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J Consult Clin Psychol. Author manuscript; available in PMC 2017 November 01. Published in final edited form as: J Consult Clin Psychol. 2016 November ; 84(11): 1016–1022. doi:10.1037/ccp0000146.
Treatment Moderators and Effectiveness of Engagement and Counseling for Latinos Intervention on Worry Reduction in a Low-Income Primary Care Sample Carmela Alcántara, Ph.D.1, Xinliang Li, M.S.2, Ye Wang, M.A.2, Glorisa Canino, Ph.D.3, and Margarita Alegría, Ph.D.2
Author Manuscript
1School
of Social Work, Columbia University, New York, NY
2Disparities
Research Unit, Department of Medicine, Massachusetts General Hospital, Boston,
MA 3Univeristy
of Puerto Rico Medical School, San Juan, PR
Abstract
Author Manuscript
Objective—We conducted a secondary analysis of randomized controlled trial data to determine if the Engagement and Counseling for Latinos intervention (ECLA), a brief, evidence-based, and culturally adapted cognitive behavioral intervention specifically designed for and effective at treating depression, also reduced co-occurring worry symptoms. We also explored whether delivery modality (telephone, face-to-face), and sociodemographic patient characteristics moderated treatment effectiveness. Method—Between May 2011 and September 2012, low-income Latino primary care patients (N=257) with depression from Boston and San Juan were randomized to usual care (n=86), faceto-face ECLA (n=84), or telephone ECLA (n=87) and completed a psychosocial assessment at baseline and 4-months after randomization. We used intention-to-treat analyses with linear regression models with change in worry (four-months from randomization), as the primary outcome, and treatment condition as the primary predictor.
Author Manuscript
Results—Patients in ECLA experienced significant reductions in worry at 4-months from randomization than those in usual care (PSWQΔ=−3.28, p
J Consult Clin Psychol. Author manuscript; available in PMC 2017 November 01. Published in final edited form as: J Consult Clin Psychol. 2016 November ; 84(11): 1016–1022. doi:10.1037/ccp0000146.
Treatment Moderators and Effectiveness of Engagement and Counseling for Latinos Intervention on Worry Reduction in a Low-Income Primary Care Sample Carmela Alcántara, Ph.D.1, Xinliang Li, M.S.2, Ye Wang, M.A.2, Glorisa Canino, Ph.D.3, and Margarita Alegría, Ph.D.2
Author Manuscript
1School
of Social Work, Columbia University, New York, NY
2Disparities
Research Unit, Department of Medicine, Massachusetts General Hospital, Boston,
MA 3Univeristy
of Puerto Rico Medical School, San Juan, PR
Abstract
Author Manuscript
Objective—We conducted a secondary analysis of randomized controlled trial data to determine if the Engagement and Counseling for Latinos intervention (ECLA), a brief, evidence-based, and culturally adapted cognitive behavioral intervention specifically designed for and effective at treating depression, also reduced co-occurring worry symptoms. We also explored whether delivery modality (telephone, face-to-face), and sociodemographic patient characteristics moderated treatment effectiveness. Method—Between May 2011 and September 2012, low-income Latino primary care patients (N=257) with depression from Boston and San Juan were randomized to usual care (n=86), faceto-face ECLA (n=84), or telephone ECLA (n=87) and completed a psychosocial assessment at baseline and 4-months after randomization. We used intention-to-treat analyses with linear regression models with change in worry (four-months from randomization), as the primary outcome, and treatment condition as the primary predictor.
Author Manuscript
Results—Patients in ECLA experienced significant reductions in worry at 4-months from randomization than those in usual care (PSWQΔ=−3.28, p
