Symptoms of depression are highly prevalent among Veterans. However, fewer than 30% of individuals with these symptoms receive any psychotherapy in the Veterans Health Administration (VHA). This is due to many factors, which may include provider availability and patient preferences. Guided self-help (GSH), which involves coaching sessions with patients who are following a fully developed self-help program, has the potential to increase access to care for these Veterans, particularly if implemented within a stepped care model of mental health treatment delivery and if delivered by a diverse set of providers. The VHA's primary care-mental health integration (PCMHI) service, which focuses on short courses of care for mild to moderate symptoms, may be an ideal place in which to deploy GSH. The current project seeks conduct a pilot randomized trial of a GSH program for depression adapted for PCMHI based on behavioral activation.
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Participant recruitment
Timeframe: Baseline, 16-20 weeks post-baseline
Preliminary Effectiveness: Patient Health Questionnaire-9 (PHQ-9)
Timeframe: Baseline, 16-20 weeks post-baseline
Attrition
Timeframe: Baseline, 16-20 weeks post-baseline
Client Satisfaction Questionnaire-8
Timeframe: 16-20 weeks post-baseline
Program Completion
Timeframe: 16-20 weeks post-baseline