N/A
N=29
Goal Elicitation, Treatment Prioritization, & Electronically-Practiced Discussion for Psychiatry
Mental Illness · Shared Decision Making
Bottom Line
View on ClinicalTrials.gov: NCT04601194 ↗Enrolled (actual)
29
Serious AEs
0.0%
Results posted
Jan 2023
Primary outcome: Primary: Patient Activation Measure for Mental Health (PAM-MH) — 59.8; 61.6 units on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Coaching and Virtual Provider Program Practice (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Indiana University
- Primary completion
- Feb 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Patient Activation Measure for Mental Health (PAM-MH) |
59.8; 61.6 | — |
| SECONDARY Altarum Consumer Engagement (ACE) Measure |
2.4; 2.4 | — |
| SECONDARY Perceived Efficacy in Patient-Provider Interactions (PEPPI-5) |
7.6; 7.4 | — |
| SECONDARY Illness Management and Recovery (IMR) Scale |
3.4; 3.5 | — |
| SECONDARY Recovery Assessment Scale (Brief Version) |
4.0; 3.9 | — |
Summary
GET PrEPD-Psychiatry is a mixed-methods, developmental study to adapt a shared decision making (SDM) intervention to be specific for psychiatry decisions (Aim 1, previously completed), evaluate its feasibility and acceptability (Aim 2), and examine potential mechanisms of change and preliminary outcomes (Aim 3) of this innovative intervention to increase SDM and self-management for adults with serious mental illness (SMI). In line with National Institute of Mental Health (NIMH) priorities, we are examining whether GET PrEPD-Psychiatry engages the target mechanisms that putatively underlie the intervention (i.e., patient activation and communication self-efficacy; Aim 3). Aim 1 used approximately 200 deidentified transcripts from our prior study of SDM in psychiatry to cull language used in decision-making. These conversations were then used to program the Virtual Provider to represent common interactions and decisions in psychiatric visits. Iterative testing of the use of the Virtual Provider has been completed and feedback was obtained from our psychiatry consultants to refine the program. For Aim 2, we will recruit up to 40 patients to participate in GET PrEPD-Psychiatry (4 weekly goal setting/coaching sessions, coupled with Virtual Provider training and practice). We will assess participant satisfaction and utility ratings, as well as track their use (frequency and time-on-task) of the Virtual Provider program. For Aim 3, we will follow enrolled patient participants, interviewing them at baseline and approximately 3 months later. We hypothesize that participants will have significantly 1) improved mechanisms of change, demonstrated by increases in self-reported activation and communication self-efficacy, 2) improved SDM, and 3) improved self-management and recovery attitudes. The Narrative Evaluation of Intervention Interview (NEII), completed at approximately 3 months, will be used as a qualitative interview guide to understand the acceptability and impact of the intervention.
Eligibility Criteria
Inclusion Criteria
- At least 18 years of age
- Current patient at the participating mental health center
- English speaking
- Willingness to participate in weekly coaching sessions, engage in practice with the Virtual Provider program
Exclusion Criteria
- Under 18 years of age
- No reasonable access to use of internet on a computer
- Inability or unwillingness to use a computer (necessary for Virtual Provider Program practice)
- Never or rarely uses a computer or similar device (based on self-report)
- Very or somewhat uncomfortable using a computer or similar device (based on self-report)
Data sourced from ClinicalTrials.gov (NCT04601194). 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.