Journal of Continuing Education in the Health Professions



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CURRENT ISSUE BACK ISSUES SUBSCRIBE ADVERTISE ABOUT JCEHP FOR AUTHORS JCEHP AWARD SEARCH		Volume 27 (Supplement 1) Volume 27, Supplement 1, Fall 2007 J Contin Educ Health Prof 2007; 27(Suppl1):S55 RESEARCH ARTICLE A conceptual model for using action inquiry technologies to address disparities in depression Donald E. Moore, Sarah E. Niebler, David G. Schlundt, James W. Pichert A b s t r a c t Disparities in depression care remain an important problem in the United States. Action inquiry technologies may assist individuals and communities in their attempts to reduce or eliminate these disparities—and the multiple factors contributing to them—through a recurring cycle of planning, action, evaluation, and new actions based on reflections about what occurred during previous actions. This article will briefly review different action inquiry methods—specifically, participatory action research (PAR) in communities and action research in physicians’ practices and offices of continuing medical education (CME). The authors develop a conceptual model in which those involved in providing, receiving, and improving depression care can use action inquiry strategies that are coordinated using the domains-based outcomes assessment model. This conceptual model may help CME planners collaborate with others to address disparities in depression care. Lessons for Practice Action inquiry technologies have demonstrated success addressing complex problems in a variety of settings; however, little information is available regarding the use of these techniques in CME offices. One approach to addressing disparities in depression treatment could involve using action inquiry technologies with ethnic and racial minorities with depression, the health care professionals who care for them, and the CME planners who organize educational activities for the health care professionals. A domains-based outcomes model, integrated with action inquiry techniques, is proposed for coordinating the community, physicians’ offices, and offices of CME in an effort to improve depression care, and health care in general, for ethnic and racial minority patients.
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