Social Determinants of Health, Mental Health Issue, COVID-19
Conditions
Brief summary
The goal of this clinical trial is to develop a comprehensive mental health counseling program purposed to address the social determinant of health impacts of the coronavirus disease of 2019 (COVID-19). The main questions the investigators aim to answer are: 1) What are the mental and social determinant of health impacts of a COVID-19 diagnosis, and 2) What are the impacts of a counseling program implemented to address those impacts? Participants will participate in individual interviews, attend individual and group counseling, and be provided resources related to their social determinants of health needs.
Detailed description
The social determinants of health (SDOH) are an important social justice issue affecting various quality of life outcomes (e.g., physical and mental health). COVID-19 has disproportionately affected the SDOH of underserved and minority communities, including those in New Mexico (NM) and Idaho (ID). However, there is a lack of research on specifically how COVID-19 has affected individuals' SDOH, inhibiting prevention and response from mental health professionals and their interprofessional collaborators. Counselor education researchers have also not yet conducted outcome-based studies in this area. This research will support the development of a comprehensive, SDOH-focused mental health counseling program aimed to assess for and address the SDOH impacts of COVID-19 for individuals in NM and ID. This research will include in-depth assessment of participants' SDOH needs pertinent to COVID-19. Counseling may cover topics directly related, but also adjacent, to the participants' COVID-19 diagnosis and its impact. Participants will be provided resources and referrals specific to those needs, and engage in individual and group mental health counseling services aimed to mitigate the adverse mental and social health outcomes of COVID-19. Thus, this research should provide understanding of (1) the SDOH impacts of COVID-19, (2) feasibility of a mental health counseling program purposed to address such needs, and (3) the mental health and SDOH-related impacts of such a counseling program.
Interventions
BEHAVIORALIndividual counseling
Individual counseling sessions with a licensed mental health counselor
BEHAVIORALGroup counseling
Group counseling sessions with a licensed mental health counselor
Sponsors
Idaho State University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* at least 18 years of age * tested positive for COVID-19 at some point in time * reports experiencing economic, social, educational, healthcare, and/or environmentally related challenges due to their COVID-19 diagnosis * is not currently receiving mental health counseling services * resides in the State of New Mexico (NM) or the State of Idaho (ID) * has access to the internet (not necessary for counseling services, but to complete interviews/assessments) * has not experienced active suicidal or homicidal ideation or active psychosis in the last six months
Exclusion criteria
* is not at least 18 years of age * has not received a COVID-19 diagnosis within the last year * does not report experiencing economic, social, educational, healthcare, and/or environmentally related challenges due to their COVID-19 diagnosis * is currently receiving mental health counseling services * does not have access to the internet * has experienced active suicidal or homicidal ideation or active psychosis in the last six months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Social and Mental Health Outcomes of COVID-19 | Up to three weeks | Semi-structured, audio recorded interview to gather information on the SDOH and mental health impacts of COVID-19 |
| Social determinants of health challenges | Up to three weeks | Self-report measure of SDOH needs through the WellRx (Page-Reeves et al., 2016) |
| Changes in mental health | Pre/post individual sessions (approx. 12 weeks) | Self-report quantitative measures of depression, anxiety, and wellness |
| Program Feasibility/Impact | At end of study/approx. 12 weeks | Qualitative data collected via semi-structured exit interviews of participants and their counselors |
| Recruitment and retention data | Throughout study, monthly | To understand the feasibility of this study, the investigator will note how many individuals were recruited for the study (Months 1 and 2), the number of individuals who consent to participate (Months 1 and 2), and then in subsequent months, the investigator will note the number of participants who remain in the study. Each month, the investigator will also make note of how many self-report measures each participant completes on a monthly basis. |
Countries
United States
Outcome results
None listed