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Can Collaborative Care Address the Needs of Low-Income Latinas With Comorbid Depression and Cancer? Results From a Randomized Pilot Study

Received Jan. 7, 2004; revision received July 28, 2004; accepted Aug. 12, 2004. From the Department of Psychiatry and Behavioral Sciences, University of Washington; and the School of Social Work, University of Southern California, Los Angeles. Address correspondence and reprint requests to Dr. Dwight-Johnson, Department of Psychiatry and Behavioral Sciences, University of Washington, Box 356560, Seattle, WA 98195-6560; mdjohnso{at}u.washington.edu (e-mail).

In a pilot study, 55 low-income Latina patients with breast or cervical cancer and comorbid depression were randomly assigned to receive collaborative care as part of the Multifaceted Oncology Depression Program or usual care. Relative to patients in the usual care condition, patients receiving collaborative care were more likely to show 50% improvement in depressive symptoms as measured by the Personal Health Questionnaire (OR=4.51, 95% CI=1.07–18.93). Patients in the collaborative care program were also more likely to show improvement in emotional well-being (increase of 2.15) as measured by the Functional Assessment of Cancer Therapy Scale than were those receiving usual care (decrease of 0.50) (group difference=2.65, 95% CI: 0.18 – 5.12). Despite health system, provider, and patient barriers to care, these initial results suggest that patients in public sector oncology clinics can benefit from onsite depression treatment.

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