Enhancing Veteran-Clinical Collaboration in VA PRRCs

This study is looking at ways to improve how Veterans with serious mental illnesses work with their healthcare teams. It's testing two group programs: Collaborative Decision Skills Training (CDST) and Leveling Up. CDST helps Veterans learn skills like assertiveness and problem-solving for making treatment decisions. Leveling Up offers education, friendship, and support from other Veterans. You might be able to join if you are a Veteran receiving certain mental health services at VA San Diego, Los Angeles, or Albuquerque and have a serious mental illness. The study will measure how well these programs help Veterans and their care teams work together, looking at changes over 3 and 6 months. The current recruitment status is unclear.

Study design
This is an interventional study planning to enroll 119 participants. It is not specified if it is randomized or blinded.
What's involved
Participants will take part in either a ten-session group-based skills training or a ten-session group intervention, with each session lasting 60 minutes.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed up at 3 months and 6 months after the start of the study.

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NCT06898879

Enhancing Veteran-Clinical Collaboration in VA PRRCs

Recruiting
NAAges 18+InterventionalTreatment
VA Office of Research and Development
~119 participants
Updated 2026-08-19 on ClinicalTrials.gov
What's tested:Collaborative Decision Skills TrainingLeveling Up

At a glance

Recruiting sites
1 of 3 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Shared Decision-Making Coding System
Measured over Baseline to 3-month follow-up
+3 more outcomes measured
Schizophrenia
Schizoaffective Disorder
Delusional Disorder
Bipolar Disorder
Major Depressive Disorder
3 sites across 2 states
California2
New Mexico1
  • Emily Treichler, PhD · PRINCIPAL_INVESTIGATOR · VA San Diego Healthcare System, San Diego, CA

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  • Shared Decision-Making Coding SystemBaseline to 3-month follow-up

    The Shared Decision-Making Coding System (SDM-CS) is a validated method of coding collaborative behaviors during treatment decision-making among patients with SMI and their providers. The SDM-CDS codes 9 elements of the decision process including goal setting, exploration of patient preference, and treatment alternatives. Coding for this measure is completed by recording frequency of specific interactions (e.g., the patient states a preference). Scores range from 0-18, where higher scores are better (indicating more collaborative behaviors).

  • Shared Decision-Making Coding SystemBaseline to 6-month follow-up

    The Shared Decision-Making Coding System (SDM-CS) is a validated method of coding collaborative behaviors during treatment decision-making among patients with SMI and their providers. The SDM-CDS codes 9 elements of the decision process including goal setting, exploration of patient preference, and treatment alternatives. Coding for this measure is completed by recording frequency of specific interactions (e.g., the patient states a preference). Scores range from 0-18, where higher scores are better (indicating more collaborative behaviors).

  • Consumer-Created Opportunities for Active Involvement Coding SystemBaseline to 3-month follow-up

    A validated measure for adults with SMI that codes presence of consumer driven collaborative behaviors, including sharing opinions about treatment effectiveness, making requests, and reflecting on the therapeutic relationship. This measure codes behaviors, so the minimum score is 0, and it has no maximum. Higher scores indicate more collaborative behaviors initiated by the consumer.

  • Consumer-Created Opportunities for Active Involvement Coding SystemBaseline to 6-month follow-up

    A validated measure for adults with SMI that codes presence of consumer driven collaborative behaviors, including sharing opinions about treatment effectiveness, making requests, and reflecting on the therapeutic relationship. This measure codes behaviors, so the minimum score is 0, and it has no maximum. Higher scores indicate more collaborative behaviors initiated by the consumer.