Improving Health and Wellness for People With Serious Mental Illness in Puerto Rico

Официальное название

Testing Bridges to Better Health and Wellness for People Living With Serious Mental Illness in Puerto Rico

Обзор

This study evaluates the effectiveness of a culturally tailored intervention, Bridges to Better Health and Wellness (BRIDGES), aimed at reducing chronic disease disparities among Puerto Ricans with serious mental illness (SMI). Participants receive monthly sessions with health care managers to address patient-provider stigma and care coordination.

Подробное описание

BRIDGES is a multi-level Healthcare Manager Intervention (HMI) that addresses both patient and provider barriers to healthcare. It includes culturally adapted modules to reduce stigma and promote chronic disease prevention. The study uses a hybrid type 1 effectiveness-implementation randomised controlled trial to test its impact on primary care service use, chronic disease outcomes and stigma reduction over 12 months.

Вмешательства

• Поведенческое BRIDGES Healthcare Manager Intervention
  A culturally adapted, multilevel intervention consisting of monthly 60-minute sessions over a 12-month period. Sessions will be conducted by graduate clinical psychology students acting as healthcare managers. The intervention focuses on care coordination, patient activation, and reducing provider stigma to improve access to preventive primary care services.
• Другое Enhanced Treatment as Usual (ETAU)
  Participants will continue to receive standard psychiatric care, including routine visits with their mental health providers at the designated clinical sites. They will also receive a booklet with information on how best to link with primary care providers. This ensures that participants are aware of available resources and basic health care recommendations, but does not include any active follow-up or intervention components.

Первичные конечные точки

• Recipt of Preventive Primary Care [Срок оценки: baseline,6 and 12 months follow up and 6 and 12 months post intervention]

Вторичные конечные точки (9)

• Hemoglobin A1c [Срок оценки: baseline,6 and 12 months follow up and 6 and 12 months post intervention]
• Lipid Panel [Срок оценки: baseline,6 and 12 months follow up and 6 and 12 months post intervention]
• Basic Metabolic Panel [Срок оценки: baseline,6 and 12 months follow up and 6 and 12 months post intervention]
• Smoking - Severity Dependence Scale [Срок оценки: baseline,6 and 12 months follow up and 6 and 12 months post intervention]
• Physical Activity - International Physical Activity Questionnaire [Срок оценки: baseline,6 and 12 months follow up and 6 and 12 months post intervention]
• Health Literacy - Test of Functional Health Literacy for Adults [Срок оценки: baseline,6 and 12 months follow up and 6 and 12 months post intervention]
• Self-Stigma - Self-Stigma of Mental Illness Scale [Срок оценки: baseline,6 and 12 months follow up and 6 and 12 months post intervention]
• Provider Stigma - The Mental Health Stigma Scale for Health Professionals [Срок оценки: baseline,6 and 12 months follow up and 6 and 12 months post intervention]
• Patient-Provider Relationship - Patient Assessment of Chronic Illness Care [Срок оценки: baseline,6 and 12 months follow up and 6 and 12 months post intervention]

Критерии участия

Критерии включения

Adults receiving psychiatric or psychological services at the Wellness Center or the Mayaguez Medical Center - Primary Care Diagnosed with at least one serious mental illness SMI (e.g., schizophrenia, bipolar disorder, major depression, etc.) Have at least one risk factor or a diagnosis of a chronic health condition (e.g., diabetes, overweight, hypertension, etc.).

Be willing to receive or continue preventive medical care with a primary care physician.

Критерии исключения

Have started psychiatric or mental health services at least one month before Have been diagnosed with a general mental health condition (e.g., Depression or Anxiety).

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Профилактика

Центры проведения

Пуэрто-Рико · 2 центра

• Mayagüez Medical Center Primary Care Psychology Clinic — Mayagüez
• PHSU Wellness Center — Ponce

Идентификаторы

NCT: NCT06859060 · 2308159485 · 2U54MD007579-39

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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