The Right Question Project-Mental Health: An Intervention to Increase Engagement and Retention in Mental Health Care (RQP-MH)
The Right Question Project-Mental Health (RQP-MH) is a three-session health education intervention that teaches clients to participate effectively in mental health care. The methodology teaches clients to identify important issues of their illness or treatment, formulate questions, and devise plans to communicate and act in effective ways that address factors impacting their mental health care, with the expectation that this behavior will increase patient-provider communication and improve the therapeutic alliance between patient and provider.
The investigators hypothesize that participants receiving the intervention will be more likely to engage and remain in mental health care, and that they will report higher activation and self-management scores as compared to control patients.
|Mental Disorders||Behavioral: Right Question Project - Mental Health (RQP-MH) Behavioral: Pamphlet|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Health Services Research
|Official Title:||The Right Question Project-Mental Health: An Intervention to Increase Engagement and Retention in Mental Health Care|
- Patient Activation [ Time Frame: Baseline, 30days, 90days ]Activation is defined as a behavior change approach that includes an individual's acquisition of knowledge, skills and beliefs to take thoughtful action on one's own behalf and actively participate in questions and decisions about one's health and health care treatment.
- Patient Self-Management [ Time Frame: Baseline, 30days, 90days ]Self-management focuses on patients gaining knowledge and self-efficacy to better manage their mental health condition and developing awareness of the factors that hinder or enhance their mental health outcomes.
- Engagement in mental health care [ Time Frame: Six months following last research interview ]Scheduling and keeping mental health treatment appointments over a six month period after finishing the final research interview.
- Retention in mental health treatment [ Time Frame: Six months following last research interview ]Attending four or more treatment sessions during the six month period after the final research interview (or completed treatment as designated in the medical record)
|Study Start Date:||July 2008|
|Study Completion Date:||October 2011|
|Primary Completion Date:||October 2011 (Final data collection date for primary outcome measure)|
Participants in the intervention arm will receive three Patient Activation and Self-Management education sessions, plus a fourth booster session if they show difficulty mastering the content of the first three trainings.
Behavioral: Right Question Project - Mental Health (RQP-MH)
The RQP-MH trainings each take approximately 45 minutes to complete and are delivered approximately three weeks apart. The manualized intervention uses a Question Formulation Technique (QFT) and a Framework for Active Decision-Making (FADM). The QFT consists of asking patients to generate and revise questions to obtain more informative answers from their providers. The FADM teaches participants to identify questions that will help them consider their role in a decision, the process of decision-making, and the reasons behind a decision. All intervention sessions will be taught by a bachelors-level "Care Manager."
Other Name: Patient Activation and Self-Management (PASM) intervention
Active Comparator: Comparison Group
Participants in this arm will receive a pamphlet in either Spanish or English called "Managing Your Mental Health Care."
Participants in this group receive a handout called "Managing Your Mental Health" (available in Spanish and English) that provides tips on how to manage mental health through the proper maintenance of physical health and stress.
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01226329
|United States, Massachusetts|
|Beth Israel Deaconness Medical Center|
|Boston, Massachusetts, United States, 02215|
|Martha Eliot Health Center|
|Jamaica Plain, Massachusetts, United States, 02130|
|Cambridge Health Alliance (Malden Family Medicine Center)|
|Malden, Massachusetts, United States, 02148|
|Cambridge Health Alliance (Central Street Health Center)|
|Somerville, Massachusetts, United States, 02143|
|Edward M Kennedy Health Center (Great Brook Valley Health Center)|
|Worcester, Massachusetts, United States, 01605|
|United States, Minnesota|
|Community-University Health Care Center|
|Minneapolis, Minnesota, United States, 55404|
|Hamm Memorial Psychiatric Clinic|
|St Paul, Minnesota, United States, 55102|
|West Side Community Health Services - La Clinica|
|St Paul, Minnesota, United States, 55107|
|United States, New Jersey|
|University Behavioral Healthcare|
|New Brunswick, New Jersey, United States, 08901|
|United States, New York|
|Columbia University Medical Center, Outpatient Psychiatry Program|
|New York, New York, United States, 10032|
|United States, North Carolina|
|El Futuro Clinic, Carrboro site|
|Carrboro, North Carolina, United States, 27510|
|El Futuro Clinic, Durham site|
|Durham, North Carolina, United States, 27701|
|Clinica de Salud Mental de la Comunidad Universidad Carlos Albizu|
|San Juan, Puerto Rico, 00901|
|Principal Investigator:||Margarita Alegria, PhD||Cambridge Health Alliance|