Evidence map›Paper›PMID 36066967›Full record

ArticleJMIR research protocols2022

Proactive, Recovery-Oriented Treatment Navigation to Engage Racially Diverse Veterans in Mental Healthcare (PARTNER-MH), a Peer-Led Patient Navigation Intervention for Racially and Ethnically Minoritized Veterans in Veterans Health Administration Mental Health Services: Protocol for a Mixed Methods Randomized Controlled Feasibility Study.

Johanne Eliacin, Diana J Burgess, Angela L Rollins, Scott Patterson, Teresa Damush, Matthew J Bair, Michelle P Salyers, Michele Spoont, James E Slaven, Caitlin O'Connor and 7 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04515771 (Improving Patient-provider Communication to Reduce Mental Health Disparities), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04515771 nacompletednot on this map

Improving Patient-provider Communication to Reduce Mental Health Disparities (CDA 16-153)

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2020 to 2022Enrolled50ConditionsHealthcare Disparities, Mental HealthArmsPARTNER-MH
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 7 institutions in 1 country.

Johanne EliacinCenter for Health Information and Communication, Health Services Research & Development, Richard L Roudebush VA Medical Center, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0001-8027-2935
Diana J BurgessCenter for Care Delivery and Outcomes Research, Minneapolis VA Healthcare System, Minneapolis, MN, United States.ORCID https://orcid.org/0000-0003-1139-7739
Angela L RollinsCenter for Health Information and Communication, Health Services Research & Development, Richard L Roudebush VA Medical Center, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-6043-2855
Scott PattersonDepartment of Psychiatry, Richard L. Roudebush VA Medical Center, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-9981-6581
Teresa DamushCenter for Health Information and Communication, Health Services Research & Development, Richard L Roudebush VA Medical Center, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-6544-2577
Matthew J BairCenter for Health Information and Communication, Health Services Research & Development, Richard L Roudebush VA Medical Center, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-6374-1370
Michelle P SalyersDepartment of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0001-7152-6454
Michele SpoontCenter for Care Delivery and Outcomes Research, Minneapolis VA Healthcare System, Minneapolis, MN, United States.ORCID https://orcid.org/0000-0002-2754-7378
James E SlavenDepartment of Biostatistics and Health Data Science, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-6744-3821
Caitlin O'ConnorCenter for Health Information and Communication, Health Services Research & Development, Richard L Roudebush VA Medical Center, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-5559-346X
Kiara WalkerCenter for Health Information and Communication, Health Services Research & Development, Richard L Roudebush VA Medical Center, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0001-7500-9788
Denise S ZouCenter for Health Information and Communication, Health Services Research & Development, Richard L Roudebush VA Medical Center, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0003-4694-1247
Emily AustinCenter for Health Information and Communication, Health Services Research & Development, Richard L Roudebush VA Medical Center, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-4535-2072
John AkinsDepartment of Psychiatry, Richard L. Roudebush VA Medical Center, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0001-5777-5366
James MillerDepartment of Psychiatry, Richard L. Roudebush VA Medical Center, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0001-6030-7352
Matthew ChinmanCenter for Health Equity Research and Promotion, VA Pittsburgh Health Care, Pittsburgh, PA, United States.ORCID https://orcid.org/0000-0001-5390-8723
Marianne S MatthiasCenter for Health Information and Communication, Health Services Research & Development, Richard L Roudebush VA Medical Center, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0001-8790-9695
Regenstrief Institute · USHealth Services Research & Development · USRichard L. Roudebush VA Medical Center · USUniversity of Minnesota · USIndiana University School of MedicineRAND Corporation · USUniversity of Indianapolis · US

Funding

Damush HSR&D Research Career Scientist Award ApplicationIK6HX002715 · VA · RLR VA MEDICAL CENTER · PI DAMUSH, TERESA M. · 2020 to 2024
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HSRD VA IK6 HX002715
6 · The paper itself

Abstract

backgroundMental health care disparities are persistent and have increased in recent years. Compared with their White counterparts, members of racially and ethnically minoritized groups have less access to mental health care. Minoritized groups also have lower engagement in mental health treatment and are more likely to experience ineffective patient-provider communication, which contribute to negative mental health care experiences and poor mental health outcomes. Interventions that embrace recovery-oriented practices to support patient engagement and empower patients to participate in their mental health care and treatment decisions may help reduce mental health care disparities. Designed to achieve this goal, the Proactive, Recovery-Oriented Treatment Navigation to Engage Racially Diverse Veterans in Mental Healthcare (PARTNER-MH) is a peer-led patient navigation intervention that aims to engage minoritized patients in mental health treatment, support them to play a greater role in their care, and facilitate their participation in shared treatment decision-making.

objectiveThe primary aim of this study is to assess the feasibility and acceptability of PARTNER-MH delivered to patients over 6 months. The second aim is to evaluate the preliminary effects of PARTNER-MH on patient activation, patient engagement, and shared decision-making. The third aim is to examine patient-perceived barriers to and facilitators of engagement in PARTNER-MH as well as contextual factors that may inhibit or promote the integration, sustainability, and scalability of PARTNER-MH using the Consolidated Framework for Implementation Research.

methodsThis pilot study evaluates the feasibility and acceptability of PARTNER-MH in a Veterans Health Administration (VHA) mental health setting using a mixed methods, randomized controlled trial study design. PARTNER-MH is tested under real-world conditions using certified VHA peer specialists (peers) selected through usual VHA hiring practices and assigned to the mental health service line. Peers provide PARTNER-MH and usual peer support services. The study compares the impact of PARTNER-MH versus a wait-list control group on patient activation, patient engagement, and shared decision-making as well as other patient-level outcomes. PARTNER-MH also examines organizational factors that could impact its future implementation in VHA settings.

resultsParticipants (N=50) were Veterans who were mostly male (n=31, 62%) and self-identified as non-Hispanic (n=44, 88%) and Black (n=35, 70%) with a median age of 45 to 54 years. Most had at least some college education, and 32% (16/50) had completed ≥4 years of college. Randomization produced comparable groups in terms of characteristics and outcome measures at baseline, except for sex.

conclusionsRather than simply documenting health disparities among vulnerable populations, PARTNER-MH offers opportunities to evaluate a tailored, culturally sensitive, system-based intervention to improve patient engagement and patient-provider communication in mental health care for racially and ethnically minoritized individuals.

trial registrationClinicalTrials.gov NCT04515771; https://clinicaltrials.gov/ct2/show/NCT04515771. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/37712.

Indexed as

health care disparitiesinterventionmental healthpatient engagementpatient navigationshared decision-makingVeterans

Identifiers

PMID36066967
PMCPMC9490546
OpenAlexW4294761929

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.