Homecoming Line: Telephone Support for Veterans
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 358
- 试验地点
- 6
- 主要终点
- PTSD Checklist (PCL) Slope
研究概览
简要总结
This study will determine whether telephone support improves clinical outcomes of veterans who begin outpatient treatment for posttraumatic stress disorder. Participants will be randomly assigned to receive either usual care or usual care supplemented by biweekly monitoring and support by telephone during the first 3 months of treatment. Patients in both conditions will be compared on PTSD symptoms, engagement in treatment, violence and drinking at 4 months and 12 months after entering treatment.
详细描述
This multisite randomized controlled trial will test whether a 3-month period of providing telephone monitoring to PTSD patients as a supplement to usual specialty mental health care improves 12-month clinical outcomes (a reduction in PTSD symptoms, violence, and substance use). Secondarily, this study will determine whether telephone monitoring promotes better engagement in outpatient treatment (Number of mental health and psychotherapy visits during the 3-month intervention period).
Demand for VA PTSD treatment is increasing as troops return from combat deployments in Afghanistan and Iraq. Telemedicine is likely to be an important component in developing more effective and efficient models of PTSD care that improves patient functioning and treatment utilization. It is hoped that using telephone case monitoring as an inexpensive adjunct to standard care may improve clinical outcomes and reduce hospitalization among veterans with PTSD.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •VA patients newly entering outpatient treatment mental health treatment for PTSD starting a new phase of outpatient PTSD treatment (e.g., transitioning from a psycho-education group to active psychotherapy) at one of the study sites.
排除标准
- •Active duty personnel
- •Cognitive impairment which precludes giving informed consent
- •Initiating residential or inpatient treatment rather than outpatient treatment
结局指标
主要结局
PTSD Checklist (PCL) Slope
时间窗: 12 months
Slope of improvement on the PTSD Checklist, a self-report measure of PTSD symptoms.
次要结局
- Quality of Life slope(12 months)
- Other mental health visits -- follow-up period(months 4-12)
- Other mental health visits - intervention period(3 months)
- PTSD psychotherapy visits - intervention period(3 months)
- Depression slope(12 months)
- Aggression slope(12 months)
- Prazosin refills (medication possession ratio)(12 months)
- Alcohol problems slope(12 months)
- Drug problems slope(12 months)
- PTSD psychotherapy visits -- follow-up period(months 4-12)
- Selective serotonin reuptake inhibitor refills (medication possession ratio)(12 months)
研究者
Craig S. Rosen, Ph.D.
Deputy Director, National Center for PTSD
VA Palo Alto Health Care System