Improving Patient-Provider Communication to Reduce Mental Health Disparities
PARTNER-MH
Improving Patient-provider Communication to Reduce Mental Health Disparities (CDA 16-153)
1 other identifier
interventional
50
1 country
1
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Aug 2020
1 active site
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
First Submitted
Initial submission to the registry
August 12, 2020
CompletedFirst Posted
Study publicly available on registry
August 17, 2020
CompletedStudy Start
First participant enrolled
August 17, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 15, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
April 15, 2022
CompletedResults Posted
Study results publicly available
September 19, 2024
CompletedSeptember 19, 2024
August 1, 2024
1.7 years
August 12, 2020
April 20, 2023
August 13, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Patient Activation Measure- Mental Health (PAM-MH)
Measure Description: The PAM-MH is a 13-item questionnaire that measures an individual's perceived ability to manage illness and health behaviors. The questions are rated on a 4-point Likert-type scale (1= strongly disagree, 2=disagree, 3=agree, 4=strongly agree). Scores are then converted using Rasch analysis to a 100-point scale. Raw scores range from 13 to 52 and converted activation scores range from 0-100. Higher activation scores indicate higher level of patient activation.
Change from Baseline to 6 months
Altarum Consumer Engagement (ACE) Change
The ACE is administered as a 5-level Likert scale. The subscale scores range from 5 to 25, and the total engagement score is computed by adding the 3 subscale scores and multiplying the sum by 4/3 to obtain a possible range score of 20 to 100. Higher scores represent higher patient engagement.
Change from Baseline to 6 months
SDM-Q9 PARTNER-MH
The SDM-Q9 PARTNER-MH was adapted from Braddock et al.'s SDM-Q-9 informed decision-making scale. The original, validated scale, the SDM-Q-9, has 9 items measured on a 6-point Likert Scale, ranging from 0=completely disagree to 5=completely agree. The total score is calculated by summing the scores of the nine items, range from 0 to 45. A higher score indicates a greater level of perceived SDM.
Change from Baseline to 6 months
Peer Coaching Experience Satisfaction Questionnaire
Peer Coaching Experience Satisfaction Questionnaire is designed to collect feedback on a respondent's overall experience with a peer coach at the end of a 6-month period. Only participants in active PARTNER-MH were administered this questionnaire. This questionnaire was developed for the study. Question 1: Overall, how satisfied are you with PARTNER-MH program? Question 2: How satisfied are you with your assigned peer. Answers are rated on a Likert scale ranging from 1 (very satisfied) to 5 (very dissatisfied).
Administered after completion of the study program (6 months for Active PARTNER-MH )
Trust and Satisfaction Survey Responses Change
The Trust and Satisfaction Survey is a 5-item scale which assess a respondent's degree of trust toward the VA, VA mental health care services, and the study program. Respondents are asked to rate how much they agree with each of the 5 items. Items are rated on a scale ranging from 1 (strongly disagree) to 5 (strongly agree). The survey yields final scores ranging from 5 (minimum) to 25 (maximum) with higher scores representing greater trust and satisfaction. No subscale.
Change from Baseline to 6 months
Secondary Outcomes (5)
Veteran's RAND 12-item Health Survey (VR-12) Change
Change from Baseline to 6 months
Perceived Efficacy in Patient-Physician Interactions Scale (PEPPI-5) Change
Change from Baseline to 6 months
Working Alliance Inventory Short-Revised (WAI-SR) Change
Change from Baseline to 6 months
UCLA Loneliness Scale (ULS-6) Change
Change from Baseline to 6 months
Patient Health Questionnaire (PHQ-9) Change
Change from Baseline to 6 months
Other Outcomes (2)
Lubben Social Network Scale-6
change in scores from baseline to 6 months
Perceived Discrimination in Healthcare Responses
Change in score from baseline to 6 months
Study Arms (2)
Active PARTNER-MH
EXPERIMENTALParticipants in this arm received the intervention immediately after study enrollment. They continued to receive usual mental health services in addition to intervention.
