Trial Outcomes & Findings for An eHealth Intervention to Increase Depression Treatment Initiation and Adherence Among Veterans Referred for Mental Health Services (NCT NCT05990075)

NCT ID: NCT05990075

Last Updated: 2026-01-20

Results Overview

Intervention enrollment was measured by completion of baseline survey which entailed patients' explicit agreement to participate in the intervention.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

NA

Target enrollment

47 participants

Primary outcome timeframe

Up to 30 weeks.

Results posted on

2026-01-20

Participant Flow

Participants were recruited based on physician referrals to specialty mental health clinics for depressive disorders and depressive symptoms between September 2023-September 2024. Prior to enrollment, participant clinical charts were screened.

Of those who met inclusion criteria, 47 patients agreed to participation and enrolled in the study.

Participant milestones

Participant milestones
Measure
Self-monitoring
This research study will evaluate a self-monitoring intervention to increase awareness, provide support, and promote motivation to initiate treatment after referral to mental health. The proposed intervention is a user-driven program delivered online and by mobile text. This will be initially piloted for acceptability among Veterans referred to mental health service for depression treatment.
Overall Study
STARTED
47
Overall Study
COMPLETED
47
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

An eHealth Intervention to Increase Depression Treatment Initiation and Adherence Among Veterans Referred for Mental Health Services

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Self-monitoring
n=47 Participants
This research study will evaluate a self-monitoring intervention to increase awareness, provide support, and promote motivation to initiate treatment after referral to mental health. The proposed intervention is a user-driven program delivered online and by mobile text. This will be initially piloted for acceptability among Veterans referred to mental health service for depression treatment.
Age, Continuous
43 years
STANDARD_DEVIATION 9 • n=37 Participants
Sex: Female, Male
Female
25 Participants
n=37 Participants
Sex: Female, Male
Male
22 Participants
n=37 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=37 Participants
Race (NIH/OMB)
Asian
0 Participants
n=37 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=37 Participants
Race (NIH/OMB)
Black or African American
14 Participants
n=37 Participants
Race (NIH/OMB)
White
22 Participants
n=37 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=37 Participants
Race (NIH/OMB)
Unknown or Not Reported
10 Participants
n=37 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
10 Participants
n=37 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
33 Participants
n=37 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants
n=37 Participants
Marital status
Divorced
11 Participants
n=37 Participants
Marital status
Married
21 Participants
n=37 Participants
Marital status
Never Married
11 Participants
n=37 Participants
Marital status
Separated
3 Participants
n=37 Participants
Marital status
Unknown
1 Participants
n=37 Participants
Service Connected (%)
0%
4 Participants
n=37 Participants
Service Connected (%)
10-50%
5 Participants
n=37 Participants
Service Connected (%)
60-90%
17 Participants
n=37 Participants
Service Connected (%)
100%
21 Participants
n=37 Participants
Service Connected for Mental Health
Yes
33 Participants
n=37 Participants
Service Connected for Mental Health
No
14 Participants
n=37 Participants
Barriers to Accessing Care Evaluation (BACE)
Stigma related barriers
0.64 Units on a scale
STANDARD_DEVIATION 0.50 • n=37 Participants
Barriers to Accessing Care Evaluation (BACE)
Access and practical barriers
1.04 Units on a scale
STANDARD_DEVIATION 0.50 • n=37 Participants
Affective Control Scale (ACS)
Fear of anger
4.20 Units on a scale
STANDARD_DEVIATION 1.11 • n=37 Participants
Affective Control Scale (ACS)
Fear of positive emotions
3.47 Units on a scale
STANDARD_DEVIATION 0.91 • n=37 Participants
Affective Control Scale (ACS)
Fear of depression
4.19 Units on a scale
STANDARD_DEVIATION 0.97 • n=37 Participants
Affective Control Scale (ACS)
Fear of anxiety
4.39 Units on a scale
STANDARD_DEVIATION 1.05 • n=37 Participants
Patient Health Questionnaire 8 (PHQ8)
15.34 Units on a scale
STANDARD_DEVIATION 5.4 • n=37 Participants

PRIMARY outcome

Timeframe: Up to 30 weeks.

Population: The denominator for this analysis were participants who were pre-screened, met study criteria, and were invited to participate in the intervention.

Intervention enrollment was measured by completion of baseline survey which entailed patients' explicit agreement to participate in the intervention.

Outcome measures

Outcome measures
Measure
Self-monitoring
n=270 Participants
This research study will evaluate a self-monitoring intervention to increase awareness, provide support, and promote motivation to initiate treatment after referral to mental health. The proposed intervention is a user-driven program delivered online and by mobile text. This will be initially piloted for acceptability among Veterans referred to mental health service for depression treatment.
Incidence of Intervention Enrollment as Assessed by Completion of Baseline Survey.
47 Participants

PRIMARY outcome

Timeframe: Immediately after intervention completion.

Mental Health Link asks patients to report on 24 hour positive and negative events, emotions, and depression symptoms.

Outcome measures

Outcome measures
Measure
Self-monitoring
n=47 Participants
This research study will evaluate a self-monitoring intervention to increase awareness, provide support, and promote motivation to initiate treatment after referral to mental health. The proposed intervention is a user-driven program delivered online and by mobile text. This will be initially piloted for acceptability among Veterans referred to mental health service for depression treatment.
Percent Patients With Completed Tasks as Measured by Mental Health Link.
Engagement with intervention
47 Participants
Percent Patients With Completed Tasks as Measured by Mental Health Link.
> 50% engagement rate
25 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Immediately after intervention, up to 30 weeks.

Population: Denominator for treatment adherence is number of patients who initiated treatment.

The investigators will evaluate % mental health treatment initiation relative to the general population in the same clinics. This measure is experimental given that efficacy is not yet the focus of this work given its preliminary stage. Treatment initiation is defined as initial mental health appointment being completed. Treatment adherence is defined as continuing treatment past initiation.

Outcome measures

Outcome measures
Measure
Self-monitoring
n=47 Participants
This research study will evaluate a self-monitoring intervention to increase awareness, provide support, and promote motivation to initiate treatment after referral to mental health. The proposed intervention is a user-driven program delivered online and by mobile text. This will be initially piloted for acceptability among Veterans referred to mental health service for depression treatment.
Efficacy of Intervention as Assessed by Rate of Depression Treatment Initiation and Adherence
Treatment initiation
32 Participants
Efficacy of Intervention as Assessed by Rate of Depression Treatment Initiation and Adherence
Treatment adherence (1+ sessions)
28 Participants
Efficacy of Intervention as Assessed by Rate of Depression Treatment Initiation and Adherence
Treatment adherence (4+ sessions)
18 Participants

Adverse Events

Self-monitoring

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Vanessa Panaite, PhD

James A. Haley Veterans' Hospital

Phone: 813-768-2193

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place