Clinical trial NCT06479980: Single Session Narrative Therapy Study
Official title: Pilot Study of Feasibility, Acceptability, Fit and Clinical Impact of a Single Session Narrative Psychotherapy Intervention to Reduce Wait Times in a Primary Care HIV Clinic
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Mental Health Issue
HIV
Substance Use
Keywords: Brief narrative therapy
Implementation outcome
Stepped care
Psychotherapy
Integrated primary care
Lead sponsor: University of Washington
Sponsor class: OTHER
Collaborators: name: National Institute of Mental Health (NIMH)
First posted: 2024-06-28
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: This pilot research study will provide timely access to behavioral health services through the provision of a single-session narrative therapy intervention. The goal of this 6-month study is to test the acceptability, feasibility, and fit of the intervention in an integrated primary care clinic serving people living with HIV.

Detailed description: Single-session interventions are designed to address barriers to engaging in care and address the issues of long waitlists and limited provider availability. Offering a single session intervention soon after a referral is made is a strategy on a stepped-care continuum model that has been found to be an effective approach to manage population mental health needs. This study aims to 1) pre-pilot a single-session narrative therapy intervention with patients currently on the waitlist for psychotherapy services at an HIV primary care clinic to evaluate the acceptability of this treatment option for patients and the feasibility of proposed data collection followed by 2) a 6-month pilot study of the same intervention to evaluate intervention acceptability, fit, and impact on service and clinical outcomes. At the end of this study, patient and provider-level data on the utility of integrating a single-session psychotherapy service as part of the continuum of behavioral health services in an integrated care setting will be obtained, which the investigators can utilize to design a larger implementation-effectiveness trial.

Eligibility criteria: Patient Inclusion Criteria

* Adults (age 18 years and older) who are patients at \[Blinded\] Clinic
* Have agreed to participate in the single session intervention
* Ability to complete the interview and research surveys in English

Patient Exclusion Criteria:

* Participants with need for urgent mental health treatment (e.g., at imminent risk of suicide or harm to others; disabling symptom presentation)
* Inability to provide informed consent

Provider Inclusion Criteria:

* Adults (age 18 years and older)
* Referring providers at \[Blinded\] clinic (social worker, primary care physician, mental health professional etc.)
* Ability to complete the research survey or interview in English.

Provider Exclusion Criteria:

* Inability to provide informed consent
* Non-referring providers

Primary outcomes:
measure: Patient Health Questionnaire-9 (PHQ-9)
timeFrame: 0, 1 month
Secondary outcomes:
measure: Generalized Anxiety Disorder- 7 (GAD-7)
timeFrame: 0, 1 month
measure: Remoralization Scale
timeFrame: 0,1 month
measure: Social Connectedness Scale-Original (SCS-Original)
timeFrame: 0, 1 month
measure: State-Trait Assessment of Resilience Scale (Trait sub-scale only)
timeFrame: 0, 1 month
measure: Brief Services Evaluation
timeFrame: 0, 1 month
measure: Acceptability of Intervention Measure (AIM)
timeFrame: 1 month, Up to 8 months
measure: Intervention Appropriateness Measure (IAM)
timeFrame: Up to 8 months
measure: Feasibility of Intervention Measure (FIM)
timeFrame: Up to 8 months
Other outcomes:
measure: Waitlist Evaluation Questionnaire
timeFrame: 0 months
measure: Modified Single Session Impressions and Feedback Tool- Adapted Version
timeFrame: 0 months
measure: Single Session Consultation Feedback Form
timeFrame: 0 months
measure: Patient Participant Qualitative Interview
timeFrame: 1 month
measure: Provider Participant Qualitative Interview
timeFrame: Up to 8 months
Locations:
city: Seattle
country: United States
facility: Harborview Medical Center
state: Washington
Study officials:
affiliation: University of Washington
name: Akansha Vaswani-Bye
role: PRINCIPAL_INVESTIGATOR
References: