The Right Question Project-Mental Health: An Intervention to Increase Engagement and Retention in Mental Health Care (RQP-MH)
This study is ongoing, but not recruiting participants.
Sponsor:
Cambridge Health Alliance
Collaborator:
Information provided by:
Cambridge Health Alliance
ClinicalTrials.gov Identifier:
NCT01226329
First received: September 16, 2010
Last updated: June 23, 2011
Last verified: June 2011
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Purpose
The Right Question Project-Mental Health (RQP-MH) is a three-session health education intervention that teaches clients to participate effectively in mental health care. The methodology teaches clients to identify important issues of their illness or treatment, formulate questions, and devise plans to communicate and act in effective ways that address factors impacting their mental health care, with the expectation that this behavior will increase patient-provider communication and improve the therapeutic alliance between patient and provider.
The investigators hypothesize that participants receiving the intervention will be more likely to engage and remain in mental health care, and that they will report higher activation and self-management scores as compared to control patients.
| Condition | Intervention |
|---|---|
|
Mental Health Services |
Behavioral: Right Question Project - Mental Health (RQP-MH) Behavioral: Pamphlet |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Health Services Research |
| Official Title: | The Right Question Project-Mental Health: An Intervention to Increase Engagement and Retention in Mental Health Care |
Resource links provided by NLM:
Further study details as provided by Cambridge Health Alliance:
Primary Outcome Measures:
- Patient Activation [ Time Frame: Baseline, 30days, 90days ] [ Designated as safety issue: No ]Activation is defined as a behavior change approach that includes an individual's acquisition of knowledge, skills and beliefs to take thoughtful action on one's own behalf and actively participate in questions and decisions about one's health and health care treatment.
- Patient Self-Management [ Time Frame: Baseline, 30days, 90days ] [ Designated as safety issue: No ]Self-management focuses on patients gaining knowledge and self-efficacy to better manage their mental health condition and developing awareness of the factors that hinder or enhance their mental health outcomes.
- Engagement in mental health care [ Time Frame: Six months following last research interview ] [ Designated as safety issue: No ]Scheduling and keeping mental health treatment appointments over a six month period after finishing the final research interview.
- Retention in mental health treatment [ Time Frame: Six months following last research interview ] [ Designated as safety issue: No ]Attending four or more treatment sessions during the six month period after the final research interview (or completed treatment as designated in the medical record)
| Estimated Enrollment: | 450 |
| Study Start Date: | July 2008 |
| Estimated Study Completion Date: | May 2012 |
| Estimated Primary Completion Date: | November 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: RQP-MH
Participants in the intervention arm will receive three Patient Activation and Self-Management education sessions, plus a fourth booster session if they show difficulty mastering the content of the first three trainings.
|
Behavioral: Right Question Project - Mental Health (RQP-MH)
The RQP-MH trainings each take approximately 45 minutes to complete and are delivered approximately three weeks apart. The manualized intervention uses a Question Formulation Technique (QFT) and a Framework for Active Decision-Making (FADM). The QFT consists of asking patients to generate and revise questions to obtain more informative answers from their providers. The FADM teaches participants to identify questions that will help them consider their role in a decision, the process of decision-making, and the reasons behind a decision. All intervention sessions will be taught by a bachelors-level "Care Manager."
Other Name: Patient Activation and Self-Management (PASM) intervention
|
|
Active Comparator: Comparison Group
Participants in this arm will receive a pamphlet in either Spanish or English called "Managing Your Mental Health Care."
|
Behavioral: Pamphlet
Participants in this group receive a handout called "Managing Your Mental Health" (available in Spanish and English) that provides tips on how to manage mental health through the proper maintenance of physical health and stress.
|
Show Detailed Description Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- between ages of 18 and 70 (patients above age 65 will be administered the Mini-Cog, a cognitive impairment screener)
- speak English and/or Spanish
- currently receiving outpatient mental health care
Exclusion Criteria:
- suicidal ideation or attempt within the past four weeks
- lacks capacity to consent (adapted from Zayas, Cabassa, & Perez, 2005)
- only receiving services that are strictly case-management
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01226329
Locations
| United States, Massachusetts | |
| Beth Israel Deaconness Medical Center | |
| Boston, Massachusetts, United States, 02215 | |
| Martha Eliot Health Center | |
| Jamaica Plain, Massachusetts, United States, 02130 | |
| Cambridge Health Alliance (Malden Family Medicine Center) | |
| Malden, Massachusetts, United States, 02148 | |
| Cambridge Health Alliance (Central Street Health Center) | |
| Somerville, Massachusetts, United States, 02143 | |
| Edward M Kennedy Health Center (Great Brook Valley Health Center) | |
| Worcester, Massachusetts, United States, 01605 | |
| United States, Minnesota | |
| Community-University Health Care Center | |
| Minneapolis, Minnesota, United States, 55404 | |
| West Side Community Health Services - La Clinica | |
| St Paul, Minnesota, United States, 55107 | |
| Hamm Memorial Psychiatric Clinic | |
| St Paul, Minnesota, United States, 55102 | |
| United States, New Jersey | |
| University Behavioral Healthcare | |
| New Brunswick, New Jersey, United States, 08901 | |
| United States, New York | |
| Columbia University Medical Center, Outpatient Psychiatry Program | |
| New York, New York, United States, 10032 | |
| United States, North Carolina | |
| El Futuro Clinic, Carrboro site | |
| Carrboro, North Carolina, United States, 27510 | |
| El Futuro Clinic, Durham site | |
| Durham, North Carolina, United States, 27701 | |
| Puerto Rico | |
| Clinica de Salud Mental de la Comunidad Universidad Carlos Albizu | |
| San Juan, Puerto Rico, 00901 | |
Sponsors and Collaborators
Cambridge Health Alliance
Investigators
| Principal Investigator: | Margarita Alegria, PhD | Cambridge Health Alliance |
More Information
Additional Information:
No publications provided
| Responsible Party: | Margarita Alegria, PhD, Center for Multicultural Mental Health Research, Cambridge Health Alliance |
| ClinicalTrials.gov Identifier: | NCT01226329 History of Changes |
| Other Study ID Numbers: | CHA-IRB00329/07/08, P60MD002261-03 |
| Study First Received: | September 16, 2010 |
| Last Updated: | June 23, 2011 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Cambridge Health Alliance:
|
Minority Groups Decision Making Patient Participation Mental Health Services retention |
attendance patient activation Hispanic Americans patient-provider communication |
Additional relevant MeSH terms:
|
Urinary Retention Urination Disorders Urologic Diseases |
ClinicalTrials.gov processed this record on May 16, 2013