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The purpose of this research is to explore whether a single-session therapy visit may be of interest to patients seeking mental health services in Mayo Clinic's Integrated Behavioral Health program and whether a single-session therapy visit may be helpful in improving mental health. Researchers hope to better understand whether single-session visits could be a helpful option to offer patients in the future.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single-Session Therapy Visit | Experimental | Subjects will have a single-session therapy visit with an Integrated Behavioral Health (IBH) clinician. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Therapy Session | Behavioral | Single-session intervention (SSI) based on acceptance and commitment therapy (ACT) and solution-focused brief therapy (SFBT) principles |
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| Measure | Description | Time Frame |
|---|---|---|
| Satisfaction with IBH therapy | Measured using the Client Satisfaction Questionnaire-8 (CSQ-8). Total scores range from 8 to 32, with higher number indicating greater satisfaction. | Immediately post-intervention (1-1.25 hours after study visit initiation) |
| Satisfaction with Action Plan | We will use 3 items rated on a five-point scale (0 = not at all, 4 = very much) to assess participant satisfaction with their Action Plan ("Did the visit help you develop an action plan?"; "How hopeful are you that the action plan will be useful?" and "How motivated do you feel to use your action plan?"). Scores will range from 0-12 with higher scores indicating greater satisfaction with the Action Plan. | Immediately post-intervention (1-1.25 hours after study visit initiation) |
| Change in readiness for change scores | The readiness for change ruler is a 3 item measure that examines participant's willingness to change to improve their mental health on a 0 (not at all confident/important/ready) to 10 scale (completely confident/important/ready). The total score ranges from 0 to 30, with higher scores indicating higher levels of willingness to change. | Baseline and immediately post-intervention (1-1.25 hours after study visit initiation) |
| Change in belief in capacity to generate routes to reach goals (pathways) | The State Hope Scale (Pathways subscale) is a 3 item measure that assesses participant belief in their capacity to generate routes to reach goals. Scale responses range from 1 (Definitely false) to 8 (Definitely true), with total scores ranging from 3-24 and higher scores indicating higher levels of pathways thinking. | Baseline and immediately post-intervention (1-1.25 hours after study visit initiation) |
| Change in PHQ-9 scores |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Valuing Questionnaire (Values Progress subscale) | The 10-item Valuing Questionnaire asks participants to rate statements about valued living on a 7-point Likert-type scale ranging from 0 (not at all true) to 6 (completely true). The measure assesses two subscales, Values Progress (0-30) and Values Obstruction (0-30), with higher scores on each indicating greater values progress and obstruction, respectively. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anne Roche, PhD | Mayo Clinic | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic in Rochester | Rochester | Minnesota | 55905 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42151859 | Derived | Roche AI, Straub BL, Thomas EBK, Eadeh HM, Schofield KA, Chamberlain AM, Jacobson RM, Lass AN, Bailey J, Vickers K, Merwin RM, Sawchuk CN. Implementation of a single session psychotherapy intervention in primary care integrated behavioral health: a single-arm pilot study. BMC Prim Care. 2026 May 18. doi: 10.1186/s12875-026-03361-y. Online ahead of print. |
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The PHQ-9 asks participants to rate 9 questions assessing dimensions of depression on a scale of 0 (Not at all) to 3 (Nearly every day). Total score ranges from 0 to 27 with higher scores indicating higher levels of depression.
| Baseline and 2-week follow-up |
| Change in GAD-7 scores | The GAD-7 asks participants to rate 7 statements based on how generally anxious they have felt over the past 2 weeks on a 4 point scale ranging from 0 (Not at all) to 3 (Nearly every day). Total score ranges from 0 to 21 with higher scores representing higher generalized anxiety. | Baseline and 2-week follow-up |
| Baseline and 2-week follow-up |
| Change in Valuing Questionnaire (Values Obstruction subscale) | The 10-item Valuing Questionnaire asks participants to rate statements about valued living on a 7-point Likert-type scale ranging from 0 (not at all true) to 6 (completely true). The measure assesses two subscales, Values Progress (0-30) and Values Obstruction (0-30), with higher scores on each indicating greater values progress and obstruction, respectively. | Baseline and 2-week follow-up |
| Change in CompACT scores (Valued Action) | The Comprehensive Assessment of Acceptance and Commitment Therapy Processes-15 item (CompACT) is used to assess psychological flexibility (three subscales of openness to experience, behavioral awareness, and valued action). Each item is rated on a scale of 0 to 6 (0 = strongly disagree, 6 = strongly agree). Higher scores on each subscale (VA, OE, BA) indicate greater valued action (VA), greater openness to experience (OE), and greater behavioral awareness (BA), respectively. | Baseline and 2-week follow-up |
| Change in CompACT scores (Openness to Experience) | The Comprehensive Assessment of Acceptance and Commitment Therapy Processes-15 item (CompACT) is used to assess psychological flexibility (three subscales of openness to experience, behavioral awareness, and valued action). Each item is rated on a scale of 0 to 6 (0 = strongly disagree, 6 = strongly agree). Higher scores on each subscale (VA, OE, BA) indicate greater valued action (VA), greater openness to experience (OE), and greater behavioral awareness (BA), respectively. | Baseline and 2-week follow-up |
| Change in CompACT scores (Behavioral Awareness) | The Comprehensive Assessment of Acceptance and Commitment Therapy Processes-15 item (CompACT) is used to assess psychological flexibility (three subscales of openness to experience, behavioral awareness, and valued action). Each item is rated on a scale of 0 to 6 (0 = strongly disagree, 6 = strongly agree). Higher scores on each subscale (VA, OE, BA) indicate greater valued action (VA), greater openness to experience (OE), and greater behavioral awareness (BA), respectively. | Baseline and 2-week follow-up |