Mental Health Among Patients, Providers, and Staff During the COVID-19 Era (MHAPPS)
Covid19, Mental Health
About this trial
This is an interventional treatment trial for Covid19 focused on measuring Loneliness, Anxiety, Depression, Suicidal Ideation, Social Distancing, Mental Distress, Pandemic, Caring Contacts, Healthcare Staff, Healthcare Providers, Brief Contact Intervention, Adults, Adolescents
Eligibility Criteria
Inclusion Criteria:
Aim 1:
Provider & Employee Inclusion Criteria
- Provider or Employee at St. Luke's Health System
- Adults ≥ 18 years of age
- Proficient in spoken and written English language
Patient Inclusion Criteria
- Patient at a St. Luke's Health System primary care site
- Current MyChart account user
- Adults ≥18 years of age
- Minors 12-17 years of age
- Proficient in spoken and written English language
Aim 2:
Provider & Employee Inclusion Criteria
Moderate or high score for loneliness, suicide ideation, psychological stress, anxiety, or depression:
- NIH Toolkit Loneliness raw score of 13 or greater or
- C-SSRS score of 3 or greater; or
- NIH Toolkit Perceived Stress raw score of 31 or greater for adults; or
- GAD7 score of 11 or greater; or
- PHQ9 score of 10 or greater
- Access to a phone for the duration of the study with the ability to receive text messages and phone calls
Patient Inclusion Criteria
Moderate or high score for loneliness, suicide ideation, psychological stress, anxiety, or depression:
- NIH Toolkit Loneliness raw score of 13 or greater for adults or 16 or greater for adolescents; or
- C-SSRS score of 3 or greater; or
- GAD7 score of 11 or greater; or
- PHQ9 score of 10 or greater; or
- NIH Toolkit Stress raw score of 31 or greater for adults or 33 or greater for adolescents
- [Note: validated youth versions of the NIH Toolkit assessments (loneliness and perceived stress), and PHQ-A tools will be used for adolescents; the C-SSRS and GAD7 tools are validated for use with both adults and adolescents.]
- Access to a phone for the duration of the study with the ability to receive text messages and phone calls
Exclusion Criteria:
Aim 1:
Provider & Employee Exclusion Criteria
- Individuals who are unable or unwilling to provide informed consent to participate
- Individuals who are study staff for this study or the SPARC Trial
Patient Exclusion Criteria
- Individuals who are unable or unwilling to provide informed consent to participate.
- Individuals who are participants in the SPARC Trial
- Individuals who have not had a primary care visit in the past 12 months
Aim 2:
Provider & Employee Exclusion Criteria
- Individuals who are unable or unwilling to provide informed consent to participate
- Individuals who are in acute crisis as determined by the person conducting the consent process
- Individuals who are study staff for this study or the SPARC Trial
- Individuals who are enrolled as participants in the SPARC comparative effectiveness clinical trial (SPARC Aim 1). Providers or employees who received training related to SPARC and/or who completed the SPARC provider satisfaction survey are not excluded from participating in MHAPPS
Patient Exclusion Criteria
- Patients who are unable or unwilling to provide informed consent/assent to participate (or whose legally authorized representative is unable or unwilling to provide consent in the case of adolescents). Examples may include but are not limited to patients who present with acute or chronic cognitive impairment that would preclude their ability to consent (i.e. acute psychosis, intoxication, or intellectual disability).
Sites / Locations
- St. Luke's Health System
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Caring Contacts + Introductory Phone Call (CC+)
Caring Contacts (without phone call) (CC)
Healthcare provider and staff participants who are randomized to both caring text messages and an introductory phone call. Adult and adolescent participants who are randomized to both caring text messages and an introductory phone call.
Healthcare provider and staff participants who are randomized to only caring text messages. Adult and adolescent patient participants who are randomized to only caring text messages.