N/A
N=5,616
Evaluation of Peer Specialists on VA PACTs
Mental Illness · Physical Illness
Bottom Line
View on ClinicalTrials.gov: NCT02732600 ↗Enrolled (actual)
5,616
Serious AEs
—
Results posted
Jun 2020
Primary outcome: Primary: Patient Activation Measure Change — 41.0; 41.6; 39.9; 40.6 Score on a scale — p=0.39
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Facilitated Implementation (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Mar 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Patient Activation Measure Change |
41.0; 41.6; 39.9; 40.6; 39.8; 40.8 | 0.39 |
| SECONDARY Team Development Measure |
91.1; 96.7; 85.0; 93.0; 76.0; 84.4 | 0.156 |
| SECONDARY Peer Fidelity Measure |
0.3; 0.7; 0.2; 0.7; -0.1; 1.1 | 0.098 |
| SECONDARY The Satisfaction Index-Mental Health |
47.7; 51.3; 49.7; 52.3; 50.6; 51.2 | 0.002 sig |
| SECONDARY Number of Unique Veterans Seen (Adjusted for Employment Period and Hours Worked Per Week) |
1.3; 4.8; 5.8; 6.0 | 0.02 sig |
| SECONDARY Average Number of Visits Per Veteran Per Peer Specialist-Adjusted (Across Both Years) |
2.2; 3.2 | 0.0001 sig |
| SECONDARY Average Total Number of Services Provided-Adjusted (First Year Only and Across Both Years) |
2.7; 8.4; 9.8; 12.4 | 0.02 sig |
| SECONDARY Time to First Service |
188.2; 88.7 | 0.027 sig |
| SECONDARY Average Number of Visits Per Veteran Per Peer Specialist-Adjusted (First Year Only) |
2.0; 2.6 | 0.001 sig |
Summary
In August 2014, the White House issued an Executive Action mandating that 25 VA medical centers place Peer Specialists (Veterans recovered from mental illness who are trained to support other Veterans with mental illness) on Primary Care Teams. Research shows that the success of adding new staff to existing teams can be improved by outside aid and facilitation. This quality improvement project will evaluate whether providing expanded support to half of the Primary Care Teams will lead to better outcomes when compared with teams that do not get extra support.
Eligibility Criteria
Inclusion Criteria
- Included sites must be VA PACT Primary Care Health teams with existing Peer Specialists who are able to include an existing Peer Specialist on their team for a minimum of 10 hours per week for one year
Exclusion Criteria
- Non VA PACT teams, VA sites without an existing Peer Specialists, and VA PACT primary care teams that cannot commit a Peer Specialist to Primary Care for a minimum of 10 hours per week are excluded
Data sourced from ClinicalTrials.gov (NCT02732600). 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.