Waitlist Control
OTHERThe waitlist control arm participants received usual mental health services. They were offered to receive the intervention after the 6-month wait period.
Interventions
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.
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Richard L. Roudebush VA Medical Center, Indianapolis, IN
Indianapolis, Indiana, 46202-2884, United States
Related Publications (3)
Eliacin J, Matthias MS, Cameron KA, Burgess DJ. Veterans' views of PARTNER-MH, a peer-led patient navigation intervention, to improve patient engagement in care and patient-clinician communication: A qualitative study. Patient Educ Couns. 2023 Sep;114:107847. doi: 10.1016/j.pec.2023.107847. Epub 2023 Jun 13.
PMID: 37331280DERIVEDEliacin J, Burgess D, Rollins AL, Patterson S, Damush T, Bair MJ, Salyers MP, Spoont M, Chinman M, Slaven JE, Matthias MS. Outcomes of a peer-led navigation program, PARTNER-MH, for racially minoritized Veterans receiving mental health services: a pilot randomized controlled trial to assess feasibility and acceptability. Transl Behav Med. 2023 Sep 12;13(9):710-721. doi: 10.1093/tbm/ibad027.
PMID: 37130337DERIVEDEliacin J, Burgess DJ, Rollins AL, Patterson S, Damush T, Bair MJ, Salyers MP, Spoont M, Slaven JE, O'Connor C, Walker K, Zou DS, Austin E, Akins J, Miller J, Chinman M, Matthias MS. Proactive, Recovery-Oriented Treatment Navigation to Engage Racially Diverse Veterans in Mental Healthcare (PARTNER-MH), a Peer-Led Patient Navigation Intervention for Racially and Ethnically Minoritized Veterans in Veterans Health Administration Mental Health Services: Protocol for a Mixed Methods Randomized Controlled Feasibility Study. JMIR Res Protoc. 2022 Sep 6;11(9):e37712. doi: 10.2196/37712.
PMID: 36066967DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
The study had some limitations that should be considered. The study was conducted with a small sample at one VHA site. It was not powered to detect significant changes. Therefore, findings should be interpreted with caution. The retention rate in the study was also moderate and differed by study group. Future evaluation of PARTNER-MH should also examine outcomes over a longer period to assess patients' health services utilization and engagement in mental health treatment.
Results Point of Contact
- Title
- Dr. Johanne Eliacin
- Organization
- Richard L. Roudebush VA Medical Center
Study Officials
- PRINCIPAL INVESTIGATOR
Johanne Eliacin, PhD
Richard L. Roudebush VA Medical Center, Indianapolis, IN
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- CROSSOVER
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 12, 2020
First Posted
August 17, 2020
Study Start
August 17, 2020
Primary Completion
April 15, 2022
Study Completion
April 15, 2022
Last Updated
September 19, 2024
Results First Posted
September 19, 2024
Record last verified: 2024-08
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, CSR
- Time Frame
- Data will become available 6 months after publication.
- Access Criteria
- Upon request, the Research Service will consider requests for the final data sets underlying the publications to be provided to the public. These requests for access will be reviewed by the Richard L Roudebush VA Medical Center R\&D Committee and Associate Chief of Staff (ACOS) and addressed within a reasonable timeframe. Final data may have variable formats and will be converted to a uniform format, when allowable. No PHI or VASI, if any, will be shared after publication, unless approved by the facility Privacy Officer for a FOIA request. Data sets will be de-identified and anonymized and VASI removed per FOIA. Only authorized research personnel as approved by the ACOS in agreement with the PI, will have access to the data. Data will be securely stored on a VA Research network drive behind the VA firewall. The project will have an assigned secure space for storage on the network drive to protect compartmentalized housing of data to include raw data, working data, and final data sets.
Final research datasets underlying all publications reporting results of VA research can be made available, upon FOIA request. Upon request, a limited dataset will be made available for other researchers for the purposes of validation of findings. The limited dataset will include de-identified data relevant to the specific request. Independent research groups can view relevant data to evaluate the extent that data sources support conclusions made by authors in published studies as well as observe additional emergent findings and view supplemental details that might not be included in publications.