Reducing PTSD Symptoms in First Responders and Frontline Healthcare Workers Through Trauma-focused Treatment in Employee Assistance Programs
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Post Traumatic Stress Disorder
- Sponsor
- University of Michigan
- Enrollment
- 410
- Locations
- 12
- Primary Endpoint
- Change in Post-Traumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5) score
- Status
- Recruiting
- Last Updated
- 10 months ago
Overview
Brief Summary
This study addresses PTSD symptoms in First Responders and Healthcare workers. Specifically, it tests whether a brief PTSD treatment (talk therapy) effectively treats PTSD when provided to First Responders and Healthcare workers by counselors in Employee Assistance Programs (EAPs).
The central hypothesis is that the PTSD treatment, Prolonged Exposure for Primary Care (PE-PC), will reduce PTSD symptoms and improve functioning, compared to EAP Treatment as Usual (TAU).
Investigators
Rebecca Sripada
Associate Professor of Psychiatry
University of Michigan
Eligibility Criteria
Inclusion Criteria
- •Are employees at an orginization served by a participating EAP
- •Have a Post-Traumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5) score ≥33
- •Have had psychotropic medication stability for at least 4 weeks
- •Inclusion criteria for the qualitative portion of the study:
- •Enrolled into the randomized clinical trial and were a treatment responder or were a treatment non-responder
Exclusion Criteria
- •Severe cognitive impairment that in the judgment of the investigators makes it unlikely that the participant can adhere to the study regimen (as evidenced by confusion, inability to track discussion or answer questions, or other clear and significant indicators of cognitive impairment)
- •High risk of suicide (defined as meeting criteria for Action Step 3 on the Participant Suicide Risk Screening form: found in protocol)
- •Need for detoxification
- •Active psychosis or unmanaged bipolar disorder, as measured by items 12 and 13 of the cross cutting assessment
- •Currently engagement in a trauma-focused behavioral treatment (such as Prolonged Exposure or Cognitive Processing Therapy).
- •Patients who do not speak English will be excluded for logistical reasons.
Outcomes
Primary Outcomes
Change in Post-Traumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5) score
Time Frame: baseline to 6 months
The PCL-5 is a 20-item self-report measure that assesses symptoms of PTSD. The self-report rating scale is 0-4 for each symptom. The minimum and maximum values are 0 and 80, with higher scores indicating worse outcome.
Secondary Outcomes
- Change in Patient Satisfaction based on the Client Satisfaction Questionnaire (CSQ-8)(baseline to 6 months)
- Change in Job Performance based on the Work Productivity and Activity Impairment Questionnaire (WPAI-GH)(baseline to 6 months)
- Change in Depressive Symptoms based on the Patient Health Questionnaire (PHQ-9)(baseline to 6 months)
- Change in Burnout based on the Oldenburg Burnout Inventory(baseline to 6 months)