Funded R03s

R34 – REACH: DDBT adapted EBPI for Primary Care

• Patricia Areán, PhD, Professor, Psychiatry and Behavioral Sciences
• Debra Kaysen, PhD, Professor, Psychiatry and Behavioral Sciences

This study is a partnership between The University of Washington’s Department of Psychiatry and Behavioral Sciences, the Department of Communications, and the Bighorn Valley Health System in Eastern Montana.

While evidence-based psychosocial interventions (EBPIs) are important, their design is cumbersome, complex, overwhelming, inflexible, and minimizes factors that are crucial for quality delivery of care.

This study will work with six FQHCs across MT that were recently reorganized under Bighorn Valley Health Center’s umbrella to involve their Therapists and Care Managers in the redesign of an intervention to address their unique patient population and to take advantage of their task-sharing model.

Phases of the study:

DISCOVER

We’ll conduct qualitative interviews with clinicians previously trained in an EBPI called “problem-solving therapy” (PST).

DESIGN AND BUILD

PST and supporting tools will be modified based on clinician feedback gathered in the Discover phase.

TEST

A small, randomized, and controlled trial will test modified training to more traditional PST approaches. Clinicians will be trained in either traditional PST or the modified treatment, and then employ these approaches with patients. A small, randomized, and controlled trial will test modified training to more traditional PST approaches. Clinicians will be trained in either traditional PST or the modified treatment, and then employ these approaches with patients.