ACT Workshops: A Novel Delivery Modality to Increase Access to Care for Rural Veterans

NCT05196464 | Completed

• 1 other identifier: 1576467
• Study Type: interventional
• Target: 37
• Locations: 1 country
• Sites: 1

Brief Summary

This study investigates access, effectiveness, and acceptability of 1-day ACT workshops on problematic mental health symptoms.

Conditions

Access to Care; Psychological Distress

Outcome Measures

Primary Outcomes (2)

• Access to mental health care

  Access to care is measured by hours of active treatment Veterans receive within and outside of VA.

  1 month

• Psychological Distress

  Psychological distress as measured by the Depression, Anxiety, and Stress Scale (DASS-21). Score range on 0-42. Higher scores indicate greater psychological distress.

  1 month

Study Arms (1)

VA primary care patients

OTHER

VA primary care patients with psychological distress are being enrolled

Behavioral: Acceptance and Commitment Therapy (ACT) Workshop; Behavioral: Treatment as usual (TAU)

Interventions

Acceptance and Commitment Therapy (ACT) Workshop BEHAVIORAL

ACT workshops are single-day workshops that last 5-6 hours. The workshops will 1) Acceptance and Mindfulness Training emphasizing new ways of managing troubling thoughts, feelings, and physical sensations (e.g., learning how to recognize, and develop cognitive distance from unhelpful thoughts) and strategies to willingly face experiences that cannot be changed; and 2) Committed Action Training to help Veterans clarify what matters most to them (e.g., valued domains including family, friends, spirituality, career) and what they want to stand for in life, how they want to behave, and what strengths and qualities they want to develop. Within this context, the workshop will encourage engagement in, rather than avoidance of, actions consistent with valued directions, including engagement in healthcare. Workshop participants will be given homework related to implementing a key coping skill.

VA primary care patients

Treatment as usual (TAU) BEHAVIORAL

TAU will consist of a consult to a mental health provider at their rural clinic. The patient will then be scheduled for an intake and offered traditional mental health treatment options. Treatment options are likely to include outpatient individual psychotherapy, psychotherapy groups, or medication management.

VA primary care patients

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \) current mental health symptoms as measured by one of the following indicators: PHQ-9 ≥ 10, PCL-5 ≥ 30, or GAD-7 ≥ 10.

You may not qualify if:

• cognitive impairment measured by BOMC,
• current psychosis or mania as evidenced in the medical record,
• current suicidal intent as measured by the P4,
• use of mental health services within or outside of VA in the last 6 months as measured by CPRS and the non-VA services questionnaire.

Sponsors & Collaborators

• Syracuse VA Medical Center: lead
• VA Office of Research and Development: collaborator
• Michael E. DeBakey VA Medical Center: collaborator

Study Sites (1)

Syracuse Veterans Affairs Medical Center

Syracuse, New York, 13210, United States

Location

MeSH Terms

Interventions

Therapeutics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Model Details: two intervention randomized clinical trial

Study Record Dates

• First Submitted: December 14, 2021
• First Posted: January 19, 2022
• Study Start: April 1, 2021
• Primary Completion: June 30, 2023
• Study Completion: June 30, 2023
• Last Updated: April 22, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)