# GET PrEPD for Psychiatry: Goal Elicitation, Treatment Prioritization, & Electronically-Practiced Discussion for Psychiatric Care

> **NIH NIH R34** · INDIANA UNIVERSITY INDIANAPOLIS · 2020 · $224,285

## Abstract

Project Summary/Abstract
This project will develop an innovative intervention to increase patient activation and communication self-
efficacy so that adults with severe mental illnesses (SMI) can engage in shared decision-making (SDM) and
optimize recovery outcomes. SDM -- a process in which patients and providers work collaboratively to make
decisions -- is an ethical imperative and is critical for high-quality, recovery-oriented care. Yet, despite efforts to
implement recovery-oriented care, people with SMI still have difficulty engaging as active partners in
psychiatric treatment. Moreover, few SDM interventions have been developed specifically for people with SMI,
and the most well-known is a highly resource-intensive program. The current proposal outlines a pilot
effectiveness trial of a low-cost, high-innovation approach called GET PrEPD-Psychiatry (Goal Elicitation,
Treatment Prioritization, & Electronically-Practiced Discussion). Originally developed to enhance SDM in
chronic pain patients, GET PrEPD-Psychiatry participants receive individual in-person coaching to
clarify/prioritize their goals, determine treatment preferences and rationale for these preferences, and develop
skills to engage in SDM. Patients will practice these skills in online interactions with Virtual Providers, which will
be tailored to patients' unique learning styles, thereby, enhancing skills mastery and communication self-
efficacy. This pilot effectiveness trial includes three aims. First, the research team will adapt the Virtual
Providers used in the original GET PrEPD for chronic pain for use in psychiatric decision-making – they will do
so by analyzing existing audio-recordings of 200 psychiatric visits collected in their prior NIMH-funded study.
Content analysis will identify relevant conversations that will be used to program the online Virtual Providers,
and a series of iterative tests with patients and feedback from consultants will refine the intervention. The
second aim is to pilot test the adapted GET PrEPD-Psychiatry to establish feasibility and acceptability of the
intervention in 40 adults with SMI in a community mental health center. Finally, the research team will identify
potential mechanisms of change and examine preliminary outcomes of GET PrEPD-Psychiatry, hypothesizing
that following participation in GET PrEPD-Psychiatry, patients will 1) report improved activation and
communication self-efficacy, 2) demonstrate improved SDM in treatment sessions with their psychiatric
providers, and 3) report improved self-management and recovery attitudes. Successful completion of this
project will result in a new, highly scalable intervention that can be implemented across a range of psychiatric
treatment settings to reach a large number of patients, directly addressing an NIMH strategic goal to develop
innovative service delivery models. Following successful completion of this R34, the research team will be well-
poised to evaluate mechanisms of change and ...

## Key facts

- **NIH application ID:** 9828780
- **Project number:** 5R34MH118314-02
- **Recipient organization:** INDIANA UNIVERSITY INDIANAPOLIS
- **Principal Investigator:** ADAM T HIRSH
- **Activity code:** R34 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $224,285
- **Award type:** 5
- **Project period:** 2018-12-01 → 2021-10-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9828780

## Citation

> US National Institutes of Health, RePORTER application 9828780, GET PrEPD for Psychiatry: Goal Elicitation, Treatment Prioritization, & Electronically-Practiced Discussion for Psychiatric Care (5R34MH118314-02). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/9828780. Licensed CC0.

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