esteli Garcia’s experience as an internist working in diverse, urban primary care settings. Dr. Garcia’s long- term career goal is to improve depression care for patients with LEP in primary care. During the course of this award, Dr. Garcia will undertake didactic and experiential training to improve knowledge and skills in three areas: (1) mixed methods, (2) evidence-based depression care, and (3) experimental designs for use in real world settings. Dr. Garcia has assembled a mentorship team with expertise in mixed methods, health services and implementation science research, evidence-based depression treatment, and intervention design to ensure completion of the proposed research and training and successful transition to independence. Ultimately, these projects are expected to provide the foundation for future R34 and R01 applications and further refinement of an intervention to reduce mental health disparities by improving depression screening and initial depression care for patients with LEP.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Minority Health and Health Disparities Research	000	5	7/31/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $172,098 )
2024	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Minority Health and Health Disparities Research	000	5	3/24/2024	NON-COMPETING CONTINUATION	$154,888
2024	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Minority Health and Health Disparities Research	001	5	5/29/2024	NON-COMPETING CONTINUATION	$17,210
														Subtotal = $172,098

Issue Date FY: 2023 ( Subtotal = $172,098 )
2023	2023	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Minority Health and Health Disparities Research	000	4	6/28/2023	NON-COMPETING CONTINUATION	$172,098
														Subtotal = $172,098

Issue Date FY: 2022 ( Subtotal = $172,098 )
2022	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Minority Health and Health Disparities Research	000	3	6/21/2022	NON-COMPETING CONTINUATION	$172,098
														Subtotal = $172,098

Issue Date FY: 2021 ( Subtotal = $172,098 )
2021	2021	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Minority Health and Health Disparities Research	000	2	3/22/2021	NON-COMPETING CONTINUATION	$172,098
														Subtotal = $172,098

Issue Date FY: 2020 ( Subtotal = $172,098 )
2020	2020	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Minority Health and Health Disparities Research	000	1	6/12/2020	NEW	$172,098
														Subtotal = $172,098

Grand Total All Awards = $860,490

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Equity in Depression Care for Primary Care Patients with Language Barriers

Award Number: K23MD015115

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 08/01/2020

PERIOD OF PERFORMANCE END DATE: 03/31/2025

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