NCT03898271

Brief Summary

The overall goal of this project is improve access to and engagement in quality care for military service personnel and Veterans suffering with posttraumatic stress (PTS). Veterans often present to their primary care providers with symptoms of PTS and related physical problems; however, most primary care providers have not been trained to care for Veterans with PTS or communicate with them in ways that motivate them to engage in care. In this study instigators propose to design, test and prepare to implement a Virtual World PTS and Motivational Interviewing training for primary care providers by taking the following steps: (1) partner with stakeholders to iteratively design the training which takes full advantage of the affordances of Virtual World technology to enhance training interactivity, effectiveness, and durability, (2) perform a randomized control trial to compare the virtual world training with an online training, and (3) summarize the findings and prepare for implementation and dissemination of the new training by soliciting feedback from primary care providers who participated in the training and from original project stakeholders.

Trial Health

80
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
200

participants targeted

Target at P75+ for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

Study Start

First participant enrolled

October 1, 2015

Completed
3.5 years until next milestone

First Submitted

Initial submission to the registry

March 27, 2019

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 1, 2019

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2020

Completed
Last Updated

October 23, 2020

Status Verified

October 1, 2020

Enrollment Period

5 years

First QC Date

March 27, 2019

Last Update Submit

October 21, 2020

Conditions

Post Traumatic Stress Disorder

Keywords

PTSDMotivational Interviewingveteransmilitaryvirtual worldvirtual realityeducationtrainingprimary caremental health

Outcome Measures

Primary Outcomes (2)

  • Motivational Interviewing Treatment Integrity (MITI) Scale

    Use standardized patient interviews to observe change in Motivational Interviewing (MI) skills to assess and manage PTSD symptoms and to motivate engagement in care.

    3 months

  • PTSD Symptom Assessment and Management Scale

    Use standardized patient interviews to observe change in PTSD assessment and management clinical skills.

    3 months

Secondary Outcomes (3)

  • Evaluation of PTSD Knowledge Questionnaire

    3 months

  • Self-Efficacy Around PTSD Questionnaire

    3 months

  • Provider Satisfaction with Training Questionnaire

    3 months

Study Arms (2)

Virtual World Training

EXPERIMENTAL

Synchronous PTSD training in a virtual world environment

Other: Virtual World

Web-based Video Training

ACTIVE COMPARATOR

Asynchronous web-based PTSD training

Other: Virtual World

Interventions

Virtual WorldOTHER

Participants will complete a synchronous PTSD training in an immersive virtual world environment.

Virtual World TrainingWeb-based Video Training

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Primary Care Providers (PCPs) currently practicing adult medicine (including licensed internists, family practitioners, nurse practitioners, physician assistants, allied health professionals and trainees working in Primary Care setting)
  • English-speaking

You may not qualify if:

  • Lack of sufficient time to participate in all required training sessions, homework and evaluations.
  • Lack of a computer capable of running the Virtual World software
  • Retired or retiring during the study period
  • Vision or hearing impaired or other disability precluding the use of a computer or telephone\*

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

San Francisco VA Health Care System

San Francisco, California, 94121, United States

Location

Related Publications (2)

  • Samuelson KW, Koenig CJ, McCamish N, Choucroun G, Tarasovsky G, Bertenthal D, Seal KH. Web-based PTSD training for primary care providers: a pilot study. Psychol Serv. 2014 May;11(2):153-61. doi: 10.1037/a0034855. Epub 2013 Dec 23.

    PMID: 24364595BACKGROUND

  • Manuel JK, Purcell N, Abadjian L, Cardoos S, Yalch M, Hill C, McCarthy B, Bertenthal D, McGrath S, Seal K. Virtual Worlds Technology to Enhance Training for Primary Care Providers in Assessment and Management of Posttraumatic Stress Disorder Using Motivational Interviewing: Pilot Randomized Controlled Trial. JMIR Med Educ. 2023 Aug 28;9:e42862. doi: 10.2196/42862.

    PMID: 37639299DERIVED

Related Links

MeSH Terms

Conditions

Stress Disorders, Post-TraumaticPsychological Well-Being

Condition Hierarchy (Ancestors)

Stress Disorders, TraumaticTrauma and Stressor Related DisordersMental DisordersPersonal SatisfactionBehavior

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

March 27, 2019

First Posted

April 1, 2019

Study Start

October 1, 2015

Primary Completion

September 30, 2020

Last Updated

October 23, 2020

Record last verified: 2020-10

Data Sharing

IPD Sharing
Will not share

Locations

US(1)