African American Depression Intervention Trial (AADI)



Status:Recruiting
Conditions:Depression, Major Depression Disorder (MDD)
Therapuetic Areas:Psychiatry / Psychology, Pulmonary / Respiratory Diseases
Healthy:No
Age Range:30 - 60
Updated:4/21/2016
Start Date:August 2011
End Date:December 2015
Contact:Earlise C Ward, Ph.D.
Email:ecward@wisc.edu
Phone:608-263-0745

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A Culturally Adapted Depression Intervention for African American Adults

Primary Aim 1: Examine effectiveness of the Oh Happy Day Class (OHDC) compared to the Coping
With Depression (CWD)in increasing retention, adherence, engagement, satisfaction, and
treatment-seeking. The investigators hypothesize the OHDC compared to the CWD will result in
greater increases in: 1a. retention, 1b. adherence, 1c. engagement, and 1d. satisfaction at
the middle and end of the intervention, and 2.e. greater increase in treatment-seeking 3-,
6-, 9-, and 12- months post-intervention. Outcome measures: logs: attendance, homework
completion, class-participation level; Client Satisfaction Inventory; and Cornell Service
Index. Primary Aim 2: Examine effectiveness of the OHDC in reducing symptoms of depression
at the middle and immediate end of the intervention, and 3-, 6-, 9-, and 12- months
post-intervention. The investigators hypothesize the OHDC will result in greater reduction
in depressive symptoms compared to the CWD at 3-months post-intervention. Outcome measures:
Center for Epidemiologic Studies Depression Scale and Quick Inventory of Depression
Symptoms. Secondary Aim 3: Examine the effectiveness of the OHDC in improving self-reports
of mental and physical health status and reducing self-reports of perceived disability. The
investigators hypothesize the OHDC compared to the CWD will result in greater self-report
of: 3a. improved mental and physical health status, and 3b. reduced self-report of
disability at the immediate end of the intervention and 3-,6-, 9-, 12- months
post-intervention. Outcome measures: SF-12 Health Survey, and World Health Organization
Disability Assessment Schedule.

Public Health Impact: Based on CAI research, the OHDC has the potential to be four times
more effective than the CWD. If our hypotheses are proven, the OHDC will be the first
evidence-based culturally adapted depression intervention designed specifically for African
American men and women between the ages of 30-60.


Inclusion Criteria:

- Inclusion criteria. Self-identified African-American men and women, between the ages
of 30 to 60, with symptoms of depression as evidenced by data from the Composite
International Diagnostic Interview 2.1 (CIDI). Although age of inclusion is broad,
our pilot studies have shown positive outcomes with mixed aged groups

Exclusion Criteria:

- Exclusion criteria. Individuals will be excluded from the study if they have: (1)
self-reported alcohol or other drug abuse/dependence, (2) major psychotic illnesses,
such as schizophrenia as evidenced by results of the CIDI, (3) self-reported changes
in antidepressants (dosage or type) less than 6 weeks prior to participating in the
study, (4) self-report of current psychotherapy treatment, or (5) self-report of
current suicidal ideations (our psychiatrist will conduct additional suicide risk
assessment and facilitate referral for appropriate care.
We found this trial at
2
sites
Madison, Wisconsin 53703
Principal Investigator: Earlise C Ward, Ph.D.
Phone: 608-263-0745
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Milwaukee, Wisconsin 53216
Phone: 414-760-3924
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Milwaukee, WI
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