Delivery Considerations of Cognitive Processing Therapy for PTSD
Study Details
Study Description
Brief Summary
Review treatment outcomes of modifications to standard delivery of CPT for PTSD that are delivered as routine care at in VA outpatient clinic.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
Background and Introduction Cognitive Processing Therapy (CPT) is an evidenced based psychotherapy for PTSD. It is considered a first line treatment and has ample evidence supporting it's effectiveness (ISTSS and VA/DOD clinical practice guidelines). This therapy is manualized and a framework is provided to ensure consistent delivery. Additionally, the VA Office of Mental Health Operations sponsors training and dissemination of CPT throughout the VA system and the PI of this study is a trainer and consultant of this therapy. Flexibility exists in the protocol and CPT can be delivered in unorthodox modalities such as telehealth (Moreland et al, 2015) and on compressed time schedules (Held et al, 2020; Bryan et al, 2018). While the literature supports the effectiveness of these interventions in unique settings, no known studies have looked at outcome data of real-world outpatient clinics. The PTSD Clinical Team provides CPT as part of it's standard care with a variety of adaptations. The team practices measurement based care and routinely collects self-report symptom inventories to track patient progress. This study aims to use data collected as part of standard care in this clinic to evaluate the effectiveness of these treatment adaptations in this setting.
Purpose and Objectives The purpose of this study is to explore the impact of how CPT for PTSD is delivered. Initial areas of review will include in person vs. telehealth delivery and timing (daily vs. weekly).
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Vets Veterans receiving care from the PTSD Clinical Team at the Salt Lake City VAMC. All participants are adults with a diagnosis of PTSD. This study plans on reviewing data collected as part of standard clinical practices. The study will have no impact on the treatment provided to the patient. |
Behavioral: CPT for PTSD
Evidence based psychotherapy for PTSD
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Outcome Measures
Primary Outcome Measures
- PTSD Checklist 5 [Through study completion, an average of 12 sessions (3 months)]
Self report PTSD symptom inventory
Secondary Outcome Measures
- PHQ-9 [Through study completion, an average of 12 sessions (3 months)]
Self report depression symptom inventory
Eligibility Criteria
Criteria
Inclusion Criteria:
-
PTSD diagnosis
-
Veterans eligible for VA care
-
Treatment seeking Veterans
Exclusion Criteria:
- PTSD not priority of treatment due to comorbidity, safety, etc. All patients that would be treated for PTSD in outpatient clinic are included.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Salt Lake City VAMC | Salt Lake City | Utah | United States | 84148 |
Sponsors and Collaborators
- VA Salt Lake City Health Care System
Investigators
- Principal Investigator: Harrison R Weinstein, PhD, VA Salt Lake City
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IRB_00133139