Firefighters Accessing Care for Trauma: A Clinical Case Series Testing the Efficacy of Distance-Delivered Narrative Exposure Therapy in Reducing PTSD/I Symptoms
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 19
- 试验地点
- 1
- 主要终点
- Change in depressive symptoms
研究概览
简要总结
Repeated exposure to trauma is an unavoidable part of the job for firefighters. Because of this, many Canadian firefighters screen positive for posttraumatic stress disorder/injury (PTSD/I). Unfortunately, like the general population, firefighters face many barriers to accessing mental health care. As a result, additional efforts are needed to increase timely access to effective PTSD/I services that are delivered in a way that reduces confidentiality and stigma risk.
This research study will test the preliminary efficacy and feasibility of distance-delivered Narrative Exposure Therapy (NET) delivered by a paraprofessional for firefighters with PTSD/I. NET is an evidence-based intervention approach developed specifically for PTSD/I resulting from repeated and continuous trauma. The intervention will be conducted via videoconference with a trained paraprofessional supervised by a clinical psychologist. The NET intervention will consist of 12 weekly 90-minute videoconference sessions.
Approximately 25 firefighters will be recruited to participate in the study. To test the efficacy of the intervention, participants will complete self-report questionnaires about PTSD/I and other mental health symptoms pre- and post-intervention as well as two- and six-months following intervention completion. Participants will also complete an open-ended interview at the end of the intervention to assess feasibility and participant satisfaction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants must meet the following criteria to be eligible to move on to Consent
- •Be at least 19 years of age
- •Be able to understand spoken and written English at a Grade 8 level
- •Be employed, or have been employed, by the fire service or be current or past fire service volunteers.
- •Fulfill the criteria of full or subclinical PTSD/I according to the PCL-
- •Have access to a computer with Internet.
- •Live in Atlantic Canada or Ontario.
- •Consent to be audio- (for consent and interview) and video-recorded (for intervention sessions).
排除标准
- •Having a psychotropic medication change in the past three weeks.
- •Are currently engaged in or have previously been engaged in exposure therapy for PTSD/I.
- •Meet criteria for current mania or psychosis.
- •Endorse suicidal ideation with plan or intent.
- •Experience high levels of dissociation (as assessed by a score of >18.5 on the Shutdown Dissociation Scale).
研究组 & 干预措施
Narrative Exposure Therapy
Firefighters will receive distance-delivered NET administered by a paraprofessional.
干预措施: Distance-delivered NET (Behavioral)
结局指标
主要结局
Change in depressive symptoms
时间窗: Baseline,Immediately Post-intervention, 2 month follow up, 6 month follow up
Depression symptoms will be measured using the Patient Health Questionnaire (PHQ-9)
Change in PTSD/I symptoms
时间窗: Baseline, Immediately Post- intervention, 2 month follow up, 6 month follow up
PTSD/I symptoms are measured with the PTSD Checklist - 5 (PCL-5)
Disability
时间窗: Baseline, Immediately Post-intervention, 2 month follow up, 6 month follow up
Disability will be measured with the Sheehan Disability Scale
次要结局
- Physical Health(Baseline, Immediately Post-intervention, 2 month follow up, 6 month follow up)
- Intervention Perceptions and Satisfaction(Immediately Post-Intervention)
- Health Service Use(Baseline, Immediately Post-intervention, 2 month follow up, 6 month follow up)
- Recruitment Rates(Baseline)
- Anxiety Symptoms(Baseline, Immediately Post-intervention, 2 month follow up, 6 month follow up)
- Intervention Adherence(Immediately Post-Intervention)
- Coach Alliance(Immediately Post-Intervention)
研究者
Patrick J. McGrath
Principal Investigator
IWK Health Centre