Feasibility Study of Single-session Solution Focused Consultation to Enhance Treatment Engagement

NCT07116655 | Recruiting DMC

• 1 other identifier: IRB-2024-777
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This research aims to explore whether a single-session solution-focused consultation (SSC) can increase mental health service engagement among patients with comorbid chronic physical diseases and mental health problems (CPDMHP).

Conditions

Treatment Engagement

Keywords

treatment engagement; chronic physical health problems; comorbid mental health problems; single-session intervention

Outcome Measures

Primary Outcomes (5)

• Treatment Engagement - Uptake

  Endorsement of interest in referral for mental health services or follow-up session with interventionist

  Post-intervention (immediate)

• Treatment engagement - Attendance

  Attendance at intake session for mental health services or follow-up session with interventionist

  2-weeks post-intervention

• Feasibility - Intervention Completion Rate

  Completion of intervention action plans

  Post-intervention (immediate)

• Acceptability - Usefulness of intervention

  Single item measure on helpfulness of consultation in addressing concern/s

  Post-intervention (immediate)

• Acceptability - Satisfaction with outcome

  Single item measure on how satisfied they are with the intervention's outcome

  Post-intervention (immediate)

Secondary Outcomes (2)

• Perceived agency

  From baseline to post-intervention (immediate)

• Hope

  From baseline to post-intervention (immediate) and two-week post intervention

Other Outcomes (5)

• Depression

  From baseline to two-weeks post intervention

• Anxiety

  From baseline to two-weeks post intervention

• Change readiness

  From baseline to post-intervention (immediate) and two-week post intervention

Study Arms (2)

Active Control Group

ACTIVE COMPARATOR

Single-session supportive therapy based approach

Behavioral: Single-session supportive intervention

Intervention Group

EXPERIMENTAL

Single-session solution-focused therapy based approach

Behavioral: Single-session solution focused consultation

Interventions

Single-session solution focused consultation BEHAVIORAL

In the SSC, the interventionist first sets expectations, explaining that the session is a means of providing short-term support. The interventionist will then praise the participant for agreeing to receive support and introduce the Action Plan, which will guide the session's structure. The interventionist will then work with the participant to (1) identify a specific, modifiable issue they are facing; (2) use the "miracle question" to envision their ideal outcome where the problem is resolved, and rates their current proximity to that; (3) determine the "smallest possible step" they can take towards this outcome through a scaling exercise; and (4) develop a personalized action plan that leverage on their current resources to begin addressing the problem. Upon ending the SSC, the interventionist writes a personalized note to the participant, highlighting their strengths and expressing confidence in their ability to follow through.

Intervention Group

Single-session supportive intervention BEHAVIORAL

In the supportive consultation session, the interventionist will allow the participant to decide what they wish to discuss during the session and listen empathetically, validate their feelings and offer reassurance to the patient. The exact wording or questions will vary depending on the client's needs and sharing.

Active Control Group

Eligibility Criteria

• Age: 21 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

Sponsors & Collaborators

• Nanyang Technological University: lead
• National Medical Research Council (NMRC), Singapore: collaborator

Study Sites (1)

Renal Health Services

Singapore, Singapore

RECRUITING

Central Study Contacts

Jacqueline L. Tilley, PhD

CONTACT

+65 67903202; jacqueline.tilley@nie.edu.sg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 6, 2025
• First Posted: August 11, 2025
• Study Start: February 26, 2025
• Primary Completion: December 1, 2025
• Study Completion: December 1, 2025
• Last Updated: August 11, 2025

Record last verified: 2025-03

Locations

SG (1)