Improving Patient Engagement in Mental Health Services

Improving Patient Engagement in Mental Health Services: Adaptation and Implementation of a Behavioral Activation Intervention

Hybrid Type II Implementation Trial

Study Overview

• Status: Not yet recruiting
• Conditions: Engagement; Depression Disorder
• Intervention / Treatment: Behavioral: Behavioral Activation

Detailed Description

The goal of this hybrid type II implementation trial is to test a telehealth behavioral activation intervention delivered in Spanish by community health workers in Spanish speakers living in rural and frontier areas of Montana and New Mexico. The main questions it aims to answer are:

Does an adapted behavioral activation intervention reduce depressive symptoms? Is engagement in the intervention the primary mechanism by which depressive scores are reduced?

Researchers will compare depressive symptoms in the intervention group as compared to a waitlisted group.

Participants will receive a weekly behavioral activation session via telehealth and will be asked to complete weekly surveys and homework. They will complete the Beck Depression Inventory (21 items) at baseline, after 12 weeks, and after 32 weeks.

• Study Type: Interventional
• Enrollment (Estimated): 100
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Sally Moyce, PhD RN; Phone Number: 14069942787; Email: sally.moyce@montana.edu

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Age 18 years or older
• Spanish-speaking adult who prefers to receive services in Spanish

Resident of a rural or frontier community in Montana or New Mexico

Positive screen for depressive symptoms at or above study eligibility threshold on Spanish-language screening measure

Able and willing to participate in telehealth sessions

Able to provide informed consent

Exclusion Criteria:

• Active suicidal intent requiring immediate emergency intervention

Current psychosis or mania

Severe cognitive impairment that would prevent participation

Currently receiving intensive psychiatric treatment that would conflict with the intervention

Unable to participate in telehealth sessions

Unable to provide informed consent

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Treatment; Administration of Behavioral Activation via Telehealth	Behavioral: Behavioral Activation; Adapted version of BA intervention delivered via telehealth
No Intervention: Waitlist; waiting for BA intervention or post intervention

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Beck Depression Inventory (21 items)	Baseline, After 12 weeks, After 32 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Behavioral Activation for Depression Scale Short Form, Session Attendance, Activation Homework	Engagement Measures	weekly for 12 weeks

Collaborators and Investigators

• Sponsor: Montana State University

Study record dates

Study Major Dates

• Study Start (Estimated): March 1, 2027
• Primary Completion (Estimated): January 1, 2030
• Study Completion (Estimated): February 1, 2030

Study Registration Dates

• First Submitted: February 10, 2026
• First Submitted That Met QC Criteria: May 26, 2026
• First Posted (Actual): June 1, 2026

Study Record Updates

• Last Update Posted (Actual): June 1, 2026
• Last Update Submitted That Met QC Criteria: May 26, 2026
• Last Verified: May 1, 2026

More Information

Terms related to this study

• Other Study ID Numbers: Moyce022026

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No