TY - JOUR
T1 - Outcomes of a peer-led navigation program, PARTNER-MH, for racially minoritized Veterans receiving mental health services
T2 - A pilot randomized controlled trial to assess feasibility and acceptability
AU - Eliacin, Johanne
AU - Burgess, DIana
AU - Rollins, Angela L.
AU - Patterson, Scott
AU - Damush, Teresa
AU - Bair, Matthew J.
AU - Salyers, Michelle P.
AU - Spoont, Michele
AU - Chinman, Matthew
AU - Slaven, James E.
AU - Matthias, Marianne S.
N1 - Publisher Copyright:
© 2023 Oxford University Press. All rights reserved.
PY - 2023/9/1
Y1 - 2023/9/1
N2 - This pilot study explored the feasibility and acceptability of PARTNER-MH, which aimed to engage racially diverse Veterans in mental health services, facilitate their active participation in care, and improve their communication with providers. Fifty participants were randomized to the intervention or a waitlist control group. For primary outcomes, we assessed the feasibility of the study design and PARTNER-MH's feasibility and acceptability. For secondary outcomes, we explored preliminary effects on patient engagement, patient activation, shared decision-making, and health-related outcomes. The study had a recruitment rate of 68%, enrollment rate of 91%, and a follow-up retention rate of 72%. For intervention feasibility and acceptability, fidelity scores were satisfactory and improved over time, session attendance was modest with 33% of participants completing ≥6 sessions, and 89% of participants were satisfied with the intervention. For secondary outcomes, patients in the intervention arm showed significant improvement on self-reported mental health and depression, compared with those in the control group at both 6- and 9-month follow-ups. However, there were no significant differences between study arms on the other measures. Pilot results provide support for future testing of PARTNER-MH in a larger trial, although modifications are needed to increase session attendance and follow-up retention rate.
AB - This pilot study explored the feasibility and acceptability of PARTNER-MH, which aimed to engage racially diverse Veterans in mental health services, facilitate their active participation in care, and improve their communication with providers. Fifty participants were randomized to the intervention or a waitlist control group. For primary outcomes, we assessed the feasibility of the study design and PARTNER-MH's feasibility and acceptability. For secondary outcomes, we explored preliminary effects on patient engagement, patient activation, shared decision-making, and health-related outcomes. The study had a recruitment rate of 68%, enrollment rate of 91%, and a follow-up retention rate of 72%. For intervention feasibility and acceptability, fidelity scores were satisfactory and improved over time, session attendance was modest with 33% of participants completing ≥6 sessions, and 89% of participants were satisfied with the intervention. For secondary outcomes, patients in the intervention arm showed significant improvement on self-reported mental health and depression, compared with those in the control group at both 6- and 9-month follow-ups. However, there were no significant differences between study arms on the other measures. Pilot results provide support for future testing of PARTNER-MH in a larger trial, although modifications are needed to increase session attendance and follow-up retention rate.
KW - Mental health
KW - Patient engagement
KW - Patient navigation
KW - Patient-provider communication
KW - Peer support
KW - Veterans
UR - http://www.scopus.com/inward/record.url?scp=85162156517&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85162156517&partnerID=8YFLogxK
U2 - 10.1093/tbm/ibad027
DO - 10.1093/tbm/ibad027
M3 - Article
C2 - 37130337
AN - SCOPUS:85162156517
SN - 1869-6716
VL - 13
SP - 710
EP - 721
JO - Translational behavioral medicine
JF - Translational behavioral medicine
IS - 9
ER -