Ignite Creation Date:
2024-05-05 @ 5:13 PM
Last Modification Date:
2024-10-26 @ 9:30 AM
Study NCT ID:
NCT00419029
Status:
COMPLETED
Last Update Posted:
2014-08-26
First Post:
2007-01-04
Brief Title:
Motivational Interviewing to Engage Operations Enduring Freedom and Iraqi Freedom OEFOIF Veterans in Mental Health Treatment
Sponsor:
San Francisco Veterans Affairs Medical Center
Organization:
San Francisco Veterans Affairs Medical Center
Study Overview
Official Title:
Motivational Interviewing to Engage OEFOIF Veterans in Mental Health Treatment
Status:
COMPLETED
Status Verified Date:
2014-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The goal of this randomized controlled trial is to evaluate the efficacy of telephone-administered motivational interviewing TAMI to enhance VA mental health treatment engagement among veterans of Operations Enduring Freedom OEF and Iraqi Freedom OIF who screen positive for mental health disorders on telephone assessment The investigators will evaluate whether TAMI results in improved mental health treatment engagement decreased mental health symptoms and increased quality of life among OEFOIF veterans with mental health disorders The long-term aim of this study is to conduct rapid assessment and intervention to prevent chronic mental illness and associated disability among our newest generation of veterans
Detailed Description:
Project BackgroundRationale Recent reports suggest that a substantial proportion of OEFOIF veterans suffer from one or more co-occurring mental health disorders particularly post-traumatic stress disorder PTSD depression and substance use disorders Many newly returning veterans fail to initiate or complete an adequate course of mental health treatment largely owing to barriers that include inherent features of the mental illness practical and logistical concerns and stigma Untreated mental illness threatens to produce functional and occupational disability as occurred with Vietnam-era veterans Motivational Interviewing MI is an evidence-based client-centered therapeutic technique shown to enhance mental health treatment engagement in high-risk populations by helping patients explore and resolve barriers to care
Project Objectives The aims of this proposal are 1 to evaluate the efficacy of telephone-administered motivational interviewing TAMI compared to telephone-administered informational support sessions Control to enhance mental health treatment initiation and retention among OEFOIF veterans who screen positive for one or more mental health disorders 2 to compare change in mental health symptoms and quality of life among veterans assigned to TAMI versus Control and 3 to describe barriers to mental health treatment engagement among OEFOIF veterans and assess the putative mechanism by which TAMI increases mental health treatment engagement
Project Methods The study is a two-arm randomized controlled trial We will conduct telephone-administered psychometric screening for PTSD depression high-risk alcohol and substance use among 1000 OEFOIF veterans residing in Northern California In addition we will collect baseline data on sociodemographic and military service-related characteristics VA and non-VA mental health treatment experiences barriers and motivation to initiate andor follow-up with VA mental health appointments Approximately 300 OEFOIF veterans screening positive for one or more mental health disorders will receive a referral to mental health treatment in their area and will be randomly assigned to either an initial TAMI session followed by two booster TAMI sessions at 1 and 3 months versus three informational support sessions balanced for time and attention We will measure outcomes at baseline one three and six months We will test the hypotheses that OEFOIF veterans receiving TAMI as compared to the Control condition will be more motivated and hence more likely to overcome barriers to initiate and attend follow-up VA mental health treatment appointments and will have greater improvements in mental health symptoms and quality of life
Project Objectives The aims of this proposal are 1 to evaluate the efficacy of telephone-administered motivational interviewing TAMI compared to telephone-administered informational support sessions Control to enhance mental health treatment initiation and retention among OEFOIF veterans who screen positive for one or more mental health disorders 2 to compare change in mental health symptoms and quality of life among veterans assigned to TAMI versus Control and 3 to describe barriers to mental health treatment engagement among OEFOIF veterans and assess the putative mechanism by which TAMI increases mental health treatment engagement
Project Methods The study is a two-arm randomized controlled trial We will conduct telephone-administered psychometric screening for PTSD depression high-risk alcohol and substance use among 1000 OEFOIF veterans residing in Northern California In addition we will collect baseline data on sociodemographic and military service-related characteristics VA and non-VA mental health treatment experiences barriers and motivation to initiate andor follow-up with VA mental health appointments Approximately 300 OEFOIF veterans screening positive for one or more mental health disorders will receive a referral to mental health treatment in their area and will be randomly assigned to either an initial TAMI session followed by two booster TAMI sessions at 1 and 3 months versus three informational support sessions balanced for time and attention We will measure outcomes at baseline one three and six months We will test the hypotheses that OEFOIF veterans receiving TAMI as compared to the Control condition will be more motivated and hence more likely to overcome barriers to initiate and attend follow-up VA mental health treatment appointments and will have greater improvements in mental health symptoms and quality of life
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None