eScreening for Mental Health in Veterans

Overseen By Erin Almklov, PhD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: VA Office of Research and Development

Disqualifiers: Not involved in eScreening

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

69 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

Electronic screening is effective for timely detection of, and intervention for, suicidal ideation and other mental health symptoms. The VA eScreening program is a patient self-report electronic screening system that has shown promise for the efficient and effective collection of mental and physical health information among Veterans. However, additional effectiveness and implementation research is warranted to evaluate the impact of eScreening within VHA. This study will address questions of the impact of eScreening compared to screening as usual, while evaluating a multi-component implementation strategy (MCIS) for optimal enterprise rollout of eScreening in VA Transition Care Management clinics.

Who Is on the Research Team?

James Pittman, PhD MSW

Principal Investigator

VA San Diego Healthcare System, San Diego, CA

Are You a Good Fit for This Trial?

This trial is for VA staff involved in implementing eScreening, a system to detect mental health issues like depression and PTSD in Veterans. Participants must be able to give informed consent and play a role in the eScreening process at their site.

Inclusion Criteria

I understand the details of the clinical trial and can consent.

Staff inclusion criteria: Direct or indirect involvement with implementation of eScreening at the site

You are involved in the implementation of eScreening at the site.

Exclusion Criteria

Staff exclusion criteria: Not involved in or directly impacted by eScreening involvement at each site

Timeline for a Trial Participant

Start-up

Planning and site randomization, including training and material finalization

6 months

Pre-implementation

Gathering pre-implementation information and preparing for eScreening implementation

3 months

Active Implementation

eScreening software provision, training, and ongoing blended facilitation

9 months

Sustainment

Continued use and support of eScreening post-implementation

9 months

Follow-up

Monitoring and evaluation of eScreening effectiveness and referral rates

9 months

What Are the Treatments Tested in This Trial?

Interventions

• eScreening
• Multicomponent Implementation Strategy

Trial Overview The study tests how well eScreening works compared to usual screening methods for identifying mental health symptoms among Veterans. It also examines the effectiveness of a multi-component strategy for rolling out eScreening across VA Transition Care Management clinics.

How Is the Trial Designed?

Group I: Stepped-wedge Experimental Treatment 2 Interventions

This stepped-wedge trial relies on sequential roll-out of eScreening to participating sites over time, while using other sites as controls until they begin implementation.

Who Is Running the Clinical Trial?

VA Office of Research and Development

Lead Sponsor

Trials

1,691

Recruited

3,759,000+