Clinical trial NCT04515771: Improving Patient-Provider Communication to Reduce Mental Health Disparities
Official title: Improving Patient-provider Communication to Reduce Mental Health Disparities (CDA 16-153)
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Healthcare Disparities
Mental Health
Keywords: Social Determinants of Health
Minority Health
Veterans Health
Patient Participation
Patient Navigation
Mental Health Services
Lead sponsor: VA Office of Research and Development
Sponsor class: FED
First posted: 2020-08-17
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: The study consisted of two groups, an active treatment group and a waitlist control group. Participants randomized to the active treatment group received the peer-administered intervention program for 6 months and then were followed for 3 months after completion of the program. The waitlist control group received the peer-administered intervention program for 6 months following a 6-month waiting period.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The purpose of this study was to develop and pilot test an intervention to reduce mental health disparities for racially and ethnically minoritized Veterans receiving outpatient VA mental health services. The program was delivered by trained VA peer navigators. The specific aims of the program were to enhance navigation of mental health services, increase patient engagement, and improve patient-provider communication.

Study participants were randomized into one of two study groups, which determined when they received the study intervention. Regardless of study group, participants had the opportunity to receive services in addition to their regular mental health treatment (either immediately after enrollment into the study or after a 6-month waiting period).

Participants were asked to complete study questionnaires at different timepoints throughout the study to assess their overall satisfaction with the study program and the mental health services that they received. Some participants also completed an interview to discuss their experience in the program.


Eligibility criteria: Inclusion Criteria:

To be eligible:

* Must be a Veteran belonging to a racial/ethnic minoritized group
* Must be actively receiving mental health care in the Outpatient Mental Health Clinic at Veteran Health Indiana (Richard L. Roudebush VA Medical Center)
* Must have started receiving mental health care as a new patient in the Outpatient Mental Health within 12 months prior to enrollment into the study

Exclusion Criteria:

Not eligible if:

* Is a Veteran not belonging to a racial/ethnic minoritized group
* Not actively receiving mental health care in the Outpatient Mental Health Clinic at Veteran Health Indiana (Richard L. Roudebush VA Medical Center)
* Started receiving mental health care as a new patient in the Outpatient Mental Health outside of the 12-month window

Primary outcomes:
measure: Patient Activation Measure- Mental Health (PAM-MH)
timeFrame: Change from Baseline to 6 months
measure: Altarum Consumer Engagement (ACE) Change
timeFrame: Change from Baseline to 6 months
measure: SDM-Q9 PARTNER-MH
timeFrame: Change from Baseline to 6 months
measure: Peer Coaching Experience Satisfaction Questionnaire
timeFrame: Administered after completion of the study program (6 months for Active PARTNER-MH )
measure: Trust and Satisfaction Survey Responses Change
timeFrame: Change from Baseline to 6 months
Secondary outcomes:
measure: Veteran's RAND 12-item Health Survey (VR-12) Change
timeFrame: Change from Baseline to 6 months
measure: Perceived Efficacy in Patient-Physician Interactions Scale (PEPPI-5) Change
timeFrame: Change from Baseline to 6 months
measure: Working Alliance Inventory Short-Revised (WAI-SR) Change
timeFrame: Change from Baseline to 6 months
measure: UCLA Loneliness Scale (ULS-6) Change
timeFrame: Change from Baseline to 6 months
measure: Patient Health Questionnaire (PHQ-9) Change
timeFrame: Change from Baseline to 6 months
Other outcomes:
measure: Lubben Social Network Scale-6
timeFrame: change in scores from baseline to 6 months
measure: Perceived Discrimination in Healthcare Responses
timeFrame: Change in score from baseline to 6 months
Locations:
city: Indianapolis
country: United States
facility: Richard L. Roudebush VA Medical Center, Indianapolis, IN
state: Indiana
Study officials:
affiliation: Richard L. Roudebush VA Medical Center, Indianapolis, IN
name: Johanne Eliacin, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Eliacin J, Burgess DJ, Rollins AL, Patterson S, Damush T, Bair MJ, Salyers MP, Spoont M, Slaven JE, O'Connor C, Walker K, Zou DS, Austin E, Akins J, Miller J, Chinman M, Matthias MS. Proactive, Recovery-Oriented Treatment Navigation to Engage Racially Diverse Veterans in Mental Healthcare (PARTNER-MH), a Peer-Led Patient Navigation Intervention for Racially and Ethnically Minoritized Veterans in Veterans Health Administration Mental Health Services: Protocol for a Mixed Methods Randomized Controlled Feasibility Study. JMIR Res Protoc. 2022 Sep 6;11(9):e37712. doi: 10.2196/37712.