Virtual Behavioral Health Integration
VBHI
An Evaluation of Virtual Behavioral Health Integration Into Primary Care
2 other identifiers
interventional
5,777
1 country
20
Brief Summary
The primary objective is to evaluate the effectiveness of the virtual behavioral health integration (VBHI) program compared to usual care, on reducing the total cost of care reimbursed from Medicare and value-based contracts within 90 days of a patient's primary care visit.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable depression
Started Aug 2019
20 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
August 14, 2019
CompletedFirst Submitted
Initial submission to the registry
September 24, 2019
CompletedFirst Posted
Study publicly available on registry
September 27, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 8, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
May 8, 2021
CompletedApril 25, 2022
June 1, 2021
1.5 years
September 24, 2019
April 19, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Cost of Care
Total cost of care reimbursed from Medicare and value-based contracts
90 days from a patient's primary care visit
Secondary Outcomes (3)
Compare the 90-day acute care utilization rate after the index primary care visit
90 days from a patient's primary care visit
Compare the 90-day primary care utilization rate after the index primary care visit
90 days from a patient's primary care visit
pharmacy Cost of Care
90 days from a patient's primary care visit
Study Arms (2)
Virtual Behavioral Health Integration
EXPERIMENTALAll patients who meet eligibility criteria at sites where the virtual behavioral health program is offered will be considered exposed to the intervention.
Usual Care - Behavioral Health
NO INTERVENTIONAll patients who meet eligibility criteria at sites where the virtual behavioral health program is not offered will be considered exposed to usual care.
Interventions
The virtual behavioral health integration program, implemented in primary care settings, is a structured mental illness treatment program that includes both behavioral treatment and counseling components aimed at reducing cost of care, developing and sustaining adaptive coping strategies, and improving short term acute care utilization.
Eligibility Criteria
You may qualify if:
- years of age or older
- Primary care office visit
- Have a Patient Health Questionnaire-9 (PHQ-9) and overall score \>=10 or Question 9 \>0
- Medicare or value-based contract associated with a patient in the past year at the time of the primary care visit.
You may not qualify if:
- A patient will contribute to the analysis once using their initial enrollment to either arm of the study.
- No insurance claim for the index primary care visit in the data warehouse upon evaluation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (20)
Albermarle Medical Services
Albemarle, North Carolina, 28001, United States
Charlotte Medical Clinic Arboretum
Charlotte, North Carolina, 28226, United States
North Charlotte Medical Specialists Huntersville
Charlotte, North Carolina, 28262, United States
Mecklenburg Medical Group - Steele Creek
Charlotte, North Carolina, 28278, United States
NorthEast Internal and Integrative Medicine
Concord, North Carolina, 28035, United States
East Lincoln Primary Care
Denver, North Carolina, 28037, United States
Riverwood Medical Associates
Gastonia, North Carolina, 28056, United States
Ardsley Internal Medicine - Harrisburg
Harrisburg, North Carolina, 28075, United States
Dove Internal Medicine Union West
Indian Trail, North Carolina, 28079, United States
Indian Trail Family Medicine
Indian Trail, North Carolina, 28079, United States
Kannapolis Internal Medicine
Kannapolis, North Carolina, 28081, United States
Kings Mountain Internal Medicine
Kings Mountain, North Carolina, 28086, United States
West Lincoln Family Medicine
Lincolnton, North Carolina, 28092, United States
Dove Internal Medicine - Monroe
Monroe, North Carolina, 28112, United States
Union Family Practice
Monroe, North Carolina, 28112, United States
Mooresville Internal Medicine Associates
Mooresville, North Carolina, 28117, United States
Oakboro Medical Services
Oakboro, North Carolina, 28129, United States
Richfield Medical Services
Richfield, North Carolina, 28137, United States
Shelby Family Practice
Shelby, North Carolina, 28150, United States
Union Primary Care
Wesley Chapel, North Carolina, 28104, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jason Roberge, PhD
Wake Forest University Health Sciences
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 24, 2019
First Posted
September 27, 2019
Study Start
August 14, 2019
Primary Completion
February 8, 2021
Study Completion
May 8, 2021
Last Updated
April 25, 2022
Record last verified: 2021-06
Data Sharing
- IPD Sharing
- Will not share