Study of Enhanced Collaborative Care Using Patient Goals and Concerns to Improve Engagement and Satisfaction in Anxiety and Depression Treatment

What this Trial Is About

Researchers are evaluating whether adding patients personal goals and concerns to the Collaborative Care Model CoCM can improve engagement and satisfaction for adults receiving behavioral health care for anxiety and depression disorders. The study compares enhanced collaborative care that uses a clinical decision support system CDSS with traditional collaborative care. The goal is to better align care with what matters most to patients and address limitations such as low motivation and loss of patients between referral and treatment. The study tests a new CDSS that includes an improved pre-visit questionnaire capturing patient goals and concerns, along with a dashboard displaying patient responses and clinical information within the electronic health record for use during visits. Patients complete questionnaires before appointments via a patient portal or tablet in the clinic. Clinicians and care managers use this information to better plan care and improve communication. Training and coaching are provided to care managers to support use of the CDSS and integrate patient preferences. Participants complete pre-visit questionnaires and are engaged in joint care planning with clinicians. Researchers track patient engagement from enrollment to discharge over about 3 to 4 months, along with patient and clinician satisfaction. Additional assessments include shared decision-making, communication, goal setting, and treatment response for depression and anxiety. The study is randomized with crossover design and collects data throughout the care period to evaluate impact on care quality and experience.

Enhancing Engagement by Integrating Goals and Concerns That Matter to Patients