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โ† Trials
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Implementation of Problem-Solving Treatment in Community Health Centers (PST-Aid)

RecruitingNAAges 18 Years - anyAllUniversity of Washington
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In plain words

What the trial is, and whether it could suit you

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 be

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
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 โ‰ฅ 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.
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What it tests

  • Problem Solving Treatment as usual (PST as usual)
  • Problem Solving Treatment Aid (PST-Aid)
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Where

1 site
OCHIN, Inc.
Portland, United States
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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