Enhancing Equitable and Effective (E-3) Post Traumatic Stress Disorder (PTSD) Disability Assessment
E-3PTSD
1 other identifier
interventional
406
1 country
11
Brief Summary
This project evaluated the impact of semi-structured, standardized interviews on the initial PTSD C\&P on the examination.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2009
Typical duration for not_applicable
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 12, 2008
CompletedFirst Posted
Study publicly available on registry
June 18, 2008
CompletedStudy Start
First participant enrolled
May 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2011
CompletedResults Posted
Study results publicly available
October 16, 2014
CompletedAugust 16, 2018
July 1, 2018
1.3 years
June 12, 2008
September 23, 2014
July 19, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Completeness and Quality of PTSD Interview
total completeness of diagnostic assessment score, range from 0 to 100% and completeness of functional assessment
Post-exam, same day
Secondary Outcomes (3)
PTSD Diagnosis
Post-exam, same day
Patient Satisfaction
post-exam, same day
Resource Utilization
same day
Study Arms (2)
CAPS/WHODAS
EXPERIMENTALPTSD assessed using Clinical Assessment of PTSD Symptoms (CAPS) and WHODAS functional impairment structured evidence-based interview
Nonstructured Interview
ACTIVE COMPARATORUsual clinical interview to assess PTSD, without CAPS or WHODAS
Interventions
Usual PTSD clinical PTSD interview, not CAPS or SCID
Eligibility Criteria
You may qualify if:
- Veterans referred to VHA for an Initial PTSD Compensation and Pension Examination
- Informed consent
You may not qualify if:
- Mentally impaired, not able to give informed consent
- English speaking
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (11)
Central Arkansas Veterans Healthcare System Eugene J. Towbin Healthcare Center, Little Rock, AR
North Little Rock, Arkansas, 72114-1706, United States
VA Palo Alto Health Care System, Palo Alto, CA
Palo Alto, California, 94304-1290, United States
VA Connecticut Healthcare System West Haven Campus, West Haven, CT
West Haven, Connecticut, 06516, United States
Southeast Louisiana Veterans Health Care System, New Orleans, LA
New Orleans, Louisiana, 70112, United States
VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
Boston, Massachusetts, 02130, United States
John D. Dingell VA Medical Center, Detroit, MI
Detroit, Michigan, 48201, United States
Minneapolis VA Health Care System, Minneapolis, MN
Minneapolis, Minnesota, 55417, United States
New Mexico VA Health Care System, Albuquerque, NM
Albuquerque, New Mexico, 87108-5153, United States
Memphis VA Medical Center, Memphis, TN
Memphis, Tennessee, 38104, United States
Tennessee Valley Healthcare System Nashville Campus, Nashville, TN
Nashville, Tennessee, 37212-2637, United States
Clement J. Zablocki VA Medical Center, Milwaukee, WI
Milwaukee, Wisconsin, 53295-1000, United States
Related Publications (7)
Rosen MI, Afshartous D, Marx BP. Did microinsults and microaggressions play a role?: in reply. Psychiatr Serv. 2013 Jul 1;64(7):713. doi: 10.1176/appi.ps.640703. No abstract available.
PMID: 23821175RESULTRosen MI, Afshartous DR, Nwosu S, Scott MC, Jackson JC, Marx BP, Murdoch M, Sinnott PL, Speroff T. Racial differences in veterans' satisfaction with examination of disability from posttraumatic stress disorder. Psychiatr Serv. 2013 Apr 1;64(4):354-9. doi: 10.1176/appi.ps.201100526.
PMID: 23318842RESULTSperoff T, Sinnott PL, Marx B, Owen RR, Jackson JC, Greevy R, Sayer N, Murdoch M, Shane AC, Smith J, Alvarez J, Nwosu SK, Keane T, Weathers F, Schnurr PP, Friedman MJ. Impact of evidence-based standardized assessment on the disability clinical interview for diagnosis of service-connected PTSD: a cluster-randomized trial. J Trauma Stress. 2012 Dec;25(6):607-15. doi: 10.1002/jts.21759.
PMID: 23225029RESULTMarx BP, Jackson JC, Schnuff PP, Murdoch M, Sayer NA, Keane TM, Friedman MJ, Greevy RA, Owen RR, Sinnott PL, Speroff T. The reality of malingered PTSD among Veterans: Reply to McNally and Frueh. Journal of traumatic stress. 2012 Aug 1; 25(4):457-60.
RESULTJackson JC, Sinnott PL, Marx BP, Murdoch M, Sayer NA, Alvarez JM, Greevy RA, Schnurr PP, Friedman MJ, Shane AC, Owen RR, Keane TM, Speroff T. Variation in practices and attitudes of clinicians assessing PTSD-related disability among veterans. J Trauma Stress. 2011 Oct;24(5):609-13. doi: 10.1002/jts.20688. Epub 2011 Sep 12.
PMID: 21913226RESULTMarx BP, Marshall PJ, Castro F. The moderating effects of stimulus valence and arousal on memory suppression. Emotion. 2008 Apr;8(2):199-207. doi: 10.1037/1528-3542.8.2.199.
PMID: 18410194RESULTSloan DM, Marx BP, Epstein EM, Dobbs JL. Expressive writing buffers against maladaptive rumination. Emotion. 2008 Apr;8(2):302-6. doi: 10.1037/1528-3542.8.2.302.
PMID: 18410204RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Information external to interview such as psychological testing or charts were not available to the expert reviewers. Another limitation is that Veterans in our study did not undergo a concurrent, independent evaluation for assessment of PTSD.
Results Point of Contact
- Title
- Theodore Speroff PhD
- Organization
- Veterans Affairs at TVHS
Study Officials
- PRINCIPAL INVESTIGATOR
Theodore Speroff, PhD
Tennessee Valley Healthcare System Nashville Campus, Nashville, TN
Publication Agreements
- PI is Sponsor Employee
- Yes
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 12, 2008
First Posted
June 18, 2008
Study Start
May 1, 2009
Primary Completion
September 1, 2010
Study Completion
September 1, 2011
Last Updated
August 16, 2018
Results First Posted
October 16, 2014
Record last verified: 2018-07