Improving Patient Engagement in Mental Health Services

Improving Patient Engagement in Mental Health Services: Adaptation and Implementation of a Behavioral Activation Intervention

Status

Not yet recruiting

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07618312

Enrollment

100

Registered

2026-06-01

Start date

2027-03-01

Completion date

2030-02-01

Last updated

2026-06-01

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

Conditions

Depression Disorder, Engagement

Brief summary

Hybrid Type II Implementation Trial

Detailed description

The goal of this hybrid type II implementation trial is to test a telehealth behavioral activation intervention delivered in Spanish by community health workers in Spanish speakers living in rural and frontier areas of Montana and New Mexico. The main questions it aims to answer are: Does an adapted behavioral activation intervention reduce depressive symptoms? Is engagement in the intervention the primary mechanism by which depressive scores are reduced? Researchers will compare depressive symptoms in the intervention group as compared to a waitlisted group. Participants will receive a weekly behavioral activation session via telehealth and will be asked to complete weekly surveys and homework. They will complete the Beck Depression Inventory (21 items) at baseline, after 12 weeks, and after 32 weeks.

Interventions

BEHAVIORALBehavioral Activation

Adapted version of BA intervention delivered via telehealth

Study design

Allocation

RANDOMIZED

Intervention model

CROSSOVER

Primary purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Age 18 years or older * Spanish-speaking adult who prefers to receive services in Spanish Resident of a rural or frontier community in Montana or New Mexico Positive screen for depressive symptoms at or above study eligibility threshold on Spanish-language screening measure Able and willing to participate in telehealth sessions Able to provide informed consent

Exclusion criteria

* Active suicidal intent requiring immediate emergency intervention Current psychosis or mania Severe cognitive impairment that would prevent participation Currently receiving intensive psychiatric treatment that would conflict with the intervention Unable to participate in telehealth sessions Unable to provide informed consent

Design outcomes

Primary

Measure	Time frame
Beck Depression Inventory (21 items)	Baseline, After 12 weeks, After 32 weeks

Secondary

Measure	Time frame	Description
Behavioral Activation for Depression Scale Short Form, Session Attendance, Activation Homework	weekly for 12 weeks	Engagement Measures

Contacts

CONTACTSally Moyce, PhD RN

sally.moyce@montana.edu14069942787

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 2, 2026