Improving Problem-Solving Treatment for Depression in Community Health Centers

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the effectiveness of an enhanced implementation strategy called PST-Aid for Problem Solving Treatment (PST) in community health centers. It compares standard PST delivery with PST-Aid, which incorporates automated decision support tools and feedback systems to improve the fidelity, adoption, and sustainability of treatment. The trial aims to determine if PST-Aid leads to better outcomes in reducing depressive symptoms and enhancing patient functioning. By focusing on both implementation and clinical effectiveness, the study seeks to address the gap in delivering evidence-based interventions in primary care settings.

Why it matters

Who can join: the full rules

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.

Where it's running

• OCHIN, Inc.
  Portland, Oregon, United States Recruiting

Study contacts

• Principal investigator: Patrick Raue, PhD — University of Washington
• Study coordinator: Katie Osterhage, MMS
• Email: katieost@uw.edu
• Phone: 206-616-2129

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.