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Table 5 Client Services Utilization in Prior Six Months at Six-month Follow-up by Intervention Group Status

From: Community-Partnered Cluster-Randomized Comparative Effectiveness Trial of Community Engagement and Planning or Resources for Services to Address Depression Disparities

  Unadjusted Estimates Adjusted Analysis
N RS Mean (SD) or % CEP Mean (SD) or % N RS Mean or % (95 % CI) CEP Mean or % (95 % CI) OR or RR (95 % CI)
Hospitalization for Behavioral Health 759 35/380 (9.2 %) 22/379 (5.8 %) 1018 10.5 (6.4, 14.6) 5.8 (2.8, 8.8) 0.51 (0.28, 0.95)*
≥ 4 hospital nights for Behavioral Health§ 759 19/380 (5.0 %) 8/379 (2.1 %) 1018 5.8 (2.4, 9.2) 2.1 (0.5, 3.6) 0.34 (0.14, 0.88)*
≥ 2 emergency room visits§ 759 107/380 (28.2 %) 91/379 (24.0 %) 1018 28.3 (22.4, 34.3) 24.5 (19.0, 29.9) 0.81 (0.52, 1.25)
MHS outpatient visit 758 207/380 (54.5 %) 206/378 (54.5 %) 1018 53.9 (47.4, 60.4) 53.6 (46.2, 61.0) 0.99 (0.69, 1.41)
PCP visit with depression service 756 111/379 (29.3 %) 117/377 (31.0 %) 1018 29.2 (24.3, 34.2) 29.4 (23.7, 35.2) 1.01 (0.70, 1.46)
≥ 2 PCP visits with depression service, if any§ 228 68/111 (61.3 %) 95/117 (81.2 %) 298 61.9 (53.6, 70.2) 79.8 (70.7, 88.8) 2.63 (1.40, 4.94)**
Faith-based program participation 759 229/380 (60.3 %) 217/379 (57.3 %) 1018 59.5 (52.9, 66.1) 57.1 (51.4, 62.8) 0.89 (0.66, 1.21)
Use of park or community centers 759 161/380 (42.4 %) 150/379 (39.6 %) 1018 41.1 (34.3, 48.0) 39.4 (32.8, 45.9) 0.92 (0.61, 1.40)
Took antidepressant for two months or more in past 6 months 759 149/380 (39.2 %) 125/377 (33.2 %) 1018 39.2 (30.4, 48.0) 31.5 (23.4, 39.7) 0.65 (0.34, 1.25)
Mean number of visits   Mean ± SD Mean ± SD   Mean (95 % CI) Mean (95 % CI) RR (95 % CI)
Medication visits among MHS users 413 10.0 ± 26.4 5.4 ± 7.6 553 10.9 (6.2, 15.5) 5.3 (4.1, 6.6) 0.49 (0.30, 0.82)*
Counseling visits from MHS or PCP 755 8.8 ± 22.9 7.1 ± 12.5 1018 9.6 (6.1, 13.0) 6.9 (5.3, 8.5) 0.72 (0.44, 1.18)
Faith-based visits with depression service if faith participation 445 0.7 ± 2.1 1.8 ± 6.4 588 0.7 (0.3, 1.0) 1.9 (0.9, 2.9) 2.84 (1.39, 5.80)**
Park or community center visits with depression service if went to park or community center 311 0.3 ± 2.0 1.6 ± 9.0 410 0.3 (0.0, 0.5) 1.6 (0.2, 3.1) 6.20 (1.54, 24.90)*
Total outpatient contacts for depression# 759 21.0 ± 46.8 21.6 ± 43.9 1018 22.9 (14.8, 30.9) 21.9 (16.3, 27.4) 0.96 (0.59, 1.57)
  1. RS Resources for Services or individual program technical assistance, CEP Community Engagement and Planning, Behavioral Health alcohol, drug, mental health, MHS mental health specialty, PCP Primary care or public health, OR Odds ratio, RR Rate ratio
  2. Raw data without weighting or imputation
  3. Adjusted analyses used multiply imputed data and weighted for eligible sample for enrollment; logistic regression models for binary variables (presented as odds ratio) or log-linear regression models for count variables (presented as rate ratio) adjusted for baseline status of the dependent variable, community, age, sex, ≥ three chronic conditions, education, race/ethnicity, income < federal poverty level, 12-month alcohol abuse or use of illicit drugs, and 12-month depressive disorder; and accounted for the design effect of the cluster randomization
  4. §Median cut point for baseline variable
  5. A sensitivity analysis for count variables based on generalized negative binomial regression models using STATA (svy: gnbreg) provided similar results
  6. For this sector, depression/mental health service is defined by client report of having assessment, counseling, education, medication discussion or referral for depression or emotional or mental health problems
  7. #Including ER visit for ADM problem, MHS, visits with depression service from PCP, substance abuse, self-help, and social-community services
  8. *p < 0 .05; **p < 0 .01