Single Session Narrative Therapy Study
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Single Session Narrative Therapy.
- Who it may be relevant to
- Registry conditions: Mental Health Issue, HIV, Substance Use. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Pilot Study of Feasibility, Acceptability, Fit and Clinical Impact of a Single Session Narrative Psychotherapy Intervention to Reduce Wait Times in a Primary Care HIV Clinic
Overview
This pilot research study will provide timely access to behavioral health services through the provision of a single-session narrative therapy intervention. The goal of this 6-month study is to test the acceptability, feasibility, and fit of the intervention in an integrated primary care clinic serving people living with HIV.
Detailed description
Single-session interventions are designed to address barriers to engaging in care and address the issues of long waitlists and limited provider availability. Offering a single session intervention soon after a referral is made is a strategy on a stepped-care continuum model that has been found to be an effective approach to manage population mental health needs. This study aims to 1) pre-pilot a single-session narrative therapy intervention with patients currently on the waitlist for psychotherapy services at an HIV primary care clinic to evaluate the acceptability of this treatment option for patients and the feasibility of proposed data collection followed by 2) a 6-month pilot study of the same intervention to evaluate intervention acceptability, fit, and impact on service and clinical outcomes. At the end of this study, patient and provider-level data on the utility of integrating a single-session psychotherapy service as part of the continuum of behavioral health services in an integrated care setting will be obtained, which the investigators can utilize to design a larger implementation-effectiveness trial.
Interventions
- Behavioral Single Session Narrative Therapy
Single-session narrative psychotherapy intervention is an evidence-based strategy on a stepped care continuum that can assist patients in accessing care when they most need it and can lead to the most effective utilization of scarce resources. It offers a transdiagnostic, strengths, solution-oriented, and non-pathologizing intervention to address patients' behavioral health needs.
Primary outcome measures
- Patient Health Questionnaire-9 (PHQ-9) [Time frame: 0, 1 month]
Secondary outcome measures (8)
- Generalized Anxiety Disorder- 7 (GAD-7) [Time frame: 0, 1 month]
- Remoralization Scale [Time frame: 0,1 month]
- Social Connectedness Scale-Original (SCS-Original) [Time frame: 0, 1 month]
- State-Trait Assessment of Resilience Scale (Trait sub-scale only) [Time frame: 0, 1 month]
- Brief Services Evaluation [Time frame: 0, 1 month]
- Acceptability of Intervention Measure (AIM) [Time frame: 1 month, Up to 8 months]
- Intervention Appropriateness Measure (IAM) [Time frame: Up to 8 months]
- Feasibility of Intervention Measure (FIM) [Time frame: Up to 8 months]
Eligibility criteria
Patient Inclusion Criteria
- Adults (age 18 years and older) who are patients at \[Blinded\] Clinic
- Have agreed to participate in the single session intervention
- Ability to complete the interview and research surveys in English
Patient Exclusion Criteria:
- Participants with need for urgent mental health treatment (e.g., at imminent risk of suicide or harm to others; disabling symptom presentation)
- Inability to provide informed consent
Provider Inclusion Criteria:
- Adults (age 18 years and older)
- Referring providers at \[Blinded\] clinic (social worker, primary care physician, mental health professional etc.)
- Ability to complete the research survey or interview in English.
Provider Exclusion Criteria:
- Inability to provide informed consent
- Non-referring providers
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
United States · 1 center
- Harborview Medical Center — Seattle
Identifiers
NCT: NCT06479980 · STUDY00018612 · 5P30MH123248-03