VA-HELPS: VA Home-Based Emotional Learning With Practical Skills
Study Details
Study Description
Brief Summary
The purpose of this study is to determine the feasibility and acceptability of providing evidence-based, person-centered, culturally tailored treatment for anxiety and/or depression via telephone to rural Veterans receiving home-based primary care.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
VA-HELPS will include flexibility in both content and delivery to meet the needs of Home Based Primary Care (HBPC) Veterans. Content will be modular to meet the needs of both anxious and depressed participants. Modular skills-based treatment has been used successfully with a range of clinical problems (Chorpita et al., 2004; Henin et al., 2001; Wetherell et al., 2009, 2011), including our own group's work treating generalized anxiety disorder (GAD) in primary care (Calleo et al., in press) and anxiety-depression in patients with chronic illness (Cully et al., 2010). To further support a patient-centered treatment approach, patients will have the opportunity to include R/S. Research points to the importance of R/S in coping with illness, with 50-90% of patients reporting using their belief systems to enhance coping skills (Koenig & Adams, 2008). Along with content modifications, delivery of treatment should complement the needs of HBPC Veterans. Providing one initial in-home session, followed by telephone contact for subsequent sessions, allows cost effectiveness to be taken into consideration; and greater numbers of rural HBPC patients will have access to the intervention.
Treatment will involve approximately 6 to 8 weekly sessions lasting approximately 30-40 minutes each. After the first in-person session, all sessions will be delivered via telephone. At least one booster call (15-20 minutes) will occur during the month following completion of active treatment. All participants will complete assessments at baseline, 8 weeks, and 12 weeks.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: CBT
|
Behavioral: CBT
6-8 weekly sessions of CBT, 1 of which is in person with the rest being over the telephone
Other Names:
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Outcome Measures
Primary Outcome Measures
- Geriatric Anxiety Inventory [12 weeks]
- Penn State Worry Questionnaire (PSWQ-A) [12 weeks]
- Generalized Anxiety Disorder-7 [12 weeks]
Secondary Outcome Measures
- SF-12 Health Survey [12 weeks]
- Brief RCOPE [12 weeks]
A measure of positive and negative forms of religious coping
- Client Satisfaction Questionnaire [12 weeks]
- Patient Health Questionnaire-9 [12 weeks]
- Geriatric Depression Scale [12 weeks]
- Working Alliance Inventory [12 weeks]
- Brief Multidimensional Measure of Religiousness and Spirituality [12 weeks]
- Insomnia Severity Index [12 weeks]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age 18 or older
-
Part of Home-Based Primary Care
-
Reside in a rural community, as defined by the US Census Bureau
-
Symptoms of anxiety and/or depression
Exclusion Criteria:
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Significant cognitive impairment
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Active suicidal intent
-
Current uncontrolled psychosis, bipolar, or substance-abuse disorders within the past month
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Houston Center for Quality of Care and Utilization Studies | Houston | Texas | United States | 77030 |
Sponsors and Collaborators
- Baylor College of Medicine
- South Central VA Mental Illness Research, Education & Clinical Center
Investigators
- Principal Investigator: Melinda A Stanley, PhD, Baylor College of Medicine
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- H-30655