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N/A N=25 Treatment

Impact of VVV Group for Veterans With SMI

Psychotic Disorders · Veterans

Enrolled (actual)
25
Serious AEs
0.0%
Results posted
May 2026
Primary outcome: Primary: The Psychotic Symptoms Rating Scale (PSYRATS-AH) — 20.9 score on a scale — p=0.60

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Veteran Voices and Visions (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
VA Office of Research and Development
Primary completion
Mar 2025

Outcome Measures

OutcomeResultp-value
PRIMARY
The Psychotic Symptoms Rating Scale (PSYRATS-AH)
20.9 0.60
PRIMARY
Role Functioning Scale Total Score
17.6 0.79
SECONDARY
Beliefs About Voices Questionnaire-R Omnipotence Subscale
7.4 0.96
SECONDARY
Beliefs About Voices Questionnaire-R Malevolence Subscale
3.7 0.016 sig
SECONDARY
Beliefs About Voices Questionnaire-R Benevolence Subscale
6.1 0.74
SECONDARY
Beliefs About Voices Questionnaire-R Resistance Subscale
11.0 0.035 sig
SECONDARY
Beliefs About Voices Questionnaire-R Emotional Resistance Subscale
4.1 0.006 sig
SECONDARY
Beliefs About Voices Questionnaire-R Behavioral Resistance Subscale
6.9 0.22
SECONDARY
Beliefs About Voices Questionnaire-R Engagement Subscale
7.2 0.48
SECONDARY
Beliefs About Voices Questionnaire - R Emotional Engagement Subscale
4.1 0.56
SECONDARY
Beliefs About Voices Questionnaire - R Behavioral Engagement Subscale
3.1 0.5
SECONDARY
Peters Delusion Inventory Count
4.9 0.71
SECONDARY
Peters Delusion Inventory Distress Subscale
2.6 0.57
SECONDARY
Brief Psychiatric Rating Scale Global Score
41.0 0.71
SECONDARY
Questionnaire on the Process of Recovery
42.5 0.67
SECONDARY
Generalized Self-Efficacy Scale
31.4 0.99
SECONDARY
Internalized Stigma of Mental Illness
2.1 0.95
SECONDARY
UCLA Loneliness Scale
47.3 0.46

Summary

Veterans with Serious Mental Illness (SMI) struggle with social integration - participation in work, housing, and citizenship - due to symptoms, stigma, and psychosocial challenges. Despite considerable VA efforts to provide mental health care to Veterans with SMI, programs that promote social integration are lacking. Veterans with SMI are at especially high risk for poor social integration and suicidal ideation during the COVID-19 pandemic. This project addresses this need with a group-based, peer specialist (PS) co-facilitated psychosocial intervention for Veterans with SMI, called "Veteran Voices and Visions" (VVV). VVV targets Veterans with SMI who experience psychosis, a group particularly in need of support with social integration. Virtual VVV groups are co-led by VA mental health clinicians (MHCs) and PSs via online video conference. The approach facilitates group cohesion around and normalization of the common psychotic symptoms of SMI: hallucinations, delusions, and social isolation. This intervention has the potential to create and foster a supportive community that improves the social integration of participants by reducing their distress and self-stigma, and increasing self-efficacy.

Eligibility Criteria

Inclusion Criteria

  • DSM 5 diagnoses of:
  • schizophrenia
  • schizoaffective disorder
  • bipolar with psychosis
  • depression with psychosis
  • PTSD with psychosis
  • unspecified psychosis

Exclusion Criteria

  • Substance-induced psychosis,
  • clinically significant neurological disease,
  • history of serious head injury with loss of consciousness > 1 hour
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05562674). 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.

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