This research aims to explore whether a single-session solution-focused consultation (SSC) can increase mental health service engagement among patients with comorbid chronic physical diseases and mental health problems (CPDMHP).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
60
In the SSC, the interventionist first sets expectations, explaining that the session is a means of providing short-term support. The interventionist will then praise the participant for agreeing to receive support and introduce the Action Plan, which will guide the session's structure. The interventionist will then work with the participant to (1) identify a specific, modifiable issue they are facing; (2) use the "miracle question" to envision their ideal outcome where the problem is resolved, and rates their current proximity to that; (3) determine the "smallest possible step" they can take towards this outcome through a scaling exercise; and (4) develop a personalized action plan that leverage on their current resources to begin addressing the problem. Upon ending the SSC, the interventionist writes a personalized note to the participant, highlighting their strengths and expressing confidence in their ability to follow through.
In the supportive consultation session, the interventionist will allow the participant to decide what they wish to discuss during the session and listen empathetically, validate their feelings and offer reassurance to the patient. The exact wording or questions will vary depending on the client's needs and sharing.
Renal Health Services
Singapore, Singapore
RECRUITINGTreatment Engagement - Uptake
Endorsement of interest in referral for mental health services or follow-up session with interventionist
Time frame: Post-intervention (immediate)
Treatment engagement - Attendance
Attendance at intake session for mental health services or follow-up session with interventionist
Time frame: 2-weeks post-intervention
Feasibility - Intervention Completion Rate
Completion of intervention action plans
Time frame: Post-intervention (immediate)
Acceptability - Usefulness of intervention
Single item measure on helpfulness of consultation in addressing concern/s
Time frame: Post-intervention (immediate)
Acceptability - Satisfaction with outcome
Single item measure on how satisfied they are with the intervention's outcome
Time frame: Post-intervention (immediate)
Perceived agency
State Hope Scale (SHS) - Pathways Subscale
Time frame: From baseline to post-intervention (immediate)
Hope
Beck's Hopelessness Scale (BHS-4)
Time frame: From baseline to post-intervention (immediate) and two-week post intervention
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