N/A
N=318
Implementing a Blended Care Model That Integrates Mental Healthcare and Primary Care Using Telemedicine and Care Management for Patients With Depression or Alcohol Use Disorder in Small Primary Care Clinics
Depressive Disorders · Alcohol Use Disorders · Post-traumatic Stress Disorder (PTSD)
Bottom Line
View on ClinicalTrials.gov: NCT02713217 ↗Enrolled (actual)
318
Serious AEs
0.0%
Results posted
Jul 2024
Primary outcome: Primary: Change in VR-12 Mental Component Summary Scores — 2.9; 5.1 score on a scale
Study Design & Population
- Study type
- Observational
- Phase
- N/A
- Interventions
- Usual Care (Other); Blended Telemedicine-Based Integrated Care (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Aug 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in VR-12 Mental Component Summary Scores |
2.9; 5.1 | — |
| SECONDARY Change in PHQ-9 Scores |
-2.3; -3.2 | — |
| SECONDARY Change in AUDIT-C Scores |
6.8; 6.5; 6.4; 6.1 | — |
Summary
Integrating mental health treatments into the primary care delivered at Community Based Outpatient Clinics(CBOCs) that are geographically accessible to rural Veterans is a major priority for the Department of Veterans Affairs. However, there is no scientific evidence that integrating mental health and primary care is clinically effective at smaller CBOCs that have limited mental health staffing. The goal of this proposed project is to implement a "blended" combination of integrated care models that have been adapted for smaller CBOCs using telemedicine technologies, and evaluate the acceptability and effectiveness of the blended, telemedicine-based, integrated care model. If clinical outcomes are improved compared to usual care, findings will be used to justify and facilitate the implementation of this telemedicine-based integrated care model at smaller CBOCs in order to increase rural Veterans' access to effective mental health treatments.
Eligibility Criteria
Inclusion Criteria
- The investigators will enroll Veterans who screen positive on routinely administered VA mental health screens for depressive disorders, alcohol use disorders, and PTSD at the 6 study CBOCs.
Exclusion Criteria
- Patients receiving specialty mental health treatment in the 6 months prior to recruitment and those who have a diagnosis of PTSD
- Those with a diagnosis of substance dependence
- Those with a psychotic disorder diagnosis:
- schizophrenia
- bipolar disorder
- other psychotic disorders
Data sourced from ClinicalTrials.gov (NCT02713217). 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.