The Right Question Project-Mental Health: An Intervention to Increase Engagement and Retention in Mental Health Care
RQP-MH
2 other identifiers
interventional
724
2 countries
13
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2008
Longer than P75 for not_applicable
13 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2008
CompletedFirst Submitted
Initial submission to the registry
September 16, 2010
CompletedFirst Posted
Study publicly available on registry
October 22, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2011
CompletedJune 3, 2016
June 1, 2016
3.3 years
September 16, 2010
June 2, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Patient Activation
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.
Baseline, 30days, 90days
Patient Self-Management
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.
Baseline, 30days, 90days
Engagement in mental health care
Scheduling and keeping mental health treatment appointments over a six month period after finishing the final research interview.
Six months following last research interview
Retention in mental health treatment
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)
Six months following last research interview
Study Arms (2)
RQP-MH
EXPERIMENTALParticipants 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.
Comparison Group
ACTIVE COMPARATORParticipants in this arm will receive a pamphlet in either Spanish or English called "Managing Your Mental Health Care."
Interventions
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."
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.
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (13)
Beth Israel Deaconness Medical Center
Boston, Massachusetts, 02215, United States
Martha Eliot Health Center
Jamaica Plain, Massachusetts, 02130, United States
Cambridge Health Alliance (Malden Family Medicine Center)
Malden, Massachusetts, 02148, United States
Cambridge Health Alliance (Central Street Health Center)
Somerville, Massachusetts, 02143, United States
Edward M Kennedy Health Center (Great Brook Valley Health Center)
Worcester, Massachusetts, 01605, United States
Community-University Health Care Center
Minneapolis, Minnesota, 55404, United States
Hamm Memorial Psychiatric Clinic
Saint Paul, Minnesota, 55102, United States
West Side Community Health Services - La Clinica
Saint Paul, Minnesota, 55107, United States
University Behavioral Healthcare
New Brunswick, New Jersey, 08901, United States
Columbia University Medical Center, Outpatient Psychiatry Program
New York, New York, 10032, United States
El Futuro Clinic, Carrboro site
Carrboro, North Carolina, 27510, United States
El Futuro Clinic, Durham site
Durham, North Carolina, 27701, United States
Clinica de Salud Mental de la Comunidad Universidad Carlos Albizu
San Juan, 00901, Puerto Rico
Related Publications (1)
Alegria M, Carson N, Flores M, Li X, Shi P, Lessios AS, Polo A, Allen M, Fierro M, Interian A, Jimenez A, La Roche M, Lee C, Lewis-Fernandez R, Livas-Stein G, Safar L, Schuman C, Storey J, Shrout PE. Activation, self-management, engagement, and retention in behavioral health care: a randomized clinical trial of the DECIDE intervention. JAMA Psychiatry. 2014 May;71(5):557-65. doi: 10.1001/jamapsychiatry.2013.4519.
PMID: 24647680DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Margarita Alegria, PhD
Cambridge Health Alliance
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Chief, Disparities Research Unit
Study Record Dates
First Submitted
September 16, 2010
First Posted
October 22, 2010
Study Start
July 1, 2008
Primary Completion
October 1, 2011
Study Completion
October 1, 2011
Last Updated
June 3, 2016
Record last verified: 2016-06