Status:
RECRUITING
Implementation of Problem-Solving Treatment in Community Health Centers (PST-Aid)
Lead Sponsor:
University of Washington
Collaborating Sponsors:
National Institute of Mental Health (NIMH)
Conditions:
Depression
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Although evidence-based clinical interventions (CI) are a preferred treatment option for patients with depression, CIs are rarely available in community primary care settings. When available, CIs are ...
Detailed Description
This study is a hybrid type III effectiveness-implementation randomized clinical trial comparing standard PST implementation with PST augmented by the PST-Aid implementation strategy. The study will t...
Eligibility Criteria
Inclusion
- Practitioner Participants. (a) are employed by a clinic that is an OCHIN clinical network member;
- Practitioner Participants. (b) hold a master's degree in social work, psychology, counseling, or a related field;
- Practitioner Participants. (c) provide psychotherapeutic care in the OCHIN network;
- Practitioner Participants. (d) have not previously received formal training in PST as defined by University of Washington Advancing Integrated Mental Health Solutions Center (AIMS) criteria;
- Practitioner Participants. (e) are not currently receiving specialized training outside of standard clinic support to implement a depression-specific psychosocial intervention; and
- Practitioner Participants. (f) are English-speaking.
- Client Participants. a) 18+,
- Client Participants. b) English-speaking,
- Client Participants. c) have a diagnosis of unipolar depression per provider report, and
- Client Participants. d) have a PHQ-9 score ≥ 10, which is above the clinical cutoff for depression symptoms.
Exclusion
- Client Participants. (a) history or presence of psychiatric diagnoses other than unipolar, nonpsychotic depression or anxiety disorders,
- Client Participants. (b) active suicidal ideation,
- Client Participants. (c) current alcohol or substance abuse disorders, or
- Client Participants. (d) have dementia
- Client Participants. (e) all exclusion criteria cannot be confirmed via provider report.
- Practitioner Participants. Exclusion criteria are those that do not meet the inclusion criteria listed above.
Key Trial Info
Start Date :
November 6 2024
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
March 31 2028
Estimated Enrollment :
410 Patients enrolled
Trial Details
Trial ID
NCT06494384
Start Date
November 6 2024
End Date
March 31 2028
Last Update
September 15 2025
Active Locations (1)
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1
OCHIN, Inc.
Portland, Oregon, United States, 97228-5426