Citation

Albright K, Fortney JC, Adams SJ, Dong F, Xu S. J. Rural Ment. Health 2007; 31(4): 6-27.

Copyright

(Copyright © 2007, National Association for Rural Mental Health, Publisher American Psychological Association)

DOI

10.1037/h0095974

PMID

unavailable

Abstract

While there has been a relative lack of attention to the effectiveness of collaborative depression treatment as it may vary across rural and urban populations, recent work suggests that collaborative care interventions improve the outcomes for urban, but not rural, primary care patients. This paper utilizes data from the Quality Enhancement for Strategic Teaming (QuEST) study to examine whether these differences remain when measures of social support and/or stressful life events are included in the analyses. The results show that even when these psychosocial variables are controlled for, the collaborative depression care intervention has differential effectiveness for rural and urban patients: the intervention improved outcomes for urban patients, but failed to do so for rural patients. The analyses also show that the intervention functions to improve feelings of social support in urban patients, but not rural patients, and that it does not affect stressful life events in either population. Implications are discussed.

Language: en