A Trial of Treatment for Trauma-Related Nightmares in Active Duty Military Personnel
A Pilot Randomized Controlled Trial of Treatment for Trauma-Related Nightmares Compared to Waitlist Control in Active Duty Military Personnel
2 other identifiers
interventional
47
1 country
1
Brief Summary
The purpose of this study is to obtain preliminary data of the efficacy of Exposure, Relaxation, and Rescripting Therapy for nightmares among active duty military personnel.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Feb 2016
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 29, 2015
CompletedFirst Posted
Study publicly available on registry
July 23, 2015
CompletedStudy Start
First participant enrolled
February 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2017
CompletedApril 2, 2019
March 1, 2019
1.3 years
June 29, 2015
April 1, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Number of nightmares reported on the Nightmare Log
Change from baseline to 2-week posttreatment
Secondary Outcomes (4)
Total score on the Insomnia Severity Index (ISI)
Change from baseline to 2-week posttreatment
Total score on the Clinician Administered PTSD Scale (CAPS-5)
Change from baseline to 2-week posttreatment
Total score on the PTSD Checklist -DSM-5 (PCL-5)
Change from baseline to 2-week posttreatment
Total score on the Patient Health Questionnaire (PHQ-9)
Change from baseline to 2-week posttreatment
Study Arms (2)
ERRT-M for Nightmares
EXPERIMENTALExposure, Relaxation, and Rescripting Therapy Military version (ERRT-M) -
Waitlist control
NO INTERVENTIONParticipants randomized to the Waitlist control condition will be contacted once weekly for 5 weeks to monitored status and then invited to participant in treatment.
Interventions
Exposure, Relaxation, and Rescripting Therapy Military version (ERRT-M) - Five 60-90 minute sessions administered once weekly. ERRT-M includes psychoeducation, sleep habit modification, relaxation training, written exposure to and rescription of nightmare content and imagery rehearsal of rescripted dream content.
Eligibility Criteria
You may qualify if:
- Active duty military stationed at Fort Hood as assessed by self-report.
- Able to speak and read English.
- History of a traumatic event.
- Nightmare Disorder
- Stable on psychotropic and/or hypnotic medications and/or interventions for sleep (e.g., Continuous Positive Air Pressure for sleep apnea) administered by other providers for at least one month assessed by self-report and review of medical record.
- Willingness to refrain from beginning new behavioral health or medication treatment for issues pertaining to sleep, PTSD, or nightmares during participation in the study.
- Indication that the SM plans to be in the area for the 5 months following the first assessment
You may not qualify if:
- Current suicide or homicide risk meriting crisis intervention.
- Severe brain damage, assessed by the inability to comprehend baseline questionnaires.
- Pregnancy at baseline.
- Serious mental health diagnosis such as bipolar disorder or psychosis, assessed with the pre-treatment health interview and review of medical record.
- Currently taking propranolol.
- Currently engaged in evidence-based treatment for PTSD (i.e., Prolonged Exposure Therapy or Cognitive Processing Therapy) or Insomnia (i.e., Cognitive Behavioral Therapy for Insomnia).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Carl R Darnall Army Medical Center
Fort Hood, Texas, 76544, United States
Related Publications (1)
Pruiksma KE, Taylor DJ, Mintz J, Nicholson KL, Rodgers M, Young-McCaughan S, Hall-Clark BN, Fina BA, Dondanville KA, Cobos B, Wardle-Pinkston S, Litz BT, Roache JD, Peterson AL; STRONG STAR Consortium. A pilot randomized controlled trial of cognitive behavioral treatment for trauma-related nightmares in active duty military personnel. J Clin Sleep Med. 2020 Jan 15;16(1):29-40. doi: 10.5664/jcsm.8116. Epub 2019 Nov 26.
PMID: 31957648DERIVED
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 29, 2015
First Posted
July 23, 2015
Study Start
February 1, 2016
Primary Completion
June 1, 2017
Study Completion
June 1, 2017
Last Updated
April 2, 2019
Record last verified: 2019-03
Data Sharing
- IPD Sharing
- Will not share