Motivational Interviewing to Engage Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) Veterans in Mental Health Treatment

NCT00419029 | Completed

• 1 other identifier: MH 06-004
• Study Type: interventional
• Target: 400
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this randomized controlled trial is to evaluate the efficacy of telephone-administered motivational interviewing (TAMI) to enhance VA mental health treatment engagement among veterans of Operations Enduring Freedom (OEF) and Iraqi Freedom (OIF) who screen positive for mental health disorders on telephone assessment. The investigators will evaluate whether TAMI results in improved mental health treatment engagement, decreased mental health symptoms and increased quality of life among OEF/OIF veterans with mental health disorders. The long-term aim of this study is to conduct rapid assessment and intervention to prevent chronic mental illness and associated disability among our newest generation of veterans.

Conditions

Combat Disorders; Stress Disorders, Post-Traumatic; Depression; Substance-Related Disorders

Keywords

combat; depression; PTSD; substance abuse

Outcome Measures

Primary Outcomes (1)

• To determine the efficacy of TAMI, the primary outcome is the binary distinction between those who make an initial phone call to the OEF/OIF Combat Case Manager to arrange for a mental health treatment appointment versus those who do not (Aim 1).

  measured 6 months post last follow-up appointment

Secondary Outcomes (5)

• the binary distinction between attending an initial or re-engagement VA mental health treatment appointment versus not

  6 months post last follow-up appointment

• the total number of VA mental health treatment sessions attended

  6 months p ost last follow-up appointment

• the proportion of sessions attended per those scheduled during the 6-month follow-up period

  6 months post last follow-up

• change in mental health symptom scores between the TAMI and Control groups

  last follow-up appointment

• change in quality of life score from baseline at 1, 3, and 6 months.

  last follow-up appointment

Study Arms (2)

control

ACTIVE COMPARATOR

brief telephone check-in (no motivational interviewing)

Behavioral: control

telephone-administered motivational interviewing

EXPERIMENTAL

motivational interviewing sessions

Behavioral: telephone-administered motivational interviewing

Interventions

telephone-administered motivational interviewing BEHAVIORAL

telephone motivational interviewing

telephone-administered motivational interviewing

control BEHAVIORAL

brief telephone check-in (no motivational interviewing)

control

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Veteran of OEF/OIF with service in Iraq or Afghanistan, or areas surrounding these combat theaters
• Military service separation date after 9/30/01
• Has a zip code that corresponds to a Northern California address and no plans to relocate
• May be contacted by telephone
• Must screen positive for one or more of the following: PTSD, depression, high-risk alcohol and/or illicit substance use to enroll in the randomized controlled trial.

You may not qualify if:

• Veterans who served post-9/11/01 but who did not serve in Operation Enduring Freedom or Operation Iraqi Freedom
• In VA or non-VA mental health treatment currently
• Residing more than 60 miles from San Francisco VA or a Community-based outpatient clinic associated with San Francisco VA

Sponsors & Collaborators

• San Francisco Veterans Affairs Medical Center: lead

Study Sites (1)

San Francisco VA Medical Center

San Francisco, California, 94121, United States

Location

MeSH Terms

Conditions

Combat Disorders; Stress Disorders, Post-Traumatic; Depression; Substance-Related Disorders

Condition Hierarchy (Ancestors)

Stress Disorders, Traumatic; Trauma and Stressor Related Disorders; Mental Disorders; Behavioral Symptoms; Behavior; Chemically-Induced Disorders

Study Officials

• Karen H Seal, MD, MPH

  San Francisco VA Medical Center, University of California, San Francisco

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principle Investigator

Study Record Dates

• First Submitted: January 4, 2007
• First Posted: January 5, 2007
• Study Start: September 1, 2007
• Primary Completion: September 1, 2010
• Study Completion: September 1, 2011
• Last Updated: August 26, 2014

Record last verified: 2014-08

Locations

US (1)