Emotional Stress, Life Stress, Psychological Stress
Conditions
Keywords
Peer Support, Patient Navigators
Brief summary
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.
Interventions
BEHAVIORALPersonalized Support for Progress
Participants will receive the Personalized Support for Progress Intervention from a peer support provider including sessions with the peer support provider to complete a prioritization task, develop a personalized care plan, and receive support for implementing the personalized care plan.
Sponsors
US Department of Veterans Affairs
Syracuse VA Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Masking description
The interviewer evaluating progress towards goals will be blinded to condition.
Intervention model description
Randomized Controlled Trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment Retention Rate | 6 months | This is an assessment of trial feasibility. |
| Intervention Retention Rate | 6 months | This is an assessment of trial feasibility. |
| Client Satisfaction Questionnaire | 6 months | This scale measures satisfaction and ranges from 8-24 with higher scores indicating higher satisfaction. |
| Goal Attainment Scaling | 6 months | This interview assesses progress toward individualized goals on a -2 to 2 scale with higher scores indicating more progress toward goals. |
| Perceived Stress Scale (PSS-10) | 6 months | This scale evaluates perceived stress and ranges from 0-40 with lower scores indicating lower levels of perceived stress. |
Countries
United States
Outcome results
None listed