Personalized Support for Progress (PSP) in a VA Women's Wellness Clinic

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the Personalized Support for Progress (PSP) intervention in a Veterans Health Administration (VHA) Women's Wellness Clinic. PSP uses a peer support provider to help women identify their primary concern, develop a personalized plan to help address that concern, and provide practical and emotional support to implement the plan. The primary aim is to evaluate the feasibility, acceptability, and utility of PSP and the research protocol.

Official Title
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Pilot Trial of Personalized Support for Progress (PSP) in a VA Women's Wellness Clinic

Conditions
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Psychological Stress, Life Stress, Emotional Stress

Intervention / Treatment
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* Behavioral: Personalized Support for Progress


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Veteran status (non-Veterans will not be enrolled in this trial) Enrollment in the Syracuse VA Medical Center Women's Wellness Clinic Report high stress within the last month (Perceived Stress Scale [PSS-10] > 18) Primary Care Provider approval for participation Ability to communicate in English including reading, writing, hearing, and speaking well enough to complete research and intervention tasks. Exclusion Criteria: Any Veteran with higher suicide risk on the P4 or Veterans with lower suicide risk on the P4 and evaluated by the PI or another clinician to be clinically unstable or at risk Homicidality (screened via adaptation of the P4 screener and evaluated on the same criteria above) Homelessness (including literally homeless, imminent risk of homelessness, or fleeing/attempting to flee domestic violence per VA definitions) Veterans who are enrolled in or have had psychotherapy or changes to psychotropic medications in the last 12 weeks Veterans with impairment that would not allow them to engage in PSP including active psychosis, cognitive deficits, severe substance use requiring detoxification (documented in CPRS or reported by a PACT member) Veterans who are not available for outpatient PSP meetings (e.g., in a residential program) Veterans who have current VA or non-VA peer support engagement (an appointment within the last month and/or additional follow-up scheduled)

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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized Controlled Trial
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Treatment As Usual<br>Participants will receive treatment as usual within the VHA Women's Wellness Clinic including any appropriate treatment or treatments for their medical and psychosocial concerns as determined by their primary care teams. | |
| Experimental: Treatment As Usual Plus Personalized Support for Progress<br>In addition to treatment as usual, women will receive the Personalized Support for Progress intervention. | Behavioral: Personalized Support for Progress<br>* Participants will receive the Personalized Support for Progress Intervention from a peer support provider including sessions with the peer support provider to complete a prioritization task, develop a personalized care plan, and receive support for implementing the personalized care plan.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment Retention Rate | This is an assessment of trial feasibility. | 6 months | 
| Intervention Retention Rate | This is an assessment of trial feasibility. | 6 months | 
| Client Satisfaction Questionnaire | This scale measures satisfaction and ranges from 8-24 with higher scores indicating higher satisfaction. | 6 months | 
| Goal Attainment Scaling | This interview assesses progress toward individualized goals on a -2 to 2 scale with higher scores indicating more progress toward goals. | 6 months | 
| Perceived Stress Scale (PSS-10) | This scale evaluates perceived stress and ranges from 0-40 with lower scores indicating lower levels of perceived stress. | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Peer Support, Patient Navigators