Improving Patient-Provider Communication to Reduce Mental Health Disparities

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-17

Study Completion Date

2022-04-15

Brief Summary

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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.

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Detailed Description

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Conditions

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Healthcare Disparities Mental Health

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

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 Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Active PARTNER-MH

Participants in this arm received the intervention immediately after study enrollment. They continued to receive usual mental health services in addition to intervention.

Group Type EXPERIMENTAL

PARTNER-MH

Intervention Type BEHAVIORAL

The study intervention consisted of a 6-month, manualized, peer-led navigation program. It involved assessing and addressing patients' unmet social needs and barriers to care, delivery of peer support services, navigation to VA mental health services, and psychoeducation.

Waitlist Control

The waitlist control arm participants received usual mental health services. They were offered to receive the intervention after the 6-month wait period.

Group Type OTHER

PARTNER-MH

Intervention Type BEHAVIORAL

The study intervention consisted of a 6-month, manualized, peer-led navigation program. It involved assessing and addressing patients' unmet social needs and barriers to care, delivery of peer support services, navigation to VA mental health services, and psychoeducation.

Interventions

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PARTNER-MH

The study intervention consisted of a 6-month, manualized, peer-led navigation program. It involved assessing and addressing patients' unmet social needs and barriers to care, delivery of peer support services, navigation to VA mental health services, and psychoeducation.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No