Personalized Support for Progress (PSP) in a VA Women's Wellness Clinic

Syracuse VA Medical Center

Status: Completed

Conditions: Emotional Stress; Psychological Stress; Life Stress

Treatments: Behavioral: Personalized Support for Progress

Study type: Interventional

Funder types: Other U.S. Federal agency

Identifiers

NCT03908190

1297981

Details and patient eligibility

About

The purpose of this study is to evaluate the Personalized Support for Progress (PSP) intervention in a Veterans Health Administration (VHA) Women's Wellness Clinic. PSP uses a peer support provider to help women identify their primary concern, develop a personalized plan to help address that concern, and provide practical and emotional support to implement the plan. The primary aim is to evaluate the feasibility, acceptability, and utility of PSP and the research protocol.

Enrollment: 28 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Veteran status (non-Veterans will not be enrolled in this trial)
• Enrollment in the Syracuse VA Medical Center Women's Wellness Clinic
• Report high stress within the last month (Perceived Stress Scale [PSS-10] > 18)
• Primary Care Provider approval for participation
• Ability to communicate in English including reading, writing, hearing, and speaking well enough to complete research and intervention tasks.

Exclusion criteria

• Any Veteran with "higher" suicide risk on the P4 or Veterans with "lower" suicide risk on the P4 and evaluated by the PI or another clinician to be clinically unstable or at risk
• Homicidality (screened via adaptation of the P4 screener and evaluated on the same criteria above)
• Homelessness (including literally homeless, imminent risk of homelessness, or fleeing/attempting to flee domestic violence per VA definitions)
• Veterans who are enrolled in or have had psychotherapy or changes to psychotropic medications in the last 12 weeks
• Veterans with impairment that would not allow them to engage in PSP including active psychosis, cognitive deficits, severe substance use requiring detoxification (documented in CPRS or reported by a PACT member)
• Veterans who are not available for outpatient PSP meetings (e.g., in a residential program)
• Veterans who have current VA or non-VA peer support engagement (an appointment within the last month and/or additional follow-up scheduled)

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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28 participants in 2 patient groups

Treatment As Usual

No Intervention group

Description:

Participants will receive treatment as usual within the VHA Women's Wellness Clinic including any appropriate treatment or treatments for their medical and psychosocial concerns as determined by their primary care teams.

Treatment As Usual Plus Personalized Support for Progress

Experimental group

Description:

In addition to treatment as usual, women will receive the Personalized Support for Progress intervention.

Treatment:

Behavioral: Personalized Support for Progress