Ignite Creation Date:
2024-05-06 @ 5:00 PM
Last Modification Date:
2024-10-26 @ 2:20 PM
Study NCT ID:
NCT05165940
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-05-28
First Post:
2021-12-02
Brief Title:
Facilitating Transition to Recommended PTSD Treatment
Sponsor:
VA Office of Research and Development
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Improving Care for Veterans by Understanding and Facilitating Transition to Recommended PTSD Treatment CDA 21-194
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Cognitive processing therapy CPT and prolonged exposure therapy PE were widely disseminated as recommended posttraumatic stress disorder PTSD treatments However post-911 Veterans with PTSD rarely initiate CPT or PE especially as an initial treatment Little research has explored the combinations and sequences of psychosocial and medication treatments that Veterans receive treatment sequences One common and understudied treatment sequence begins with stabilization treatment which is designed to prepare Veterans for CPT or PE There is a significant research gap in understanding how treatment sequence affects initiation of CPT or PE The proposed research is an innovative mixed-methods approach to assessing the impact of variability in treatment sequence including stabilization treatment on initiation of CPT or PE and applying this knowledge by developing a health services intervention that facilitates timely transition to CPT or PE Research aims can improve PTSD treatment by increasing initiation of and reducing disparities in CPTPE
Detailed Description:
Posttraumatic stress disorder PTSD is one of the most common mental health diagnoses among Veterans Cognitive processing therapy CPT and prolonged exposure therapy PE were widely disseminated in the Veterans Health Administration VHA as recommended PTSD treatments Despite these efforts few post-911 Veterans diagnosed with PTSD initiate CPT or PE In the small percentage of Veterans who receive these therapies CPT and PE are rarely the first treatment a Veteran receives A common treatment sequence identified in implementation research begins with stabilization treatment combinations of psychosocial and medication treatments that prepare Veterans for CPT or PE Despite consistently identifying stabilization treatment as a common VHA practice little research has investigated this treatment sequence A novel approach to solving existing limitations in PTSD treatment delivery involves developing an intervention that both acknowledges the ubiquitous presence and benefits of stabilization treatment while facilitating timely transition from stabilization treatment to CPT or PE This CDA-2 aims to improve delivery of PTSD services in the VHA The proposed research aims are 1 To qualitatively understand Veterans and clinicians perspectives on selecting stabilization treatments and how stabilization treatment serves as a barrier or facilitator of transition to CPT or PE 2 To develop and conduct a randomized pragmatic pilot trial of a brief Veteran-centered intervention to support transition from stabilization treatment to CPT or PE and 3 To identify sociodemographic disparities in treatment sequences and to determine how treatment sequences influence time to CPT or PE initiation across the VHA
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
False
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 1IK2HX003339-01A2 | NIH | None | httpsreporternihgovquickSearch1IK2HX003339-01A2 |