An RCT of a Primary Care-Based PTSD Intervention: Clinician-Supported PTSD Coach
Study Details
Study Description
Brief Summary
Posttraumatic Stress Disorder (PTSD) is an often severe and frequently disabling condition. It is associated with compromised health, early mortality, and substantial economic costs. PTSD is common in VA primary care patients; however, brief, effective treatments for PTSD are not available in the primary care setting. Instead, patients with PTSD are referred to mental health settings, yet many patients do not accept these referrals or do not adequately engage in such services. Thus, this project seeks to improve health care for Veterans by testing the effectiveness of a primary care-based treatment called clinician-supported PTSD Coach. In this treatment a primary care mental health clinician guides patients in using the PTSD Coach mobile app to learn about PTSD symptoms, treatment options, and strategies to cope with common PTSD-related concerns. If this treatment is found to be effective at reducing PTSD symptoms and increasing use of mental health care, it will provide a tremendous benefit to Veterans with PTSD seen in VA primary care.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Posttraumatic Stress Disorder (PTSD) is an often severe and frequently disabling condition. It is associated with compromised health, early mortality, and substantial economic costs. PTSD is common in VA primary care patients; however, brief, effective treatments for PTSD are not available in the primary care setting. Instead, patients with PTSD are referred to mental health settings, yet many patients do not accept these referrals or do not adequately engage in such services. Thus, this project represents a unique opportunity to improve health care for Veterans by examining the effectiveness of a primary care-based treatment called Clinician-Supported PTSD Coach. In this treatment a primary care mental health clinician guides patients in using the PTSD Coach mobile app to learn about PTSD symptoms, treatment options, and strategies to cope with common PTSD-related concerns. This randomized clinical trial will enroll and treat 260 VA primary care patients (female and male) who have PTSD and are not currently being treated for it. Commonly used, well-established clinical interviews and self-report measures will be used to assess important clinical outcomes. If this direct treatment is found to be effective at reducing PTSD symptoms and increasing use of mental health care, it will provide a tremendous benefit to Veterans with PTSD seen in VA primary care.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Clinician-Supported PTSD Coach Clinician-supported PTSD Coach is primary care-based treatment. In this treatment a primary care mental health clinician guides patients in using the PTSD Coach mobile app to learn about PTSD symptoms, treatment options, and strategies to cope with common PTSD-related concerns. It consisted of 4 brief sessions over 8 weeks. |
Behavioral: Clinician-Supported PTSD Coach
Clinician-supported PTSD Coach is primary care-based treatment. In this treatment a primary care mental health clinician guides patients in using the PTSD Coach mobile app to learn about PTSD symptoms, treatment options, and strategies to cope with common PTSD-related concerns. It consists of 4 brief sessions over 8 weeks.
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Active Comparator: Primary Care Mental Health Integrated Care as Usual Existing primary care mental health integrated treatment will serve as the comparison condition |
Behavioral: Primary Care Mental Health Integrated Care as Usual
Existing primary care mental health integrated treatment will serve as the comparison condition
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Outcome Measures
Primary Outcome Measures
- Clinician Administered PTSD Scale for DSM-5 (CAPS-5) [8 weeks]
Clinician-rated PTSD symptom severity based on blind assessor ratings
- Hospital administrative data showing 2 mental health visits for PTSD completed [16 and 24 weeks]
Hospital administrative data will be examined to determine if the participant completed 2 visits to any specialty mental health clinic for PTSD during the follow-up period.
Eligibility Criteria
Criteria
Inclusion Criteria:
- Veterans enrolled in primary care within the VA Syracuse and Palo Alto healthcare systems reporting 33 on the PTSD Checklist-5 (PCL-5) and a traumatic event on the Criterion A screener
Exclusion Criteria:
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Patients will be excluded if they demonstrate symptoms that would not allow them to actively engage in the CS PTSD Coach, i.e.,
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gross cognitive impairment
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Current symptoms of mania or psychosis or who have more pressing concerns that need to be addressed first, i.e.,
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suicide attempt in the last two months or current intent to commit suicide
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Patients with recent suicide attempts or intent are eligible to be enrolled follow the receipt of suicide prevention services
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The investigators will also exclude patients that are already receiving psychotherapy or MH counseling for PTSD outside of PC
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Started or changed the dose of a psychotropic medication for PTSD in the last two months that was prescribed outside of VA PC
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Voice a preference to be directly referred to MH specialty care
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | VA Palo Alto Health Care System, Palo Alto, CA | Palo Alto | California | United States | 94304-1290 |
2 | Syracuse VA Medical Center, Syracuse, NY | Syracuse | New York | United States | 13210 |
Sponsors and Collaborators
- VA Office of Research and Development
Investigators
- Principal Investigator: Eric R Kuhn, PhD, VA Palo Alto Health Care System, Palo Alto, CA
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IIR 14-288
- HX-001790-1