NCT06494384 Implementation of Problem-Solving Treatment in Community Health Centers (PST-Aid)
| NCT ID | NCT06494384 |
| Status | Recruiting |
| Phase | — |
| Sponsor | University of Washington |
| Condition | Depression |
| Study Type | INTERVENTIONAL |
| Enrollment | 410 participants |
| Start Date | 2024-11-06 |
| Primary Completion | 2028-03-31 |
Eligibility & Interventions
Eligibility Fast-Check
Enter your details for a quick preliminary check. This does not replace medical advice.
What to Expect as a Participant
You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.
This trial targets 410 participants in total. It began in 2024-11-06 with a primary completion date of 2028-03-31.
⚠ This information is for research awareness only. Always consult your physician before joining any clinical trial. Participation is voluntary and you may withdraw at any time.
Brief Summary
Although evidence-based clinical interventions (CI) are a preferred treatment option for patients with depression, CIs are rarely available in community primary care settings. When available, CIs are often delivered with poor fidelity and abandoned by practitioners during the initial months post-training. Identifying effective implementation strategies to support the adoption, reach, and sustained use with fidelity of these CIs could enhance the effectiveness of primary care-based treatment of depression, as primary care is where most treatment for this disorder is delivered. Current models of primacy care practitioner training and supervision follow standard formal didactic procedures that might not be sufficient for successful adoption, high-fidelity delivery, and sustainment of CIs. Automated decision support tools and feedback systems embedded in health informatics technology have been found to be effective in supporting the use of best practices and hence might be useful for the transition from training to sustained CI use. In practice, however, these tools are ignored by practitioners, have mixed success on outcomes, and can hinder clinical care owing to poor design. Problem Solving Treatment Aid (PST-Aid), an educate and reorganize implementation strategy, is a web-based app that promotes practitioner-client collaboration in the use of PST for goal setting and action planning. A pilot randomized trial comparing Problem Solving Treatment (PST) training-as-usual to training plus PST-Aid found PST-Aid was deemed to be appropriate and usable to both practitioner and client users with preliminary support for benefits in depression outcomes.
Eligibility Criteria
Inclusion Criteria: * Practitioner Participants. (a) are employed by a clinic that is an OCHIN clinical network member; * Practitioner Participants. (b) hold a master's degree in social work, psychology, counseling, or a related field; * Practitioner Participants. (c) provide psychotherapeutic care in the OCHIN network; * Practitioner Participants. (d) have not previously received formal training in PST as defined by University of Washington Advancing Integrated Mental Health Solutions Center (AIMS) criteria; * Practitioner Participants. (e) are not currently receiving specialized training outside of standard clinic support to implement a depression-specific psychosocial intervention; and * Practitioner Participants. (f) are English-speaking. * Client Participants. a) 18+, * Client Participants. b) English-speaking, * Client Participants. c) have a diagnosis of unipolar depression per provider report, and * Client Participants. d) have a PHQ-9 score ≥ 10, which is above the clinical cutoff for depression symptoms. Exclusion Criteria: * Client Participants. (a) history or presence of psychiatric diagnoses other than unipolar, nonpsychotic depression or anxiety disorders, * Client Participants. (b) active suicidal ideation, * Client Participants. (c) current alcohol or substance abuse disorders, or * Client Participants. (d) have dementia * Client Participants. (e) all exclusion criteria cannot be confirmed via provider report. * Practitioner Participants. Exclusion criteria are those that do not meet the inclusion criteria listed above.
Contact & Investigator
Patrick Raue, PhD
PRINCIPAL INVESTIGATOR
University of Washington
Frequently Asked Questions
Who can join the NCT06494384 clinical trial?
This trial is open to participants of all sexes, aged 18 Years or older, studying Depression. Full inclusion and exclusion criteria are listed in the Eligibility Criteria section. Always confirm your eligibility with the research team before applying.
Is NCT06494384 currently recruiting?
Yes, NCT06494384 is actively recruiting participants. Contact the research team at katieost@uw.edu for enrollment information.
Where is the NCT06494384 trial being conducted?
This trial is being conducted at Portland, United States.
Who is sponsoring the NCT06494384 clinical trial?
NCT06494384 is sponsored by University of Washington. The principal investigator is Patrick Raue, PhD at University of Washington. The trial plans to enroll 410 participants.
Related Trials
Related Intelligence Guides
In-depth guides covering this condition's trials, eligibility, and what to expect.