Improving Patient Engagement in Mental Health Services
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: Behavioral Activation.
- Who it may be relevant to
- Registry conditions: Depression Disorder, Engagement. 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
- Center list to be confirmed — check the primary protocol.
- 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
Improving Patient Engagement in Mental Health Services: Adaptation and Implementation of a Behavioral Activation Intervention
Overview
Hybrid Type II Implementation Trial
Detailed description
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.
Interventions
- Behavioral Behavioral Activation
Adapted version of BA intervention delivered via telehealth
Primary outcome measures
- Beck Depression Inventory (21 items) [Time frame: Baseline, After 12 weeks, After 32 weeks]
Secondary outcome measures (1)
- Behavioral Activation for Depression Scale Short Form, Session Attendance, Activation Homework [Time frame: weekly for 12 weeks]
Eligibility criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Crossover
- Masking
- Open label
- Primary purpose
- Health services research
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07618312 · Moyce022026