Initial Testing of Whole Health STEPS

Study Overview
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Brief Summary
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This clinical trial is evaluating Whole Health STEPS (Structured Tiered Engagement with Peer Support), a package of services designed to improve functional outcomes for primary care Veterans with mental health concerns who are not actively engaged in mental health services. Whole Health STEPS uses a Peer Support Specialist, or Peer, to provide support for Veterans to make progress on wellness goals using the Whole Health model. The level of support provided will be determined based on Veterans' progress and will be stepped-up until Veterans receive the level of support they need. Whole Health STEPS offers a non-mental health referral option for primary care Veterans with mental health concerns, provides a structured package of existing Whole Health services, and provides a structured service for peers in primary care settings.

Official Title
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Initial Testing of Whole Health STEPS (Structured Tiered Engagement With Peer Support)

Conditions
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Mental Health

Intervention / Treatment
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* Behavioral: Whole Health STEPS


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Veteran status Enrolled in primary care at a participating site Have at least mild functional impairment Screen positive on at least one primary care mental health screener Exclusion Criteria: Actively engaged with an equivalent or higher level of care Preference for direct referral to mental health care Recent changes to psychotropic medications Severe impairment preventing engagement in the intervention or warranting a direct referral to a licensed independent provider Inability to independently communicate in verbal and written English Inability to complete the research tasks or intervention

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The study compares Whole Health STEPS to a waitlist control.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Whole Health STEPS<br>Participants will immediately receive Whole Health STEPS. | Behavioral: Whole Health STEPS<br>* A peer-delivered package of Whole Health services.<br>* Other names: Whole Health Structured Tiered Engagement with Peer Support;|
| Other: Waitlist<br>Participants will receive Whole Health STEPS after a defined waiting period. | Behavioral: Whole Health STEPS<br>* A peer-delivered package of Whole Health services.<br>* Other names: Whole Health Structured Tiered Engagement with Peer Support;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Inventory of Psychosocial Functioning (IPF) | This 80 item self-report inventory measures several domains of psychosocial functioning (e.g., family relationships, work, self-care) on a 0-100 scale with lower scores indicating better outcomes. | 4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Primary Health Care, Mental Health