Adapting Treatment Delivery to Improve Retention in Evidence-Based PTSD Treatment
- Conditions
- Stress Disorders, Post-Traumatic
- Interventions
- Other: EBP-TAUOther: EBP-Massed
- Registration Number
- NCT06335589
- Lead Sponsor
- VA Office of Research and Development
- Brief Summary
Posttraumatic stress disorder (PTSD) is prevalent among Veterans and effective evidence-based psychotherapies (EBPs) for PTSD have been implemented within the Veterans Health Administration (VHA). However, retention in PTSD EBPs is poor. Premature dropout is associated with worse clinical outcomes and greater healthcare utilization. Delivery of PTSD EBPs in a massed format, typically three or more days per week delivered within a month, have shown promise for increasing retention. The present study is a pilot feasibility and acceptability study comparing massed PTSD treatment to treatment as usual (e.g., typically weekly treatment).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 30
- Veterans aged 18 years or older;
- meets criteria for current PTSD;
- willingness to be randomized to either condition (e.g., EBP-Massed or EBP-TAU);
- decision to receive CPT or PE in a treatment planning session with a Durham Trauma Recovery Program clinic provider;
- ability to provide informed consent
- High acute suicide risk;
- active manic symptoms that would likely interfere with treatment;
- active psychotic symptoms that would likely interfere with treatment;
- currently in a concurrent trauma-focused evidence-based treatment for PTSD
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description EBP-TAU EBP-TAU PTSD evidence-based psychotherapies are delivered treatment as usual, which is typically once per week. EBP-Massed EBP-Massed PTSD evidence-based psychotherapies are delivered in a massed format (e.g., intended be delivered at least three times per week).
- Primary Outcome Measures
Name Time Method Acceptability of Intervention (AIM) Immediately after treatment completion or discontinuation (weeks 0-20) Veterans' perceived acceptability of massed treatment for PTSD; scale score ranges from 1-5; greater score = greater acceptability
Clinician Administered PTSD Scale for DSM-5 (CAPS-5) Severity Score 3 Month Follow up PTSD Symptom Severity - Clinician Assessed; range 0-80; higher scores = greater severity.
Treatment completion Immediately after treatment completion or discontinuation (weeks 0-20) Proportion of Veterans who complete a full course of an assigned PTSD treatment
Client Satisfaction Questionnaire-8 (CSQ-8) Post-treatment (weeks 0-20) Veterans' perceived satisfaction of assigned treatment; range 8-32; greater scores = greater satisfaction
- Secondary Outcome Measures
Name Time Method Brief Inventory of Psychosocial Functioning (BIPF) 3 Month Follow up PTSD-related psychosocial functioning; higher scores = more functional impairment. Items are scored on a Likert scale from 0 (never) to 6 (always). Participants are instructed to skip any item that does not reflect a domain that they have participated in over the past 30 days. The B-IPF is scored by summing the scored items to create a total score, dividing the total score by the maximum possible score based on the number of items scored, and multiplying by 100.
Session attendance Post-treatment (weeks 0-20) The number of sessions attended of the assigned treatment
Patient Health Questionnaire-9 (PHQ-9) 3 Month Follow Up Self-reported depression; range = 0-27; higher scores = more severe symptoms
Trial Locations
- Locations (1)
Durham VA Medical Center, Durham, NC
🇺🇸Durham, North Carolina, United States