Pilot Randomized Trial of BA-GSH in VA PC-MHI
Starting soon · Not applicable
Conditions studied: Depression
In brief
Symptoms of depression are highly prevalent among Veterans. However, fewer than 30% of individuals with these symptoms receive any psychotherapy in the Veterans Health Administration (VHA). This is due to many factors, which may include provider availability and patient preferences. Guided self-help (GSH), which involves coaching sessions with patients who are following a fully developed self-help program, has the potential to increase access to care for these Veterans, particularly if implemented within a stepped care model of mental health treatment delivery and if delivered by a diverse set of providers. The VHA's primary care-mental health integration (PCMHI) service, which focuses on short courses of care for mild to moderate symptoms, may be an ideal place in which to deploy GSH. The current project seeks conduct a pilot randomized trial of a GSH program for depression adapted for PCMHI based on behavioral activation.
Key facts
- Study ID
- NCT07541482
- Run by
- VA Office of Research and Development
- People needed
- 30
- Starts
- 2027-10-15
- Expected to finish
- 2031-06-30
- Last updated by the study team
- 2026-04-21
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- participants will be included in the study if they are patients at the study site
- score a 10 to 20 on the PHQ-9 (moderate to moderately severe)
- can follow the self-help program, which requires reading materials in English and documenting/tracking work between meetings with a provider
You may not qualify if…
- score greater than 10 on the GAD-7
- PCMHI ineligible (i.e., in specialty mental health)
- currently enrolled in a VA or non-VA psychotherapy that would interfere with the study intervention
- participants will also be excluded if demonstrating high risk of suicidal ideation/behavior based on the C-SSRS
- cognitive impairment conditions that may interfere with the ability to complete the program
- conditions that threaten safety (e.g., uncontrolled psychosis, mania/bipolar, moderate to severe substance use disorders)
Where it is running
- Michael E. DeBakey VA Medical Center, Houston, TX — Houston, Texas, United States
Full record on ClinicalTrials.gov
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