Web and Shared Decision Making for Reserve/National Guard Women's PTSD Care

NCT01710306 | Completed Results

• 1 other identifier: CRE 12-039
• Study Type: interventional
• Target: 171
• Locations: 1 country
• Sites: 1

Brief Summary

Women and Reserve/National (RNG) Veterans are among the fastest growing groups of new VA users. While PTSD is prevalent in this group, most women don't access or complete needed treatment. This study will investigate Operation enduring/Iraqi Freedom and New Dawn (OEF/OIF/OND) RNG female war Veterans' perceptions, preferences, barriers and facilitators to accessing VA mental health (MH) and evidence-based PTSD psychotherapy. This information will be used to revise an existing web-based screen that educates participants about their unique post-deployment MH conditions. This web-interface will then be used to randomly assign women who screen positive for PTSD to either 1) a concierge nurse case manager who uses shared decision-making to engage Veterans in EBP or 2) usual outreach to determine what engagement approach women prefer. The investigators' findings will provide VA leaders with key information to understand and improve access to RNG PTSD treatment.

Conditions

PTSD

Keywords

Women; Veterans; PTSD; Access to Care; Shared Decision Making

Outcome Measures

Primary Outcomes (1)

• Number of Participants With VA Mental Health Care Engagement

  VA mental health care engagement is defined as participation in any of the following: PTSD psychotherapy, cognitive processing therapy, or prolonged exposure therapy. To be identified in VA electronic medical record

  Outcome measures are assessed at baseline interview and within 6 and 12 months following this semi-structured telephone interview .

Secondary Outcomes (1)

• Patient Activation Measure

  Outcome measure was assessed at baseline data collection

Study Arms (2)

Outreach

NO INTERVENTION

To evaluate and test differences in VA mental health care engagement for those who screen positive for PTSD by randomly assigned route: existing OEF/OIF/OND outreach. VA mental health care engagement is defined as participation in any of the following: PTSD psychotherapy, cognitive processing therapy, or prolonged exposure therapy.

Nurse Care Manager (NCM)

EXPERIMENTAL

To evaluate and test differences in VA mental health care engagement for those who screen positive for PTSD by randomly assigned route: Study concierge nurse case manager (NCM). VA mental health care engagement is defined as participation in any of the following: PTSD psychotherapy, cognitive processing therapy, or prolonged exposure therapy.

Behavioral: Nurse Care Manager (NCM)

Interventions

Nurse Care Manager (NCM) BEHAVIORAL

Nurse care manager interventions with telephone implemented shared decision making protocol compared to outreach as usual OEF/OIF/OND outreach.

Nurse Care Manager (NCM)

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• R/NG servicewomen who have returned from deployment in service of and/or to Iraq/Afghanistan within the last 60 months.

You may not qualify if:

• Any disability that would impair individuals ability to provide consent and participate in the interview.

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (1)

Iowa City VA Health Care System, Iowa City, IA

Iowa City, Iowa, 52246-2208, United States

Location

MeSH Terms

Conditions

Stress Disorders, Post-Traumatic

Condition Hierarchy (Ancestors)

Stress Disorders, Traumatic; Trauma and Stressor Related Disorders; Mental Disorders

Results Point of Contact

• Title: Anne G. Sadler, Ph.D., R.N.
• Organization: Department of Veteran's Affairs- Office of Research and Development

anne.sadler@va.gov

319-338-0581

Study Officials

• Anne G. Sadler, PhD RN

  Iowa City VA Health Care System, Iowa City, IA

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 21, 2012
• First Posted: October 19, 2012
• Study Start: September 1, 2013
• Primary Completion: March 30, 2017
• Study Completion: June 30, 2017
• Last Updated: February 22, 2019
• Results First Posted: February 22, 2019

Record last verified: 2019-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)