N/A
Completed N=81
Pilot Study of Peer-Supported Online Problem-Solving Program
Problem-solving · Well-being · Peer Support · Online Mental Health Program
Source: ClinicalTrials.gov NCT03555435 ↗
Enrolled (actual)
81
Serious AEs
—
Results posted
Dec 2020
Primary outcomePrimary: Problem-Solving Skills, Knowledge, and Abilities Test — -.55; .38; -.17 score on a scale
Summary
Many Veterans with mental health care needs go without care due to stigma, practical problems with getting services, and a high value on self-sufficiency. VHA has developed online programs aimed at fostering MH that are easy to access and may be more acceptable than psychotherapy. The purpose of this study is to learn whether peer-supported use of an online problem-solving course is acceptable and helpful and whether the study data can be collected online. Results of this pilot study would inform a larger study of the impact on problem-solving and mental health of a non-stigmatizing, online program - with and without peer support. If effective, peer supported online programs would improve the quality of care to Veterans with unmet mental health needs.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Problem-Solving Skills, Knowledge, and Abilities Test |
-.55; .38; -.17 | — |
| PRIMARY Problem-Solving Confidence |
1.91; 2.63; 0.56 | — |
| SECONDARY GAD-7 Change |
3.00; -0.87; 1.06 | — |
| SECONDARY Posttraumatic Stress Symptoms Change |
4.55; 3.50; 1.89 | — |
| SECONDARY WHO-5 Well-Being Index Change |
-5.09; -3.12; -5.89 | — |
| SECONDARY PHQ-9 Change |
2.82; -0.75; 1.61 | — |
| SECONDARY Client Satisfaction Questionnaire |
22.9; 19.6; 17.9 | — |
Eligibility Criteria
Inclusion Criteria
- A Veteran of one of the U.S. military services, including National Guard and Reserves.
- Positive screen (score of 1 or more) on the PHQ-2 or GAD-2.
- Access to a phone and to a desktop or laptop computer with internet access.
- Willingness to be randomized to one of three conditions.
- Willingness to work with a Peer Support Specialist.
Exclusion Criteria
- An active suicide plan.
- Changes in psychoactive medications in the past month.
- MH treatment in the past 6 months, including treatment from a PC-MHI team member.
Data sourced from ClinicalTrials.gov (NCT03555435). 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. Informational only — not medical advice.