Implementation of Single Session Interventions in Integrated Behavioral Health: Increasing Access to Evidence-based Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Mayo Clinic
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Change in readiness for change scores
研究概览
简要总结
The purpose of this research is to explore whether a single-session therapy visit may be of interest to patients seeking mental health services in Mayo Clinic's Integrated Behavioral Health program and whether a single-session therapy visit may be helpful in improving mental health. Researchers hope to better understand whether single-session visits could be a helpful option to offer patients in the future.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 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
- •Being a patient currently scheduled for an IBH consultation session at Mayo Clinic Rochester.
- •Able to read and speak English.
排除标准
- •Individuals diagnosed with psychotic spectrum, Bipolar I and II, or severe substance use disorder and individuals with severe cognitive impairment per chart review will not be eligible and will not be contacted about the study. Individuals must score ≥ 5 on the PHQ-9 and/or GAD-7 but not >14 on either measure (indicating mild to moderate depression and/or anxiety) and respond < 2 to Item 9 of the PHQ-9 ("thoughts that you would be better off dead, or thoughts of hurting yourself in some way") to be eligible for the study.
- •Patients who are ineligible will remain scheduled for a regular IBH therapy consultation as originally planned.
研究组 & 干预措施
Single-Session Therapy Visit
Subjects will have a single-session therapy visit with an Integrated Behavioral Health (IBH) clinician.
干预措施: Therapy Session (Behavioral)
结局指标
主要结局
Change in readiness for change scores
时间窗: Baseline and immediately post-intervention (1-1.25 hours after study visit initiation)
The readiness for change ruler is a 3 item measure that examines participant's willingness to change to improve their mental health on a 0 (not at all confident/important/ready) to 10 scale (completely confident/important/ready). The total score ranges from 0 to 30, with higher scores indicating higher levels of willingness to change.
Satisfaction with IBH therapy
时间窗: Immediately post-intervention (1-1.25 hours after study visit initiation)
Measured using the Client Satisfaction Questionnaire-8 (CSQ-8). Total scores range from 8 to 32, with higher number indicating greater satisfaction.
Satisfaction with Action Plan
时间窗: Immediately post-intervention (1-1.25 hours after study visit initiation)
We will use 3 items rated on a five-point scale (0 = not at all, 4 = very much) to assess participant satisfaction with their Action Plan ("Did the visit help you develop an action plan?"; "How hopeful are you that the action plan will be useful?" and "How motivated do you feel to use your action plan?"). Scores will range from 0-12 with higher scores indicating greater satisfaction with the Action Plan.
Change in belief in capacity to generate routes to reach goals (pathways)
时间窗: Baseline and immediately post-intervention (1-1.25 hours after study visit initiation)
The State Hope Scale (Pathways subscale) is a 3 item measure that assesses participant belief in their capacity to generate routes to reach goals. Scale responses range from 1 (Definitely false) to 8 (Definitely true), with total scores ranging from 3-24 and higher scores indicating higher levels of pathways thinking.
Change in PHQ-9 scores
时间窗: Baseline and 2-week follow-up
The PHQ-9 asks participants to rate 9 questions assessing dimensions of depression on a scale of 0 (Not at all) to 3 (Nearly every day). Total score ranges from 0 to 27 with higher scores indicating higher levels of depression.
Change in GAD-7 scores
时间窗: Baseline and 2-week follow-up
The GAD-7 asks participants to rate 7 statements based on how generally anxious they have felt over the past 2 weeks on a 4 point scale ranging from 0 (Not at all) to 3 (Nearly every day). Total score ranges from 0 to 21 with higher scores representing higher generalized anxiety.
次要结局
- Change in CompACT scores (Valued Action)(Baseline and 2-week follow-up)
- Change in Valuing Questionnaire (Values Progress subscale)(Baseline and 2-week follow-up)
- Change in Valuing Questionnaire (Values Obstruction subscale)(Baseline and 2-week follow-up)
- Change in CompACT scores (Openness to Experience)(Baseline and 2-week follow-up)
- Change in CompACT scores (Behavioral Awareness)(Baseline and 2-week follow-up)
研究者
Anne I. Roche
Principal Investigator
Mayo Clinic