The prevalence & management of depression in BSA & WB in primary care
Research type
Research Study
Full title
The prevalence and management of depression in primary care South Asian and White British patients with long-term conditions: A cross-sectional study
IRAS ID
154716
Contact name
Nusrat Husain
Contact email
Sponsor organisation
University of Manchester
Duration of Study in the UK
0 years, 0 months, 24 days
Research summary
Depression is more common in people with long-term physical conditions(LTCs) which adds to the complexities in medical management of both depression and physical disease and may often lead to poorer health outcomes and higher costs in primary care. Depression screening in these patients has been of interest since its inclusion in the 2006 Quality and Outcome Frameworks (QOF) contract in the primary care.
The prevalence of depression and LTCs, considering only Diabetes and Coronary Heart Disease(CHD), are higher in British South Asian(BSA) people as compared to White British individuals. The DoH has identified the ethnic disparities in diagnosing and receiving treatment at both regional as well as sub-regional level. We aim to carry out a pragmatic cross sectional study to determine the prevalence of depression in LTCs in people of British South Asians (BSA) and the White British (WB) population. The results of this study may help in improving quality of care for ethnic minority groups and may contribute to reduce some of the ethnic disparities in access to appropriate health care.
Hypothesis
1) British South Asians are more likely to be diagnosed depression as compared to White British patients.
2) British South Asians are less likely to receive appropiate treatment for depression as compare to White British population.Methods/design
The proposed retrospective cross sectional study will be conducted in general practice in Lancashire. Routine anonymised data will be collected from eligible patient records on the diabetes and/or CHD registers from 1st April 2006 to 31st March 2014. Eligible patients will be more than 18 years old male and female, diagnosed with either diabetes/CHD or both. Routine data will be extracted for demographic details, the percentages of patients screened for depression during their annual health review, identified to have depression by using validated tools and subsequent treatment for depression will be offered.
REC name
North East - York Research Ethics Committee
REC reference
14/NE/1115
Date of REC Opinion
28 Aug 2014
REC opinion
Favourable Opinion