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The Right Question Project-Mental Health: An Intervention to Increase Engagement and Retention in Mental Health Care (RQP-MH)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01226329
Recruitment Status : Completed
First Posted : October 22, 2010
Last Update Posted : June 3, 2016
National Institute on Minority Health and Health Disparities (NIMHD)
Information provided by (Responsible Party):
Margarita Alegria, PhD, Massachusetts General Hospital

Brief Summary:

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.

Condition or disease Intervention/treatment Phase
Mental Disorders Behavioral: Right Question Project - Mental Health (RQP-MH) Behavioral: Pamphlet Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 724 participants
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
Study Start Date : July 2008
Actual Primary Completion Date : October 2011
Actual Study Completion Date : October 2011

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Mental Health

Arm Intervention/treatment
Experimental: RQP-MH
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."
Behavioral: Pamphlet
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.

Primary Outcome Measures :
  1. 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.

  2. 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.

  3. 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.

  4. 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)

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 70 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • between ages of 18 and 70 (patients above age 65 will be administered the Mini-Cog, a cognitive impairment screener)
  • speak English and/or Spanish
  • currently receiving outpatient mental health care

Exclusion Criteria:

  • suicidal ideation or attempt within the past four weeks
  • lacks capacity to consent (adapted from Zayas, Cabassa, & Perez, 2005)
  • only receiving services that are strictly case-management

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01226329

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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
Puerto Rico
Clinica de Salud Mental de la Comunidad Universidad Carlos Albizu
San Juan, Puerto Rico, 00901
Sponsors and Collaborators
Massachusetts General Hospital
National Institute on Minority Health and Health Disparities (NIMHD)
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Principal Investigator: Margarita Alegria, PhD Cambridge Health Alliance

Additional Information:
Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: Margarita Alegria, PhD, Chief, Disparities Research Unit, Massachusetts General Hospital Identifier: NCT01226329     History of Changes
Other Study ID Numbers: CHA-IRB00329/07/08
P60MD002261-03 ( U.S. NIH Grant/Contract )
First Posted: October 22, 2010    Key Record Dates
Last Update Posted: June 3, 2016
Last Verified: June 2016
Keywords provided by Margarita Alegria, PhD, Massachusetts General Hospital:
Minority Groups
Decision Making
Patient Participation
Mental Health Services
patient activation
Hispanic Americans
patient-provider communication
Additional relevant MeSH terms:
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Mental Disorders