Improving Patient Engagement in Mental Health Services

N/ANot Yet RecruitingNCT07618312

Montana State University100 enrolled

Overview

Hybrid Type II Implementation Trial

The goal of this hybrid type II implementation trial is to test a telehealth behavioral activation intervention delivered in Spanish by community health workers in Spanish speakers living in rural and frontier areas of Montana and New Mexico. The main questions it aims to answer are: Does an adapted behavioral activation intervention reduce depressive symptoms? Is engagement in the intervention the primary mechanism by which depressive scores are reduced? Researchers will compare depressive symptoms in the intervention group as compared to a waitlisted group. Participants will receive a weekly behavioral activation session via telehealth and will be asked to complete weekly surveys and homework. They will complete the Beck Depression Inventory (21 items) at baseline, after 12 weeks, and after 32 weeks.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

100

Conditions

Depression Disorder Engagement

Interventions

Behavioral ActivationBEHAVIORAL

Adapted version of BA intervention delivered via telehealth

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age 18 years or older * Spanish-speaking adult who prefers to receive services in Spanish Resident of a rural or frontier community in Montana or New Mexico Positive screen for depressive symptoms at or above study eligibility threshold on Spanish-language screening measure Able and willing to participate in telehealth sessions Able to provide informed consent Exclusion Criteria: * Active suicidal intent requiring immediate emergency intervention Current psychosis or mania Severe cognitive impairment that would prevent participation Currently receiving intensive psychiatric treatment that would conflict with the intervention Unable to participate in telehealth sessions Unable to provide informed consent

Outcomes

Primary Outcomes

Beck Depression Inventory (21 items)

Time frame: Baseline, After 12 weeks, After 32 weeks

Secondary Outcomes

Behavioral Activation for Depression Scale Short Form, Session Attendance, Activation Homework

Engagement Measures

Time frame: weekly for 12 weeks

Central Contacts

Sally Moyce, PhD RN

CONTACT

14069942787 sally.moyce@montana.edu

Data from ClinicalTrials.gov

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