12-Month Cost Outcomes of Community Engagement Versus Technical Assistance for Depression Quality Improvement: A Partnered, Cluster Randomized, Comparative-Effectiveness Trial.

ObjectiveTo compare community engagement and planning (CEP) for coalition support to implement depression quality improvement (QI) to resources for services (RS) effects on service-use costs over a 12-month period.DesignMatched health and community programs (N=93) were cluster-randomized within communities to CEP or RS.SettingTwo Los Angeles communities.ParticipantsAdults (N=1,013) with depressive symptoms (Patient Health Questionnaire (PHQ-8) ≥10); 85% African American and Latino.InterventionsCEP and RS to support programs in depression QI.Main outcome measuresIntervention training and service-use costs over 12 months.ResultsCEP planning and training costs were almost 3 times higher than RS, largely due to greater CEP provider training participation vs RS, with no significant differences in 12-month service-use costs.ConclusionsCompared with RS, CEP had higher planning and training costs with similar service-use costs.