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
- 2
- 主要终点
- Change in PTSD/I 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).
结局指标
主要结局
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)
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)
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