Pilot Study of Standalone and Peer Supported Online Problem Solving Program in Veterans With Untreated Mental Health Problems
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 81
- 试验地点
- 1
- 主要终点
- Problem-Solving Skills, Knowledge, and Abilities Test
研究概览
简要总结
Many Veterans with mental health care needs go without care due to stigma, practical problems with getting services, and a high value on self-sufficiency. VHA has developed online programs aimed at fostering MH that are easy to access and may be more acceptable than psychotherapy. The purpose of this study is to learn whether peer-supported use of an online problem-solving course is acceptable and helpful and whether the study data can be collected online. Results of this pilot study would inform a larger study of the impact on problem-solving and mental health of a non-stigmatizing, online program - with and without peer support. If effective, peer supported online programs would improve the quality of care to Veterans with unmet mental health needs.
详细描述
Approval will be obtained from VA primary care staff leaders at Palo Alto Division and VA Palo Alto Community Based Outpatient Clinics (CBOCs) to mail notes and a study information card to patients who do not have stop codes for mental health or integrated care in their EMR records for the past six months. The study information cards will describe the study, how to enroll, and will direct the Veteran to REDCap eligibility screening questions. When eligibility is confirmed, REDCap will automatically alert research assistant to enroll participant and randomize.
Primary Care Mental Health Integration staff at each clinic may also refer patients to the study by entering referral information directly into secure, encrypted REDCap files or by handing the patient a study information card.
Community veterans will be invited via social media marketing. Ads will link to a study web site. Study web site will link potential participants to REDCap eligibility screening questions. When eligibility is confirmed, REDCap will automatically alert research assistant to enroll participant and randomize.
Veterans who decide to be in the study will be assigned by chance to one of three groups: An On Your Own group, a Peer Support group, or a Wait group. Veterans assigned to take the Moving Forward course with peer support or on their own will complete the course online and practice the problem-solving skills they learned for six weeks. Finishing the Moving Forward course takes a total of about four hours. Veterans in the peer support group will speak with a Veteran who is experienced with the course on the phone for 15 to 20 minutes once a week during the study about using the ideas and exercises in the course to solve problems. Veterans assigned to the wait group will answer questions online about problem-solving skills and their well-being at the start and after six weeks). They will be able to take the course if they would like to after the six weeks have passed. Veterans in the On Your Own and Peer Support groups will answer questions online at the beginning, middle, and end of the study about problem-solving skills, their opinions about the course and about peer support (if they got it), and their well-being. This will take 10 to 15 minutes each time.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •A Veteran of one of the U.S. military services, including National Guard and Reserves.
- •Positive screen (score of 1 or more) on the PHQ-2 or GAD-
- •Access to a phone and to a desktop or laptop computer with internet access.
- •Willingness to be randomized to one of three conditions.
- •Willingness to work with a Peer Support Specialist.
排除标准
- •An active suicide plan.
- •Changes in psychoactive medications in the past month.
- •MH treatment in the past 6 months, including treatment from a PC-MHI team member.
研究组 & 干预措施
On Your Own
Participants in this group will use the online program on their own for 6 weeks.
干预措施: Moving Forward On Your Own (Other)
Peer Support
Participants in this group will use the online program on their own for 6 weeks with the support of a peer coach. Peer coaching sessions will consist of 6 15-20 minute sessions one time per week. Sessions will be guided by a Moving Forward Peer Support Manual.
干预措施: Moving Forward with Peer Support (Behavioral)
Wait
Participants in this group will wait 6 weeks.
干预措施: Wait (Behavioral)
结局指标
主要结局
Problem-Solving Skills, Knowledge, and Abilities Test
时间窗: change from baseline to study end (6 weeks)
The Problem-Solving Skills, Knowledge, \& Abilities Test is a brief, multiple-choice test that measures mastery of the basic concepts and skills that are included in the Moving Forward program. Scores on the test can range from 0 to 12 with higher scores indicating greater problem-solving skills, knowledge, and abilities.
Problem-Solving Confidence
时间窗: change from baseline to study end (6 weeks)
The Problem-Solving Confidence Test assesses participant's confidence in his/her own problem solving abilities. Scores on this measure can range from 0 to 9 with higher scores indicating greater problem-solving confidence.
次要结局
- Posttraumatic Stress Symptoms Change(change from baseline to study end (6 weeks))
- GAD-7 Change(change from baseline to study end (6 weeks))
- WHO-5 Well-Being Index Change(change from baseline to study end (6 weeks))
- PHQ-9 Change(change from baseline to study end (6 weeks))
- Client Satisfaction Questionnaire(at study end (6 weeks))