N/A
N=1,112
Hybrid Collaborative Care Randomized Program Evaluation
Mental Health Disorders
Bottom Line
View on ClinicalTrials.gov: NCT02543840 ↗Enrolled (actual)
1,112
Serious AEs
0.0%
Results posted
Jun 2020
Primary outcome: Primary: Veterans RAND-12 Mental Component Score (VR-12 MCS) — 36.82; 36.24; 37.25 score on a scale — p=<0.01
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Replicating Effective Programs plus External Facilitation (Other); Educational Materials (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Boston Healthcare System
- Primary completion
- Apr 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Veterans RAND-12 Mental Component Score (VR-12 MCS) |
36.82; 36.24; 37.25 | <0.01 sig |
| SECONDARY Veterans RAND-12 Physical Component Scores (VR-12 PCS) |
35.20; 35.62; 35.30 | <0.04 sig |
| SECONDARY Satisfaction Index |
52.94; 53.26; 52.78 | >0.05 |
| SECONDARY Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q-LES-Q-SF) |
53.2; 53.9; 54.8 | >0.05 |
| SECONDARY Patient Assessment of Chronic Illness Care (PACIC) |
21.94; 22.46; 21.99 | >0.05 |
| SECONDARY Team Development Measure (TDM)- Cohesion |
84.0; 84.5 | >0.05 |
| SECONDARY Team Development Measure (TDM)- Communication |
83.3; 84.4 | >0.05 |
| SECONDARY Team Development Measure (TDM)- Role Clarity |
53.4; 68.7 | <0.001 sig |
| SECONDARY Team Development Measure (TDM)- Team Primacy |
50.0; 68.6 | <0.01 sig |
| SECONDARY Mental Health Hospitalization Rates |
-0.12 | <0.001 sig |
Summary
This randomized program evaluation is undertaken in conjunction with the Department of Veterans Affairs (VA) Office of Mental Health Operations (OMHO) and the Quality Enhancement Research Initiative. It is designed to answer two related questions: (1) Can an evidence-based implementation strategy using the Center for Disease Control (CDC)'s Replicating Effective Programs plus External Facilitation (REP-F) enhance the adoption of team-based care in VA General Mental Health (GMH) Clinics, and (2) Does the establishment of such teams via implementation enhance Veterans' health status, satisfaction, and perceptions of care? The model for team-based care is the evidence-based Collaborative Chronic Care Model (CCM).
In conjunction with a nation-wide roll-out of the VA's Behavioral Health Interdisciplinary Program team (BHIP) initiative, the investigators have structured a randomized, controlled program evaluation to answer these questions. Specifically, using a stepped wedge design the investigators will randomize 9 VAMCs that have requested support in establishing a BHIP to 1 of 3 waves of REP-F support: immediate implementation support vs. 4-month vs. 8-month wait with dissemination of CCM materials (3 sites per wave). Fidelity and health outcome measures will be collected in a repeated measures design at 6-month intervals, and analyzed with general linear modeling.
Eligibility Criteria
Inclusion Criteria
At least three visits to the General Mental Health Clinic's BHIP team in prior year
Exclusion Criteria
Chart evidence of dementia
Data sourced from ClinicalTrials.gov (NCT02543840). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.