Feasibility Study of Single-session Solution Focused Consultation to Enhance Treatment Engagement

Официальное название

Improving Mental Health Treatment Engagement of Patients With Comorbid Chronic Diseases: A Randomized Controlled Evaluation of the Feasibility and Preliminary Effectiveness of a Single-Session Solution-Focused Consultation (SSC) in a Community Setting

Обзор

This research aims to explore whether a single-session solution-focused consultation (SSC) can increase mental health service engagement among patients with comorbid chronic physical diseases and mental health problems (CPDMHP).

Вмешательства

• Поведенческое Single-session solution focused consultation
  In the SSC, the interventionist first sets expectations, explaining that the session is a means of providing short-term support. The interventionist will then praise the participant for agreeing to receive support and introduce the Action Plan, which will guide the session's structure. The interventionist will then work with the participant to (1) identify a specific, modifiable issue they are facing; (2) use the "miracle question" to envision their ideal outcome where the problem is resolved, a
• Поведенческое Single-session supportive intervention
  In the supportive consultation session, the interventionist will allow the participant to decide what they wish to discuss during the session and listen empathetically, validate their feelings and offer reassurance to the patient. The exact wording or questions will vary depending on the client's needs and sharing.

Первичные конечные точки

• Treatment Engagement - Uptake [Срок оценки: Post-intervention (immediate)]
• Treatment engagement - Attendance [Срок оценки: 2-weeks post-intervention]
• Feasibility - Intervention Completion Rate [Срок оценки: Post-intervention (immediate)]
• Acceptability - Usefulness of intervention [Срок оценки: Post-intervention (immediate)]
• Acceptability - Satisfaction with outcome [Срок оценки: Post-intervention (immediate)]

Вторичные конечные точки (2)

• Perceived agency [Срок оценки: From baseline to post-intervention (immediate)]
• Hope [Срок оценки: From baseline to post-intervention (immediate) and two-week post intervention]

Критерии участия

Inclusion Criteria: 1. A history of one or more chronic physical diseases based on the Ministry of Health (Singapore) Chronic Disease Management Programme guidelines; 2. A score of 5 or more on the Patient Health Questionnaire (PHQ-9) or Generalized Anxiety Disorder-7 (GAD-7); 3. Not currently engaged in formal mental health service; 4. Conversant in the English language; 5. Receiving treatment in a community healthcare setting

Exclusion Criteria: 1. A history of psychosis, intellectual disability, or pervasive developmental disorders

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

Другое

Центры проведения

Сингапур · 1 центр

• Renal Health Services — Singapore

Публикации

• Tilley JL, Choon JX, Ito S, Khan BA, Griva K, Ang S, Kang-Kwong L, Schleider JL. A single-session consultation to enhance mental health treatment engagement in patients with comorbid physical and mental problems: study protocol for a pilot randomized controlled trial. Pilot Feasibility Stud. 2026 Jun 25. doi: 10.1186/s40814-026-01870-2. Online ahead of print. PMID 42351257

Идентификаторы

NCT: NCT07116655 · IRB-2024-777

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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