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NCT Number: NCT07116655

Feasibility Study of Single-session Solution Focused Consultation to Enhance Treatment Engagement

This research aims to explore whether a single-session solution-focused consultation (SSC) can increase mental health service engagement among patients with comorbid chronic physical diseases and mental health problems (CPDMHP).

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Key information

Age range

21 year–99 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Renal Health Services

Singapore

Location status: Recruiting

Location contact

Behram A. Khan, MBBS, MD

CONTACT

[email protected]

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

1. A history of one or more chronic physical diseases based on the Ministry of Health (Singapore) Chronic Disease Management Programme guidelines; 2. A score of 5 or more on the Patient Health Questionnaire (PHQ-9) or Generalized Anxiety Disorder-7 (GAD-7); 3. Not currently engaged in formal mental health service; 4. Conversant in the English language; 5. Receiving treatment in a community healthcare setting

Exclusion criteria

1. A history of psychosis, intellectual disability, or pervasive developmental disorders

Treatment and study plan

Single-session solution focused consultation

Behavioral

In the SSC, the interventionist first sets expectations, explaining that the session is a means of providing short-term support. The interventionist will then praise the participant for agreeing to receive support and introduce the Action Plan, which will guide the session's structure. The interventionist will then work with the participant to (1) identify a specific, modifiable issue they are facing; (2) use the "miracle question" to envision their ideal outcome where the problem is resolved, and rates their current proximity to that; (3) determine the "smallest possible step" they can take towards this outcome through a scaling exercise; and (4) develop a personalized action plan that leverage on their current resources to begin addressing the problem. Upon ending the SSC, the interventionist writes a personalized note to the participant, highlighting their strengths and expressing confidence in their ability to follow through.

Single-session supportive intervention

Behavioral

In the supportive consultation session, the interventionist will allow the participant to decide what they wish to discuss during the session and listen empathetically, validate their feelings and offer reassurance to the patient. The exact wording or questions will vary depending on the client's needs and sharing.

Primary outcomes

  1. Treatment Engagement - Uptake

    Time frame: Post-intervention (immediate)

    Endorsement of interest in referral for mental health services or follow-up session with interventionist

  2. Treatment engagement - Attendance

    Time frame: 2-weeks post-intervention

    Attendance at intake session for mental health services or follow-up session with interventionist

  3. Feasibility - Intervention Completion Rate

    Time frame: Post-intervention (immediate)

    Completion of intervention action plans

  4. Acceptability - Usefulness of intervention

    Time frame: Post-intervention (immediate)

    Single item measure on helpfulness of consultation in addressing concern/s

  5. Acceptability - Satisfaction with outcome

    Time frame: Post-intervention (immediate)

    Single item measure on how satisfied they are with the intervention's outcome

Secondary outcomes

  1. Perceived agency

    Time frame: From baseline to post-intervention (immediate)

    State Hope Scale (SHS) - Pathways Subscale

  2. Hope

    Time frame: From baseline to post-intervention (immediate) and two-week post intervention

    Beck's Hopelessness Scale (BHS-4)

Other outcomes

  1. Depression

    Time frame: From baseline to two-weeks post intervention

    Patient's Health Questionnaire (PHQ-9)

  2. Anxiety

    Time frame: From baseline to two-weeks post intervention

    Generalized Anxiety Disorder (GAD-7)

  3. Change readiness

    Time frame: From baseline to post-intervention (immediate) and two-week post intervention

    Readiness Ruler

  4. Life satisfaction

    Time frame: From baseline to two-week post intervention

    Single-item measuring satisfaction with life

  5. Perceived current health status

    Time frame: From baseline to two-week post intervention

    Single-item measuring perceived current health status

Study contacts

Contact information is provided by the study sponsor or research team.

Jacqueline L. Tilley, PhD

CONTACT

[email protected]

+65 67903202

Sponsors and collaborators

Lead sponsor

Nanyang Technological University

Other

Collaborators

  • National Medical Research Council (NMRC), Singapore

Registry information

Official study title

Improving Mental Health Treatment Engagement of Patients With Comorbid Chronic Diseases: A Randomized Controlled Evaluation of the Feasibility and Preliminary Effectiveness of a Single-Session Solution-Focused Consultation (SSC) in a Community Setting

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Aug 11, 2025
Registry last updated
Jun 26, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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