Ignite Creation Date:
2024-05-06 @ 7:24 PM
Last Modification Date:
2024-10-26 @ 3:05 PM
Study NCT ID:
NCT05990075
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2023-09-25
First Post:
2023-07-25
Brief Title:
An eHealth Intervention to Increase Depression Treatment Initiation and Adherence Among Veterans Referred for Mental Health Services
Sponsor:
VA Office of Research and Development
Organization:
VA Office of Research and Development
Study Overview
Official Title:
An eHealth Intervention to Increase Depression Treatment Initiation and Adherence Among Veterans Referred for Mental Health Services CDA 18-189
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-10
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:
Depression is the most prevalent mental health condition among VHA patients and is strongly associated with poor functioning negative health outcomes and suicide Despite effective and available treatments engagement in care is poor This study will analyze VHA electronic medical record data to identify patient characteristics associated with poor treatment engagement The study will then develop and formatively evaluate an eHealth intervention to improve and sustain engagement in mental health care through self-monitoring This is an important step in engaging Veterans who in part based on their military training may have difficulty identifying or accepting depressed affect and the benefits of treatment The information obtained will inform clinical strategies and operations policy to improve quality coordination and efficiency of mental health services
Detailed Description:
My goal is to optimize treatment outcomes for Veterans with depression To experience positive outcomes Veterans must begin care promptly when needed and remain engaged in care Depression imposes a great burden of illness and disability for the OEFOIF Veteran population As few as 30 of Veterans initiate treatment after referrals for mental health services and adherence after initiation is low Untreated depression is strongly linked to suicide mortality drug abuse and persistent impairment leading to poor health outcomes The VHA has focused on increasing access to evidence-based treatments EBTs as the gold standard for treating depression however the guidelines do not address Veterans who are lost to care This is a missed opportunity to engage Veterans who fail to initiate traditional treatment or drop out early often due to discomfort and lack of awareness of certain depression symptoms or need for care which translates to reduced self-efficacy to engage Furthermore measurement-based care-the utilization of systematic symptom assessments over time to drive changes in treatment-is recommended for care in VHA Patients at risk for dropping out of care may find systematic assessments acceptable and effective for supporting engagement in EBTs if their symptoms persist
This study addresses treatment initiation and adherence among depressed Veterans who are referred to mental health care Specifically the investigators will test an innovative self-monitoring program for Veterans with depression which has the potential to facilitate both treatment uptake and sustained engagement The proposed research will test a patient centered self-monitoring eHealth intervention focused on systematic measurement and feedback for Veterans with depression as well as supportive messages providing VA related information and coping strategies that Veterans elect
The intervention will be initiated when patients are referred for care This program will continue to help Veterans monitor during treatment if they so desire as self-monitoring has been found to increase the likelihood of treatment response The objectives of this study are to formatively evaluate this process and provide preliminary support to then evaluate the efficacyeffectiveness of this intervention in a future study
This project is aligned with the VHA HSRD priorities in mental health and improving access to care and high-priority research topics for mental and behavioral health Findings from this study have the potential to lead to transdiagnostic research especially for PTSD TBI and suicide
This study addresses treatment initiation and adherence among depressed Veterans who are referred to mental health care Specifically the investigators will test an innovative self-monitoring program for Veterans with depression which has the potential to facilitate both treatment uptake and sustained engagement The proposed research will test a patient centered self-monitoring eHealth intervention focused on systematic measurement and feedback for Veterans with depression as well as supportive messages providing VA related information and coping strategies that Veterans elect
The intervention will be initiated when patients are referred for care This program will continue to help Veterans monitor during treatment if they so desire as self-monitoring has been found to increase the likelihood of treatment response The objectives of this study are to formatively evaluate this process and provide preliminary support to then evaluate the efficacyeffectiveness of this intervention in a future study
This project is aligned with the VHA HSRD priorities in mental health and improving access to care and high-priority research topics for mental and behavioral health Findings from this study have the potential to lead to transdiagnostic research especially for PTSD TBI and suicide
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
False
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| IK2HX002899-01A2 | NIH | None | httpsreporternihgovquickSearchIK2HX002899-01A2 |