Renal Health Services
Singapore
Location status: Recruiting
NCT Number: NCT07116655
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).
Interested in participating?
Request Info21 year–99 year
All sexes
Interventional
Not applicable
Singapore
Location status: Recruiting
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
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.
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.
Time frame: Post-intervention (immediate)
Endorsement of interest in referral for mental health services or follow-up session with interventionist
Time frame: 2-weeks post-intervention
Attendance at intake session for mental health services or follow-up session with interventionist
Time frame: Post-intervention (immediate)
Completion of intervention action plans
Time frame: Post-intervention (immediate)
Single item measure on helpfulness of consultation in addressing concern/s
Time frame: Post-intervention (immediate)
Single item measure on how satisfied they are with the intervention's outcome
Time frame: From baseline to post-intervention (immediate)
State Hope Scale (SHS) - Pathways Subscale
Time frame: From baseline to post-intervention (immediate) and two-week post intervention
Beck's Hopelessness Scale (BHS-4)
Time frame: From baseline to two-weeks post intervention
Patient's Health Questionnaire (PHQ-9)
Time frame: From baseline to two-weeks post intervention
Generalized Anxiety Disorder (GAD-7)
Time frame: From baseline to post-intervention (immediate) and two-week post intervention
Readiness Ruler
Time frame: From baseline to two-week post intervention
Single-item measuring satisfaction with life
Time frame: From baseline to two-week post intervention
Single-item measuring perceived current health status
Contact information is provided by the study sponsor or research team.
Nanyang Technological University
Other
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
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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