Blended Care Therapy for Depression and Anxiety: Outcomes across Diverse Racial and Ethnic Groups

Background Studies have reported positive outcomes of blended care therapy (BCT), which combines face-to-face care with internet modules. However, there is insufficient evidence of its effectiveness across racial and ethnic groups. This study evaluated outcomes of a BCT program, which combined video...

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Bibliographic Details
Published in:Journal of racial and ethnic health disparities 2023-12, Vol.10 (6), p.2731-2743
Main Authors: Owusu, Jocelynn T., Wang, Pam, Wickham, Robert E., Cottonham, Danielle P., Varra, Alethea A., Chen, Connie, Lungu, Anita
Format: Article
Language:English
Subjects:
Adult
African Americans
Anxiety
Anxiety - therapy
Anxiety disorders
Clinical outcomes
Cognitive ability
Cognitive Behavioral Therapy
Cognitive therapy
Cognitive-behavioral factors
Depression - therapy
Epidemiology
Ethnic differences
Ethnic groups
Ethnicity
Evaluation
Generalized anxiety disorder
Health disparities
Humans
Interaction terms
Internet
Latin American cultural groups
Medicine
Medicine & Public Health
Mental depression
Minority & ethnic groups
Modules
Pacific Islander people
Psychotherapy
Quality of Life Research
Race
Racial Groups
Social Inequality
Social Structure
Statistical analysis
Symptoms
Therapists
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Summary:Background Studies have reported positive outcomes of blended care therapy (BCT), which combines face-to-face care with internet modules. However, there is insufficient evidence of its effectiveness across racial and ethnic groups. This study evaluated outcomes of a BCT program, which combined video psychotherapy with internet cognitive-behavioral modules, across race and ethnicity. Methods Participants were 6492 adults, with elevated anxiety (Generalized Anxiety Disorder-7 [GAD-7] ≥ 8) and/or depression (Patient Health Questionnaire-9 [PHQ-9] ≥ 10) symptoms, enrolled in employer-offered BCT. Changes in anxiety (GAD-7) and depression (PHQ-9) symptoms during treatment were evaluated using individual growth curve models. Interaction terms of time with race and ethnicity tested for between-group differences. Treatment satisfaction was assessed using a Net Promoter measure (range = 1 (lowest satisfaction) to 5 (greatest satisfaction)). Results Participants’ self-reported race and ethnicity included Asian or Pacific Islander (27.5%), Black or African American (5.4%), Hispanic or Latino (9.3%), and White (47.2%). Anxiety symptoms decreased during treatment ( p  
ISSN:2197-3792
2196-8837
DOI:10.1007/s40615-022-01450-z