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| Name | Class |
|---|---|
| National Medical Research Council (NMRC), Singapore | OTHER_GOV |
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This research aims to explore whether a single-session solution-focused consultation (SSC) can increase mental health service engagement among patients with comorbid chronic physical diseases and mental health problems (CPDMHP).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active Control Group | Active Comparator | Single-session supportive therapy based approach |
|
| Intervention Group | Experimental | Single-session solution-focused therapy based approach |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Single-session solution focused consultation | Behavioral | In the SSC, the interventionist first sets expectations, explaining that the session is a means of providing short-term support. The interventionist will then praise the participant for agreeing to receive support and introduce the Action Plan, which will guide the session's structure. The interventionist will then work with the participant to (1) identify a specific, modifiable issue they are facing; (2) use the "miracle question" to envision their ideal outcome where the problem is resolved, and rates their current proximity to that; (3) determine the "smallest possible step" they can take towards this outcome through a scaling exercise; and (4) develop a personalized action plan that leverage on their current resources to begin addressing the problem. Upon ending the SSC, the interventionist writes a personalized note to the participant, highlighting their strengths and expressing confidence in their ability to follow through. |
| Measure | Description | Time Frame |
|---|---|---|
| Treatment Engagement - Uptake | Endorsement of interest in referral for mental health services or follow-up session with interventionist | Post-intervention (immediate) |
| Treatment engagement - Attendance | Attendance at intake session for mental health services or follow-up session with interventionist | 2-weeks post-intervention |
| Feasibility - Intervention Completion Rate | Completion of intervention action plans | Post-intervention (immediate) |
| Acceptability - Usefulness of intervention | Single item measure on helpfulness of consultation in addressing concern/s | Post-intervention (immediate) |
| Acceptability - Satisfaction with outcome | Single item measure on how satisfied they are with the intervention's outcome | Post-intervention (immediate) |
| Measure | Description | Time Frame |
|---|---|---|
| Perceived agency | State Hope Scale (SHS) - Pathways Subscale | From baseline to post-intervention (immediate) |
| Hope | Beck's Hopelessness Scale (BHS-4) |
| Measure | Description | Time Frame |
|---|---|---|
| Depression | Patient's Health Questionnaire (PHQ-9) | From baseline to two-weeks post intervention |
| Anxiety | Generalized Anxiety Disorder (GAD-7) |
Inclusion Criteria: 1. A history of one or more chronic physical diseases based on the Ministry of Health (Singapore) Chronic Disease Management Programme guidelines; 2. A score of 5 or more on the Patient Health Questionnaire (PHQ-9) or Generalized Anxiety Disorder-7 (GAD-7); 3. Not currently engaged in formal mental health service; 4. Conversant in the English language; 5. Receiving treatment in a community healthcare setting
Exclusion Criteria: 1. A history of psychosis, intellectual disability, or pervasive developmental disorders
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jacqueline L. Tilley, PhD | Contact | +65 67903202 | jacqueline.tilley@nie.edu.sg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Renal Health Services | Recruiting | Singapore | Singapore |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42351257 | Derived | Tilley JL, Choon JX, Ito S, Khan BA, Griva K, Ang S, Kang-Kwong L, Schleider JL. A single-session consultation to enhance mental health treatment engagement in patients with comorbid physical and mental problems: study protocol for a pilot randomized controlled trial. Pilot Feasibility Stud. 2026 Jun 25. doi: 10.1186/s40814-026-01870-2. Online ahead of print. |
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| Single-session supportive intervention | Behavioral | In the supportive consultation session, the interventionist will allow the participant to decide what they wish to discuss during the session and listen empathetically, validate their feelings and offer reassurance to the patient. The exact wording or questions will vary depending on the client's needs and sharing. |
|
| From baseline to post-intervention (immediate) and two-week post intervention |
| From baseline to two-weeks post intervention |
| Change readiness | Readiness Ruler | From baseline to post-intervention (immediate) and two-week post intervention |
| Life satisfaction | Single-item measuring satisfaction with life | From baseline to two-week post intervention |
| Perceived current health status | Single-item measuring perceived current health status | From baseline to two-week post intervention |