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Feasibility Study of Single-session Solution Focused Consultation to Enhance Treatment Engagement

Improving Mental Health Treatment Engagement of Patients With Comorbid Chronic Diseases: A Randomized Controlled Evaluation of the Feasibility and Preliminary Effectiveness of a Single-Session Solution-Focused Consultation (SSC) in a Community Setting

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07116655
Enrollment
60
Registered
2025-08-11
Start date
2025-02-26
Completion date
2026-12-01
Last updated
2026-06-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Treatment Engagement

Keywords

treatment engagement, chronic physical health problems, comorbid mental health problems, single-session intervention

Brief summary

This research aims to explore whether a single-session solution-focused consultation (SSC) can increase mental health service engagement among patients with comorbid chronic physical diseases and mental health problems (CPDMHP).

Interventions

BEHAVIORALSingle-session solution focused consultation

In the SSC, the interventionist first sets expectations, explaining that the session is a means of providing short-term support. The interventionist will then praise the participant for agreeing to receive support and introduce the Action Plan, which will guide the session's structure. The interventionist will then work with the participant to (1) identify a specific, modifiable issue they are facing; (2) use the "miracle question" to envision their ideal outcome where the problem is resolved, and rates their current proximity to that; (3) determine the "smallest possible step" they can take towards this outcome through a scaling exercise; and (4) develop a personalized action plan that leverage on their current resources to begin addressing the problem. Upon ending the SSC, the interventionist writes a personalized note to the participant, highlighting their strengths and expressing confidence in their ability to follow through.

BEHAVIORALSingle-session supportive intervention

In the supportive consultation session, the interventionist will allow the participant to decide what they wish to discuss during the session and listen empathetically, validate their feelings and offer reassurance to the patient. The exact wording or questions will vary depending on the client's needs and sharing.

Sponsors

Nanyang Technological University
Lead SponsorOTHER
National Medical Research Council (NMRC), Singapore
CollaboratorOTHER_GOV

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
21 Years to 99 Years
Healthy volunteers
No

Inclusion criteria

1. A history of one or more chronic physical diseases based on the Ministry of Health (Singapore) Chronic Disease Management Programme guidelines; 2. A score of 5 or more on the Patient Health Questionnaire (PHQ-9) or Generalized Anxiety Disorder-7 (GAD-7); 3. Not currently engaged in formal mental health service; 4. Conversant in the English language; 5. Receiving treatment in a community healthcare setting

Exclusion criteria

1. A history of psychosis, intellectual disability, or pervasive developmental disorders

Design outcomes

Primary

MeasureTime frameDescription
Treatment Engagement - UptakePost-intervention (immediate)Endorsement of interest in referral for mental health services or follow-up session with interventionist
Treatment engagement - Attendance2-weeks post-interventionAttendance at intake session for mental health services or follow-up session with interventionist
Feasibility - Intervention Completion RatePost-intervention (immediate)Completion of intervention action plans
Acceptability - Usefulness of interventionPost-intervention (immediate)Single item measure on helpfulness of consultation in addressing concern/s
Acceptability - Satisfaction with outcomePost-intervention (immediate)Single item measure on how satisfied they are with the intervention's outcome

Secondary

MeasureTime frameDescription
Perceived agencyFrom baseline to post-intervention (immediate)State Hope Scale (SHS) - Pathways Subscale
HopeFrom baseline to post-intervention (immediate) and two-week post interventionBeck's Hopelessness Scale (BHS-4)

Countries

Singapore

Contacts

CONTACTJacqueline L. Tilley, PhD
jacqueline.tilley@nie.edu.sg+65 67903202

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 27, 2026