Improving Veteran Adherence to Treatment for PTSD Through Partnering With Families (NCT03256227) | Clinical Trial Compass
CompletedNot Applicable
Improving Veteran Adherence to Treatment for PTSD Through Partnering With Families
United States128 participantsStarted 2018-01-15
Plain-language summary
Evidence-based psychotherapies (EBP) for PTSD, such as Prolonged Exposure (PE), result in clinically significant symptom relief for many. Yet, adherence to this treatment (i.e., session attendance and homework compliance), which is vital to ensuring recovery, can be poor. This project will test the effectiveness of improving family support for PE as a tool to improve Veterans' PE adherence. Reducing rates of dropout from PE will positively impact Veterans' health and well-being and lower the cost of treating PTSD. Additionally, despite congressional legislation and national mandates within VA/DoD for family involvement in PTSD care, there remains no proven strategies for how to routinely include family in traditional individual (i.e., one-on-one) EBPs for PTSD. This proposal will provide the initial test of a model of family engagement that can be translated to other problems faced by Veterans, including suicide prevention, traumatic brain injury (TBI) rehabilitation, and pain management, contributing to a broader evolution towards evidence-based, family-inclusive care.
Who can participate
Age range18 Years
SexALL
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Inclusion criteria
✓. Male or female veterans at least 18 years old. Recruitment is limited to Veterans enrolled in VHA care.
✓. Participant meets DSM-5 diagnostic criteria for PTSD or subthreshold PTSD. Consistent with recommendations, subthreshold PTSD will be defined as endorsement of criteria A (trauma), F (duration), and G (impairment), with at least one symptom from each of the remaining diagnostic criteria (Brancu et al., 2016).
✓. Has an intimate partner, family member, or friend with whom they have contact with at least 3 times a week
✓. Willing to allow this person to participate in the study.
✓. Provides informed consent.
✓. Speaks and reads English.
Exclusion criteria
✕. Current suicidal or homicidal ideation with intent and/or plan.
✕. Meets DSM-5 criteria for a manic of psychotic episode in the past 3 months.
✕. Meets DSM-5 diagnostic criteria for a severe substance use disorder in the past 3 months. Of note, subjects can be abusing or dependent upon nicotine or marijuana and still be included in the study.
✕. Moderate relationship violence between the identified support person and the Veteran, defined as one or more episodes of severe violence in the past year (e.g., punched, kicked, or beat up).
✕. Support person screens positive for PTSD on a self-report instrument (PCL).
✕. Having an ongoing medical condition that would interfere with ability to attend weekly treatment sessions.
✕. Having any planned upcoming major medical procedures over the next several months that would interfere with ability to attend weekly treatment sessions.
✕. Veteran and/or SP fails to complete baseline survey