[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100631981":3},{"organization":4,"armGroups":7,"interventions":21,"overallOfficials":40,"centralContacts":45,"locations":51,"responsibleParty":124,"collaborators":27,"id":126,"slug":127,"hasResults":128,"nctId":129,"briefTitle":130,"officialTitle":130,"acronym":131,"eligibilityCriteria":132,"healthyVolunteers":128,"sex":133,"minAge":134,"maxAge":27,"enrollmentInfo":135,"targetDuration":27,"studyType":138,"phases":139,"briefSummary":141,"conditions":142,"keywords":144,"overallStatus":150,"whyStopped":27,"lastUpdateSubmitDate":151,"lastUpdatePostDateStruct":152,"startDateStruct":155,"completionDateStruct":157,"leadSponsor":159,"locationsCount":160},{"fullName":5,"class":6},"VA Office of Research and Development","FED",[8,15],{"label":9,"type":10,"description":11,"interventionNames":12},"Stage 1","EXPERIMENTAL","Stage 1 randomization",[13,14],"Behavioral: Self Managed mHealth","Behavioral: 1 session of peer mHealth",{"label":16,"type":10,"description":17,"interventionNames":18},"Stage 2","Stage 2 randomization",[13,19,20],"Behavioral: 4 sessions Peer mHealth","Behavioral: 4 sessions of Peer Whole Health",[22,28,32,36],{"type":23,"name":24,"description":25,"armGroupLabels":26,"otherNames":27},"BEHAVIORAL","Self Managed mHealth","Patients use mHealth apps to manage psychological distress",[9,16],null,{"type":23,"name":29,"description":30,"armGroupLabels":31,"otherNames":27},"1 session of peer mHealth","Patients receive one session with a peer while using mHealth apps to manage psychological distress",[9],{"type":23,"name":33,"description":34,"armGroupLabels":35,"otherNames":27},"4 sessions Peer mHealth","Patients receive 4 sessions with a peer while using mHealth apps to manage psychological distress",[16],{"type":23,"name":37,"description":38,"armGroupLabels":39,"otherNames":27},"4 sessions of Peer Whole Health","Patients receive 4 session with a peer focused on Whole Health",[16],[41],{"name":42,"affiliation":43,"role":44},"Kyle Possemato, PhD","Syracuse VA Medical Center, Syracuse, NY","PRINCIPAL_INVESTIGATOR",[46],{"name":42,"role":47,"phone":48,"phoneExt":49,"email":50},"CONTACT","(315) 425-4400","53551","kyle.possemato@va.gov",[52,69,83,97,110],{"facility":53,"status":27,"city":54,"state":55,"zip":56,"country":57,"countryCode":58,"cosmosGeoPoint":59,"geoPoint":64,"contacts":65},"VA Palo Alto Health Care System, Palo Alto, CA","Palo Alto","California","94304-1207","United States","US",{"type":60,"coordinates":61},"Point",[62,63],-122.14302,37.44188,{"lat":63,"lon":62},[66],{"name":67,"role":47,"phone":27,"phoneExt":27,"email":68},"Jennifer Smith","Jennifer.Smith@va.gov",{"facility":70,"status":27,"city":71,"state":72,"zip":73,"country":57,"countryCode":58,"cosmosGeoPoint":74,"geoPoint":78,"contacts":79},"VA Bedford HealthCare System, Bedford, MA","Bedford","Massachusetts","01730-1114",{"type":60,"coordinates":75},[76,77],-71.27617,42.49065,{"lat":77,"lon":76},[80],{"name":81,"role":47,"phone":27,"phoneExt":27,"email":82},"Andrew Peckham","Andrew.Peckham@va.gov",{"facility":84,"status":27,"city":85,"state":86,"zip":87,"country":57,"countryCode":58,"cosmosGeoPoint":88,"geoPoint":92,"contacts":93},"VA Ann Arbor Healthcare System, Ann Arbor, MI","Ann Arbor","Michigan","48105-2303",{"type":60,"coordinates":89},[90,91],-83.74088,42.27756,{"lat":91,"lon":90},[94],{"name":95,"role":47,"phone":27,"phoneExt":27,"email":96},"Rebecca Sripada","Rebecca.Sripada@va.gov",{"facility":43,"status":27,"city":98,"state":99,"zip":100,"country":57,"countryCode":58,"cosmosGeoPoint":101,"geoPoint":105,"contacts":106},"Syracuse","New York","13210-2716",{"type":60,"coordinates":102},[103,104],-76.14742,43.04812,{"lat":104,"lon":103},[107,109],{"name":42,"role":47,"phone":108,"phoneExt":49,"email":50},"315-425-4400",{"name":42,"role":44,"phone":27,"phoneExt":27,"email":27},{"facility":111,"status":27,"city":112,"state":113,"zip":114,"country":57,"countryCode":58,"cosmosGeoPoint":115,"geoPoint":119,"contacts":120},"Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA","Philadelphia","Pennsylvania","19104-4551",{"type":60,"coordinates":116},[117,118],-75.16362,39.95238,{"lat":118,"lon":117},[121],{"name":122,"role":47,"phone":27,"phoneExt":27,"email":123},"Travis Cos","travis.cos@va.gov",{"type":125,"investigatorFullName":27,"investigatorTitle":27,"investigatorAffiliation":27,"oldNameTitle":27,"oldOrganization":27},"SPONSOR","100631981","testing-an-adaptive-intervention-for-peer-supported-mobile-health-for-primary-care-veterans-with-psychological-distress-100631981",false,"NCT07507747","Testing an Adaptive Intervention for Peer-Supported Mobile Health for Primary Care Veterans With Psychological Distress","Peer mHealth","Inclusion Criteria:\n\n* Veteran enrolled in primary care at one of 3 VA facilities (Philadelphia, PA; Ann Arbor, MI; and Bedford, MA)\n* clinically significant psychological distress on at least one DASS-21 subscale (Depression =\\> 10, Anxiety =\\> 8, Stress =\\> 13)\n\nExclusion Criteria:\n\n* symptoms that may preclude active engagement in the intervention such as gross cognitive impairment or current symptoms of mania or psychosis\n* suicide risk as measured by the P4 Suicide Assessment\n* plan to engage in psychotherapy during the intervention period\n* started or changed the dose of a psychotropic medication in the last two months\n* voice a preference to be directly referred to mental health specialty care","ALL","18 Years",{"count":136,"type":137},384,"ESTIMATED","INTERVENTIONAL",[140],"NA","Many Veterans experience psychological distress including depression, PTSD, anxiety and problems with sleep and anger. Services to address these problems need to be easy for Veterans to access. VA mobile health applications (mHealth apps) that teach skills to manage psychological distress are widely available. However, Veterans rarely use these apps enough to experience health benefits. Peer specialists are VA employees who are trained to use their lived experiences in mental health recovery to help other Veterans. Peers can provide support and accountability to Veterans as they use mHealth apps. Peers working in VA primary care settings are easily accessible to Veterans who receive VA services. This study aims to improve the health of Veterans by testing the effectiveness of peer-supported mHealth in reducing psychological distress. It will also test how much peer support Veterans need to improve their health with using mHealth apps.",[143],"Psychological Distress",[145,146,147,148,149],"peer support","mHealth","Veterans","SMART design","psychological distress","NOT_YET_RECRUITING","2026-04-07",{"date":153,"type":154},"2026-04-13","ACTUAL",{"date":156,"type":137},"2026-07-01",{"date":158,"type":137},"2030-04-30",{"name":5,"class":6},5]