NCT07220681

Brief Summary

The goal of this clinical trial is to determine whether which types of integrative care, meaning a combination of psychotherapy and mind-body interventions, lead to the most changes in functioning among Veterans with posttraumatic stress disorder (PTSD). The main aims are:

  1. 1.To evaluate the impact of integrative care approaches on functional outcomes among Veterans with PTSD.
  2. 2.To examine factors relevant to the implementation of integrated treatments for PTSD from the perspective of patients, providers and administrators in the VA Healthcare System.
  3. 3.Complete assessments at the beginning of the study and 12- and 24-weeks later.
  4. 4.Engage in 12 weeks of integrated care, with the type being randomly assigned.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
300

participants targeted

Target at P75+ for not_applicable

Timeline
41mo left

Started Jan 2026

Longer than P75 for not_applicable

Geographic Reach
1 country

4 active sites

Status
not yet recruiting

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 Progress9%
Jan 2026Sep 2029

First Submitted

Initial submission to the registry

October 22, 2025

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 24, 2025

Completed
2 months until next milestone

Study Start

First participant enrolled

January 5, 2026

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2029

Expected
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2029

Last Updated

January 7, 2026

Status Verified

October 1, 2025

Enrollment Period

3.5 years

First QC Date

October 22, 2025

Last Update Submit

January 6, 2026

Conditions

Keywords

PTSDcomplementary and integrative healthVeteransimplementation

Outcome Measures

Primary Outcomes (1)

  • Inventory of Psychosocial Functioning (IPF)

    The IPF is a self-report measure of functioning across several domains. It is summarized in a mean score with higher scores indicating greater functional impairment.

    weeks 0, 12 and 24

Secondary Outcomes (3)

  • Clinician Administered PTSD Scale for DSM-5 Revised (CAPS-5R)

    weeks 0, 12 and 24

  • Quick Inventory of Depressive Symptomatology (QIDS)

    weeks 0, 12 and 24

  • Insomnia Severity Index (ISI)

    weeks 0, 12 and 24

Study Arms (4)

Usual care

ACTIVE COMPARATOR

Information about local and national complementary and integrative health programs

Other: Information

Yoga and meditation

EXPERIMENTAL

Hatha yoga classes via videoconferencing and self-learning of Mantram Repetition Program

Behavioral: Yoga and meditationOther: Information

Wellness

EXPERIMENTAL

Weekly exercise/nutrition classes to support lifestyle changes

Behavioral: WellnessOther: Information

Positive affect

EXPERIMENTAL

Weekly classes focused on increasing positive affect and social support

Behavioral: Positive affectOther: Information

Interventions

12 weekly 60-minute hatha yoga classes and access to video-based training in a portable mantra-based meditation practice

Yoga and meditation
WellnessBEHAVIORAL

12 weekly 60-minute classes to provide education about exercise and nutrition and facilitate lifestyle changes

Wellness
Positive affectBEHAVIORAL

12 weekly 60-minute classes to teach strategies for increasing positive affect and to provide social connection

Positive affect

Provision of written information about local and national complementary and integrative care resources

Positive affectUsual careWellnessYoga and meditation

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • clinical diagnosis
  • eligibility for Cognitive Processing Therapy (CPT) at a participating VA site
  • able to consent to study activities

You may not qualify if:

  • current, active engagement in one of the included approaches (per clinician judgment)
  • medical conditions that contraindicate engaging in the experimental interventions

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

VA Central Arkansas Healthcare System

Little Rock, Arkansas, 72205-5446, United States

Location

VA San Diego Healthcare System

San Diego, California, 92161, United States

Location

VA Portland Healthcare System

Portland, Oregon, 97239-2964, United States

Location

VA North Texas Healthcare System

Dallas, Texas, 75216-7167, United States

Location

MeSH Terms

Conditions

Stress Disorders, Post-Traumatic

Interventions

YogaMeditationHealth

Condition Hierarchy (Ancestors)

Stress Disorders, TraumaticTrauma and Stressor Related DisordersMental Disorders

Intervention Hierarchy (Ancestors)

Mind-Body TherapiesComplementary TherapiesTherapeuticsSpiritual TherapiesExercise Movement TechniquesPhysical Therapy ModalitiesRelaxation TherapyBehavior TherapyPsychotherapyBehavioral Disciplines and ActivitiesPopulation Characteristics

Central Study Contacts

Ariel J Lang, PhD, MPH

CONTACT

Haley Suit, MA

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: * Hybrid Type 1 study, simultaneously assessing efficacy and gathering information relevant to implementation * "Drop the loser" adaptive design, whereby any experimental condition lagging behind the other conditions will be discontinued after interim analysis
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 22, 2025

First Posted

October 24, 2025

Study Start

January 5, 2026

Primary Completion (Estimated)

June 30, 2029

Study Completion (Estimated)

September 30, 2029

Last Updated

January 7, 2026

Record last verified: 2025-10

Data Sharing

IPD Sharing
Will share

Deidentified datasets will be made available via National Institutes of Mental Health Data Archive (NDA). The study protocol, statistical analysis plan and ICF/HIPAA form will be available on clinical.trials.gov.

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
Data and supporting information will be available within 1 year of the conclusion of the trial and archived according to the standards of the hosting archives.
Access Criteria
Unique research resources will be readily available for research purposes to members of academic institutions, non-profit organizations, and commercial partners after the completion of data analysis, presentations, and publications
More information

Locations