title: A randomized-controlled trial of an intervention to improve antidepressant adherence among Latinos with depression.
abstract: BACKGROUND
  Studies have consistently shown that Latinos with depression have lower adherence to antidepressant medication. Given that low adherence is associated with poorer response to treatment, this is a likely source of unequal care. The current study examined the efficacy of a motivational interviewing intervention for improving antidepressant adherence among Latinos with a depressive disorder.
  
  
  METHODS
  Participants were 50 Latinos with a DSM-IV diagnosis of major depression or dysthymia who were receiving treatment at a community mental health center. Participants were recruited from July 2007 to December 2009 and were randomized to receive usual care (UC) or Motivational Enhancement Therapy for Antidepressants (META). META participants received three sessions of motivational interviewing as an enhancement to their usual care. Participants were assessed as baseline (time 1), 5 weeks (time 2), and 5 months (time 3). Antidepressant adherence was measured with the Medication Event Monitoring System (MEMS®) and changes in depression were measured with the Beck Depression Inventory-II (BDI-II).
  
  
  RESULTS
  After adjusting for covariates, META participants showed significantly higher antidepressant adherence than UC participants at time 2 (72% versus 42%, respectively, p < .01) and time 3 (60% versus 34%, p < .01). The groups did not differ on mean BDI-II score across time. However, after adjusting for covariates, META participants were significantly more likely to show symptom remission on the BDI-II, compared to UC participants (OR = 7.0, p < .05).
  
  
  CONCLUSIONS
  This initial trial of META demonstrated feasibility and promising effects for improving antidepressant adherence. Some effects on depression were also observed.
authors.affiliation: VA New Jersey Health Care System, Mental Health & Behavioral Sciences, Lyons, New Jersey 07939, USA. alejandro.interian@va.gov
authors.forename: Alejandro
authors.initials: A
authors.lastname: Interian
authors.forename: Roberto
authors.initials: R
authors.lastname: Lewis-Fernández
authors.forename: Michael A
authors.initials: MA
authors.lastname: Gara
authors.forename: Javier I
authors.initials: JI
authors.lastname: Escobar
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D000928:Antidepressive Agents / Q000627:therapeutic use*; D003155:Community Mental Health Centers; D003866:Depressive Disorder / Q000188:drug therapy* / Q000523:psychology; D005240:Feasibility Studies; D005260:Female; D017144:Focus Groups; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D055118:Medication Adherence / Q000208:ethnology* / Q000523:psychology; D008875:Middle Aged; D062405:Motivational Interviewing / Q000379:methods*
chemical_list: D000928:Antidepressive Agents
keywords: adherence; antidepressants; depression; ethnicity/race; minority groups