RecruitingNot ApplicableNCT06162741

Type I Hybrid Effectiveness-Implementation Trial of Primary Care Brief Mindfulness Training for Veterans

Sponsor

VA Office of Research and Development

Enrollment

300 participants

Start Date

Aug 19, 2024

Study Type

INTERVENTIONAL

Conditions

Depression Anxiety Post Traumatic Stress Disorder (PTSD)

Summary

The VA wants to understand what type of integrative and whole health approaches are helpful for Veterans. The study is comparing two primary care based mental health treatments, a mindfulness class that teaches mindfulness meditation and a problem-solving class that teaches problem-solving skills and how to build resilience, for Veterans who are experiencing symptoms of anxiety, depression, and/or PTSD. The goal of the study is to understand if the classes reduce symptoms of anxiety, depression, and/or PTSD and increase overall functioning.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study tests a primary care-based program that combines mental health care and substance use treatment for people who have both depression or anxiety and a substance use problem. The program helps primary care teams identify and treat both conditions together rather than separately. **You may be eligible if...** - You are an adult (18+) receiving primary care - You have symptoms of depression or anxiety - You also have or are at risk for a substance use disorder - You are willing to participate in integrated mental health care within your primary care setting **You may NOT be eligible if...** - You already receive specialized mental health or addiction treatment elsewhere - You have a severe psychiatric condition (such as active psychosis) requiring specialized care - You are unable to participate in the program's requirements Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALPrimary Care Brief Mindfulness Training (PCBMT)

PCBMT is a manualized intervention that is a brief adaptation of MBSR Mindfulness Based Stress Reduction (MBSR). It was developed by Dr. Scott Treatman and Dr. Dessa Bergen-Cico (Co-I). PCBMT consists of four 90-minute classes (360 total minutes of classes). Instruction encompasses sitting meditation, body scan, moving meditation, gentle yoga, and group discussion on topics such as non-judging, patience, trust, non-striving, acceptance, and letting go. In-class meditations are followed by a group process of the experience. At-home practice between sessions is encouraged and is guided by simple checklists asking students to check the meditation they practiced and write a few comments about what the experience was like.

BEHAVIORALMoving Forward (MF)

Moving Forward (MF) is a transdiagnostic class that seeks to build resilience and reduce emotional distress by teaching step-by-step problem-solving skills such as "stop, slow down, think and act". The format that will be used as the comparison is manualized, group-delivered, primary care-based, often co-delivered by MH providers and peers, and considered a usual care practice in many VHA PCMHI programs. MF content is derived from problem solving therapy, which has clear effectiveness in reducing depression and other types of psychological distress. While the MF manual consists of four 60-minutes classes, for this study the 4 classes will be 90-minutes long to equate the length of both conditions. No new content will be added rather the additional time will be used to allow Veterans to complete worksheets in class and allow more group discussion.