Testing an Adaptive Intervention for Peer-Supported Mobile Health for Primary Care Veterans With Psychological Distress

Part of paid clinical trials in Palo Alto, California.

Sponsor
VA Office of Research and Development
Study ID
NCT07507747
Status
Not Yet Recruiting

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Conditions

  • Psychological Distress

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Self Managed mHealth — BEHAVIORAL
    Patients use mHealth apps to manage psychological distress
  • 1 session of peer mHealth — BEHAVIORAL
    Patients receive one session with a peer while using mHealth apps to manage psychological distress
  • 4 sessions Peer mHealth — BEHAVIORAL
    Patients receive 4 sessions with a peer while using mHealth apps to manage psychological distress
  • 4 sessions of Peer Whole Health — BEHAVIORAL
    Patients receive 4 session with a peer focused on Whole Health

Study Details

Many Veterans experience psychological distress including depression, PTSD, anxiety and problems with sleep and anger. Services to address these problems need to be easy for Veterans to access. VA mobile health applications (mHealth apps) that teach skills to manage psychological distress are widely available. However, Veterans rarely use these apps enough to experience health benefits. Peer specialists are VA employees who are trained to use their lived experiences in mental health recovery to help other Veterans. Peers can provide support and accountability to Veterans as they use mHealth apps. Peers working in VA primary care settings are easily accessible to Veterans who receive VA services. This study aims to improve the health of Veterans by testing the effectiveness of peer-supported mHealth in reducing psychological distress. It will also test how much peer support Veterans need to improve their health with using mHealth apps.

Key Dates

Start date
Jul 1, 2026
Status verified
Apr 2026
Primary completion
Apr 30, 2029
Completion
Apr 30, 2030

Study Design

Enrollment
384 participants (estimated)
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT

Arms

  • Experimental: Stage 1
    Stage 1 randomization
  • Experimental: Stage 2
    Stage 2 randomization

Primary Outcome Measure

Depression Anxiety and Stress Scale [ Time Frame: baseline to 24 weeks ]

Central Contacts

Locations (5)

FacilityCityStateZIPSite coordinators
VA Palo Alto Health Care System, Palo Alto, CAPalo AltoCalifornia94304-1207
Jennifer Smith
[email protected]
VA Bedford HealthCare System, Bedford, MABedfordMassachusetts01730-1114
Andrew Peckham
[email protected]
VA Ann Arbor Healthcare System, Ann Arbor, MIAnn ArborMichigan48105-2303
Rebecca Sripada
[email protected]
Syracuse VA Medical Center, Syracuse, NYSyracuseNew York13210-2716
Kyle Possemato, PhD
[email protected]
315-425-4400
Kyle Possemato, PhD (PRINCIPAL_INVESTIGATOR)
Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PAPhiladelphiaPennsylvania19104-4551

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VA Palo Alto Health Care System, Palo Alto, CA· Palo Alto, CAVA Bedford HealthCare System, Bedford, MA· Bedford, MAVA Ann Arbor Healthcare System, Ann Arbor, MI· Ann Arbor, MISyracuse VA Medical Center, Syracuse, NY· Syracuse, NYCorporal Michael J. Crescenz VA Medical Center, Philadelphia, PA· Philadelphia, PA

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