Peer-Delivered Whole Health Coaching for Veterans With PTSD

NCT03364192 | Completed Results

• 1 other identifier: D2476-M
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators are evaluating a service called peer-delivered Whole Health Coaching to understand how it can help Veterans with PTSD. This project has two main goals: (1) determine how peer-delivered Whole Health Coaching can help Veterans with post-traumatic stress disorder and (2) learning about feasibility of implementing this service in Veterans Health Administration primary care settings. The investigators are also evaluating feasibility of the research methods in this trial to learn how to improve future studies on this topic. Whole Health Coaching is a service designed to improve health and wellness. It is a variation of integrative health coaching and is being used in Veterans Health Administration medical centers. In Whole Health Coaching, Veterans will work with coaches to develop a personal health mission, develop specific goals and action steps, and then adjust their plan as needed. Coaches provide guidance and support throughout the process. In this project, a peer support specialist working in primary care will be the coach. VA Peer Support Specialists, "peers", are Veterans recovering from a mental health condition trained to help other Veterans improve their health. All participants will receive peer-delivered Whole Health Coaching. Participants will be randomly assigned a start date for their first session with the Peer Whole Health Coach between 4 and 13 weeks after they start the study. The information provided during this time prior to the first session helps us understand how participants do on their own without the service. The research components include interviews and questionnaires about health and wellness, goals, and experiences with the service. Veterans who participate in the study will complete short questionnaires twice a week for 6 months and have four longer appointments where more questions will be asked. Participants will also be given the opportunity to provide feedback on the service.

Conditions

PTSD

Keywords

Whole Health Coaching; Integrative Health Coaching; Peer Support Specialist; Personalized Health Plan

Outcome Measures

Primary Outcomes (1)

• Goal Attainment Scaling (GAS)

  Goal Attainment Scaling (GAS) is a systematic method used to evaluate participants' individualized goals and progress towards Whole Health goals. Scores range from 0-10 for each domain of whole health measured with higher scores indicating more positive outcomes. Each participant's GAS score reflects the GAS score from the goal domain(s) that the participant identified as primary during the course of the intervention. For participants with multiple goals, GAS scores were average across domains.

  Participants completed GAS twice weekly throughout the entire 24 week study period and scores were compared over time.

Secondary Outcomes (3)

• PTSD Checklist for DSM-5 (PCL-5)

  Participants completed the PCL-5 at baseline, pre-treatment, post-treatment, and final follow-up assessments over the course of the 24 week study period.

• Inventory of Psychosocial Functioning (IPF)

  Participants completed the IPF at baseline, pre-treatment, post-treatment, and final follow-up assessments over the course of the 24 week study period.

• Client Satisfaction Questionnaire

  8 weeks following intervention onset

Study Arms (1)

Peer-delivered Whole Health Coaching

EXPERIMENTAL

Whole Health Coaching is a Veterans Health Administration variation of integrative health coaching. For this study it will be administered by a peer support specialist.

Behavioral: Whole Health Coaching

Interventions

Whole Health Coaching BEHAVIORAL

Veterans Health Administration variation of integrative health coaching.

Peer-delivered Whole Health Coaching

Eligibility Criteria

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

You may qualify if:

• Veteran status
• Enrolled in primary care at the Syracuse VA (and affiliated CBOCs) and seen in primary care within the past year
• Probable PTSD defined as screening positive for a Criterion A event and PTSD Checklist for DSM-5 (PCL-5) score 33

You may not qualify if:

• Unable to communicate in spoken and written English
• Gross cognitive impairment
• Current symptoms of mania/psychosis
• At risk for suicide
• Engaged in psychotherapy in a non-primary care setting
• Changes to psychotropic medications for PTSD within the last 2 months
• Preference for direct referral to specialty mental healthcare

Sponsors & Collaborators

• VA Office of Research and Development: lead
• US Department of Veterans Affairs: collaborator

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: Emily M. Johnson, Ph.D., PI
• Organization: VA Center for Integrated Healthcare

Emily.Johnson1@va.gov

315-425-4400

Study Officials

• Emily Johnson, PhD

  Syracuse VA Medical Center, Syracuse, NY

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

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

Model Details: All participants will receive peer-delivered Whole Health Coaching but the start date will be randomized between 4 and 13 weeks from initiation of the study.

Study Record Dates

• First Submitted: November 30, 2017
• First Posted: December 6, 2017
• Study Start: May 1, 2018
• Primary Completion: October 31, 2019
• Study Completion: October 31, 2019
• Last Updated: December 21, 2020
• Results First Posted: December 21, 2020

Record last verified: 2020-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)