- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04601194
Goal Elicitation, Treatment Prioritization, & Electronically-Practiced Discussion for Psychiatry (GET-PrEPD)
January 9, 2023 updated by: Michelle Salyers, Indiana University
Study Title: Goal Elicitation, Treatment Prioritization, & Electronically-Practiced Discussion - Pilot Study
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.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
29
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Indiana
-
Indianapolis, Indiana, United States, 46202
- Sandra Eskenazi Mental Health Center
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
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)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Coaching and Virtual Provider Group
Mental Health Coaching and assigned practice with a Virtual Provider Program
|
4 weekly goal setting/coaching sessions, coupled with Virtual Provider program training and practice
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient Activation Measure for Mental Health (PAM-MH)
Time Frame: Baseline, 3 months
|
The 13-item Patient Activation Measure for Mental Health (PAM-MH) assesses patient knowledge, skill, and confidence for self-managing one's chronic health condition.
Scores range from 0 to 100, with higher numbers indicating greater activation.
|
Baseline, 3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Altarum Consumer Engagement (ACE) Measure
Time Frame: Baseline, 3 months
|
The 12-item Altarum Consumer Engagement (ACE) Measure assesses commitment, informed choice, and navigation.
Scores range from 0-4, with higher scores indicating more engagement.
|
Baseline, 3 months
|
Perceived Efficacy in Patient-Provider Interactions (PEPPI-5)
Time Frame: Baseline, 3 months
|
The 5-item Perceived Efficacy in Patient-Provider Interactions (PEPPI-5) measures patients' self-efficacy in obtaining medical information and getting their most important health concern discussed in a clinic visit; scores range from 1-10.
The questionnaire is rated on a 10-point Likert scale, with higher scores indicating higher perceived efficacy in the interactions.
|
Baseline, 3 months
|
Illness Management and Recovery (IMR) Scale
Time Frame: Baseline, 3 months
|
Illness self management will be assessed with the consumer-rated Illness Management and Recovery (IMR) Scale; items are rated on a 5-point behaviorally anchored scale and averaged.
Scores range from 1 to 5, with higher number reflecting greater self-management.
|
Baseline, 3 months
|
Recovery Assessment Scale (Brief Version)
Time Frame: Baseline, 3 months
|
Recovery attitudes will be assessed using the total score of the 20-item Brief version of the Recovery Assessment Scale.
Using the average score, the scale ranges from 1 to 5, with 5 indicating greater self-reported recovery.
|
Baseline, 3 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Michelle Salyers, PhD, Indiana University
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
April 20, 2021
Primary Completion (Actual)
February 10, 2022
Study Completion (Actual)
February 10, 2022
Study Registration Dates
First Submitted
October 19, 2020
First Submitted That Met QC Criteria
October 22, 2020
First Posted (Actual)
October 23, 2020
Study Record Updates
Last Update Posted (Estimate)
January 26, 2023
Last Update Submitted That Met QC Criteria
January 9, 2023
Last Verified
January 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2010326129
- 1R34MH118314 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Yes
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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