Increasing Engagement in Evidence-Based PTSD Therapy for Primary Care Veterans

NCT01984515 | Completed Results

• 1 other identifier: RRP 13-204
• Study Type: interventional
• Target: 59
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to implement an evidence-based Referral Management System that will address patient and system-level barriers to the uptake of evidence-based psychotherapy for PTSD by Veterans Affairs primary care patients.

Conditions

Post-traumatic Stress Disorder

Keywords

Post-traumatic Stress Disorder; Evidence-Based Psychotherapy; Treatment Engagement; Cognitive Behavioral Therapy; Implementation Science

Outcome Measures

Primary Outcomes (1)

• Engagement in Evidence-based Psychotherapy for PTSD

  Engagement will be assessed by how many patients attend at least 2 sessions of an evidence-based psychotherapy for PTSD and how many complete treatment. Completion is defined as 8 sessions.

  From initiation of the Referral Management System to 6 months after initiation

Secondary Outcomes (2)

• PTSD Checklist-Specific

  Referral Management Initiation, 1 month post initiation, 3 months post initiation

• Patient Health Questionnaire-9 Item

  Referral Management Initiation, 1 month post initiation, 3 months post initiation

Study Arms (1)

Team Red Primary Care

EXPERIMENTAL

Eligible patients will receive the Referral Management System in primary care

Behavioral: Referral Management System

Interventions

Referral Management System BEHAVIORAL

Referral Management System (RMS) will address patient-level barriers with the delivery of a 1-session cognitive behavioral therapy (CBT) intervention to identify and change treatment seeking beliefs that serve as an barrier to treatment engagement, including specific negative beliefs about EBP (e.g., "talking about past trauma will be too difficult for me"). RMS will address system-level barriers by tracking the progress of RMS referrals and contacting Veterans who have not followed thought on their chosen referral options. Primary Care staff will also be trained with simple scripts on how to address PTSD symptoms and make appropriate referrals based on VA/DoD Clinical Practice Guidelines for PTSD.

Team Red Primary Care

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Team Red primary care patients,
• have a score of at least 44 on PCL-S and
• able to give informed consent.

You may not qualify if:

• None

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (1)

Syracuse VA Medical Center, Syracuse, NY

Syracuse, New York, 13210, 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: Dr. Kyle Possemato
• Organization: Center for Integrated Healthcare

kyle.possemato@va.gov

315-425-4400

Study Officials

• Kyle Possemato, PhD

  Syracuse VA Medical Center, Syracuse, NY

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 7, 2013
• First Posted: November 14, 2013
• Study Start: January 1, 2014
• Primary Completion: October 1, 2014
• Study Completion: December 1, 2014
• Last Updated: December 16, 2015
• Results First Posted: December 16, 2015

Record last verified: 2015-11

Locations

US (1)