Ignite Creation Date:
2024-05-06 @ 6:52 PM
Last Modification Date:
2024-10-26 @ 2:56 PM
Study NCT ID:
NCT05812131
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-01-16
First Post:
2023-03-13
Brief Title:
COPEWeb Training for Providers
Sponsor:
VA Office of Research and Development
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Web-Based Provider Training for Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure COPEWeb
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
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:
COPEWeb
Brief Summary:
PTSD and substance use disorders SUD are two of the most common and debilitating mental health conditions afflicting military Veterans PTSD and SUD frequently co-occur and are associated with poorer treatment outcomes The investigators team developed a trauma-focused intervention Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure COPE which is identified by the VA as a gold standard of behavioral healthcare However a critical barrier to ensuring that Veterans with co-occurring PTSDSUD receive evidence-based treatment is a lack of provider training This project directly addresses this critical gap by developing a new web-based training program for providers COPEWeb
Detailed Description:
Background PTSD is the most common mental health disorder among Veterans seeking treatment at Veterans Affairs VA hospitals and more than half of Veterans with PTSD also meet criteria for a substance use disorder SUD To address the critical need for PTSDSUD treatment members of the investigative team developed Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure COPE an evidence-based integrated trauma-focused treatment identified by the VA as a gold standard of behavioral healthcare Randomized controlled trials among Veterans demonstrate COPEs efficacy in significantly reducing PTSD and substance use The majority of Veterans with PTSDSUD prefer integrated treatment SignificanceImpact At present there is a critical shortage of clinicians trained to deliver COPE Traditional in-person workshops are inefficient and costly A poll of VA PTSDSUD Specialists across the country found that 969 are interested in receiving COPE training and 991 would use a web-based training for COPE if available A web-based resource for providers is ideal as it can be rapidly disseminated is easily accessible and provides a significant amount of information in a standardized way This project will directly address this critical gap in provider training to improve the care of Veterans with comorbid PTSDSUD enhance treatment delivery using innovative in-session provider assistance tools and enhance knowledge of cost-benefit of technology-enhanced training COPEWeb may be particularly useful for providers in rural clinic settings where mental health training is less accessible This proposal has the potential for high military relevance and an immediate impact on dissemination and uptake of COPE as well as a long-term impact on the overall health of the millions of Veterans suffering from co-occurring PTSDSUD Innovation A new web-based provider training for COPE will be developed along with a highly innovative provider assistance toolkit to guide clinicians in real-time during sessions to enhance delivery and fidelity to the protocol and reduce provider burden A panel of national VA experts and dissemination leaders will develop a best practice VA dissemination guideline on disseminating web-based provider trainings The proposed project has the potential to significantly enhance provider training and increase patient access to evidence-based care Furthermore COPEWeb has the potential to serve a novel role in disaster planning to ensure mental health care providers are equipped to address the anticipated post-pandemic needs of Veterans given the rise in post-traumatic stress and alcoholdrug use during the pandemic Specific Aims This project aims to 1 develop a new web-based training protocol and innovative delivery aid system to strengthen providers delivery of COPE to treat Veterans with PTSDSUD with a high level of fidelity and competence and 2 compare the COPEWeb training to in-person training on measures of knowledge satisfaction and behavior ie fidelity The cost effectiveness of web-based vs in-person training will be examined Methodology The proposed methods and timeline for the development of COPEWeb are based on the teams prior success developing other widely-used provider training protocols eg PEWeb CBTIWeb COPEWeb will be built and refined over the course of three strategic phases content development alpha-testing and beta-testing Following beta testing the investigators will compare COPEWeb to in-person training among clinicians Ongoing assessment will obtain qualitative and quantitative data on measures of provider satisfaction knowledge and behavior ImplementationNext Steps In collaboration with the investigators operations partners VA leadership and EBP Coordinators COPEWeb will be rapidly disseminated to mental health providers to increase adoption of evidence-based treatment for PTSDSUD and improve the quality of mental health care for Veterans and the nation
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