Single Session Narrative Therapy Study
- Conditions
- HIVMental Health IssueSubstance Use
- Interventions
- Behavioral: Single Session Narrative Therapy
- Registration Number
- NCT06479980
- Lead Sponsor
- University of Washington
- Brief Summary
This pilot research study will provide timely access to behavioral health services through the provision of a single-session narrative therapy intervention. The goal of this 6-month study is to test the acceptability, feasibility, and fit of the intervention in an integrated primary care clinic serving people living with HIV.
- Detailed Description
Single-session interventions are designed to address barriers to engaging in care and address the issues of long waitlists and limited provider availability. Offering a single session intervention soon after a referral is made is a strategy on a stepped-care continuum model that has been found to be an effective approach to manage population mental health needs. This study aims to 1) pre-pilot a single-session narrative therapy intervention with patients currently on the waitlist for psychotherapy services at an HIV primary care clinic to evaluate the acceptability of this treatment option for patients and the feasibility of proposed data collection followed by 2) a 6-month pilot study of the same intervention to evaluate intervention acceptability, fit, and impact on service and clinical outcomes. At the end of this study, patient and provider-level data on the utility of integrating a single-session psychotherapy service as part of the continuum of behavioral health services in an integrated care setting will be obtained, which the investigators can utilize to design a larger implementation-effectiveness trial.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 60
- Adults (age 18 years and older)
- Referring providers at [Blinded] clinic (social worker, primary care physician, mental health professional etc.)
- Ability to complete the research survey or interview in English.
Provider
- Inability to provide informed consent
- Non-referring providers
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Single Session Narrative Therapy Intervention Single Session Narrative Therapy A single 60-75 minute narrative therapy session with a trained licensed behavioral health provider will be offered to patients on the psychotherapy waitlist of an HIV primary care clinic.
- Primary Outcome Measures
Name Time Method Patient Health Questionnaire-9 (PHQ-9) 0, 1 month The Patient Health Questionnaire-9 (PHQ-9) is a 9 item self-report measure used to screen for depression, diagnose it, monitor its severity, and measure treatment response. The PHQ-9 ranges from 0 to 27 points. A lower PHQ-9 total score indicates a better outcome.
- Secondary Outcome Measures
Name Time Method Social Connectedness Scale-Original (SCS-Original) 0, 1 month The Social Connectedness Scale is an 8-item instrument which assesses the degree to which one feels connected to others in their social environment. Items are measured on a 6-point Likert scale (Strongly Agree-Strongly Disagree). Total scores range from 8 to 48 points. Higher total scores indicate a better outcome.
Brief Services Evaluation 0, 1 month The Brief Services Evaluation is a 6-item instrument which measures patients' assessment of their skills, ideas, and knowledge regarding the main problem/issue that brought them into counseling. Items are measured on a 6-point Likert scale (Strongly Disagree- Strongly Agree). Score is a calculated mean that ranges from 1-6. Higher mean scores indicate a better outcome.
Generalized Anxiety Disorder- 7 (GAD-7) 0, 1 month The Generalized Anxiety Disorder 7-item (GAD-7) is a brief self-report tool that measures anxiety symptoms based on the Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria. The total score ranges from 0 to 21, with lower scores indicating better outcomes.
Remoralization Scale 0,1 month The Remoralization Scale is a brief 12-item self-report tool that measures the level of morale. Score is a calculated mean that ranges from 1-4. Higher mean scores indicate a better outcome.
State-Trait Assessment of Resilience Scale (Trait sub-scale only) 0, 1 month The State-Trait Assessment of Resilience Scale measures resilience using a state and trait approach, based on the conceptualization of resilience as being influenced by a combination of state and trait factors. This study will only measure the 'Trait' level of resilience, using the trait sub-scale (7-item instrument), which is construed as more distal and enduring. Total sum scores are calculated for the sub-scale and range from 7 to 28 points; higher scores indicate a better outcome.
Acceptability of Intervention Measure (AIM) 1 month, Up to 8 months The Acceptability of Intervention Measure is a 4-item measure of perceived intervention acceptability. Items are measured on a 5-point Likert scale (Completely Disagree-Completely Agree). Score is a calculated mean that ranges from 1-5. Higher mean scores indicate a better outcome.
Intervention Appropriateness Measure (IAM) Up to 8 months The Intervention Appropriateness Measure is a 4-item measure of perceived intervention appropriateness. Items are measured on a 5-point Likert scale (Completely Disagree-Completely Agree). Score is a calculated mean that ranges from 1-5. Higher mean scores indicate a better outcome.
Feasibility of Intervention Measure (FIM) Up to 8 months The Feasibility of Intervention Measure is a 4-item instrument to assess perceived intervention feasibility. Items are measured on a 5-point Likert scale (Completely Disagree-Completely Agree). Score is a calculated mean that ranges from 1-5. Higher mean scores indicate a better outcome.
Trial Locations
- Locations (1)
Harborview Medical Center
🇺🇸Seattle, Washington, United States