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PTSDNCT02417025

Innovative Delivery of Evidence Based Psychotherapy to Women With Military Sexual Trauma

A study testing PE in people with PTSD and Stress Disorders, Post - Traumatic, run by Medical University of South Carolina at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to determine whether a scientifically validated treatment for Posttraumatic Stress Disorder (PTSD) called Prolonged Exposure (PE) can be delivered effectively to Veterans with Military Sexual Trauma (MST) related PTSD using videoconferencing technology, which allows a therapist and patient… Read more about this study

Who is it for?
Ages 21 years and older, women only
What is being tested?
PE
Could I receive a placebo?
No, everyone receives an active treatment
How many people
136 participants
Where
1 siteUnited States
Study dates
Aug 2014to 29 Nov 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • MST-related index event
  • Diagnosis of PTSD-related MST
  • Female

Who cannot join

  • Having a household member of spouse who is already enrolled in the study
  • Active psychosis or dementia
  • Suicidal and/or homicidal ideation with clear intent
  • Current substance dependence
  • Concurrent enrollment in another clinical trial for PTSD or depression
  • Unwilling to make regular appointments (note that if the participant has medical/transportation barriers that render her unable to make set appointments, this is not grounds for exclusion).

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Ralph H. Johnson VAMC

    Charleston, South Carolina, 29401

Other trials in United States

About this study

Official title: Do You Really Expect Me to Get MST Care in a VA Where Everyone is Male? Innovative Delivery of Evidence Based Psychotherapy to Women With Military Sexual Trauma (MST)

The purpose of this study is to determine whether a scientifically validated treatment for Posttraumatic Stress Disorder (PTSD) called Prolonged Exposure (PE) can be delivered effectively to Veterans with Military Sexual Trauma (MST) related PTSD using videoconferencing technology, which allows a therapist and patient who are not in the same room as one another to communicate. The investigators are interested in learning if this form of mental health service delivery is an acceptable alternative to traditional face-to-face therapy delivered with the therapist in the same room as the patient. This study is being conducted at the Charleston VA Medical Center and surrounding Community-Based Outpatient Clinics (CBOCs), and will involve approximately 100 female participants.

Read the detailed description

The purpose of this project is to test, using mixed qualitative and quantitative assessment strategies, the efficacy of PE delivered via home-based telehealth (PE-HBT) versus PE delivered via standard service delivery (PE-SD) using a randomized, between groups, repeated measures design.

Objective 1: To compare, at post, 3 and 6-month follow-up, whether PE-HBT is superior to PE-SD across critical clinical and quality of life outcomes (i.e., PTSD, depression, quality of life) due to increased PE 'dosing' that results from improved session attendance and reduced attrition.

Hypothesis 1: In intent-to-treat analyses, PE-HBT will be more effective than PE-SD at improving clinical and quality of life outcomes at post, 3, and 6-month follow-up; improvement will correlate with session attendance, which will be higher in PE-HBT.

Objective 2: To compare at post-intervention whether PE-HBT is superior to PE-SD across critical process outcomes (e.g., session attendance, satisfaction, and treatment adherence).

Hypothesis 2: PE-HBT will yield better process outcomes than PE-SD post-intervention.

Exploratory Aims: (1) To determine if treatment adherence and other process variables mediate the relationship between treatment condition and clinical and quality of life outcomes as noted in Objective 1; and (2) To use qualitative interviewing methods to obtain data on Veterans' reactions, preferences, difficulties, and suggestions for MST services.

Being tested
PE
Keywords
Military, Health Service Delivery, Telepsychology, Prolonged Exposure, Off-duty Activity of Military Personnel
Medical subject headings
Stress Disorders, Post-Traumatic, Combat Disorders, Anxiety Disorders, Mental Disorders, Stress Disorders, Traumatic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PEBehavioural

    Prolonged Exposure

Study groups in NCT02417025
Study groupRoleWhat they receive
PE-HBTExperimentalProlonged Exposure via home-based telehealth (i.e., completed using videoconferencing technology)
Receives: Behavioral: PE
PE-SDActive comparatorProlonged Exposure via standard delivery (i.e., completed in person at the therapist's office)
Receives: Behavioral: PE

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants Receiving Prolonged Exposure Treatment via Telemedicine with significantly decreased PTSD symptoms Compared to Number of Participants Receiving Prolonged Exposure Treatment with Standard In-Person Delivery

    Measured: 36 weeks

Secondary outcomes (40)
  1. Veteran (VR) Short Form (SF) -12 Health Survey (VR-12)

    The VR-12 is short measure designed to assess participants' views on their current health, how they are feeling at this time point, and how well they are able to do their usual activities. It also asks questions regarding how daily activities are/have been hindered by problems with their physical health.

    Measured: Baseline

  2. Veteran (VR) Short Form (SF) -12 Health Survey (VR-12)

    The VR-12 is short measure designed to assess participants' views on their current health, how they are feeling at this time point, and how well they are able to do their usual activities. It also asks questions regarding how daily activities are/have been hindered by problems with their physical health.

    Measured: 13 weeks

  3. Veteran (VR) Short Form (SF) -12 Health Survey (VR-12)

    The VR-12 is short measure designed to assess participants' views on their current health, how they are feeling at this time point, and how well they are able to do their usual activities. It also asks questions regarding how daily activities are/have been hindered by problems with their physical health.

    Measured: 24 weeks

  4. Veteran (VR) Short Form (SF) -12 Health Survey (VR-12)

    The VR-12 is short measure designed to assess participants' views on their current health, how they are feeling at this time point, and how well they are able to do their usual activities. It also asks questions regarding how daily activities are/have been hindered by problems with their physical health.

    Measured: 36 weeks

  5. Index of Functional Impairment (IFI)

    The Index of Functional Impairment (IFI) is a self-report inventory of functional impairment. Patients rate their level of functioning across multiple psychosocial domains including romantic relationships, employment, and educational achievement.

    Measured: Baseline

  6. Index of Functional Impairment (IFI)

    The Index of Functional Impairment (IFI) is a self-report inventory of functional impairment. Patients rate their level of functioning across multiple psychosocial domains including romantic relationships, employment, and educational achievement.

    Measured: 13 weeks

  7. Index of Functional Impairment (IFI)

    The Index of Functional Impairment (IFI) is a self-report inventory of functional impairment. Patients rate their level of functioning across multiple psychosocial domains including romantic relationships, employment, and educational achievement.

    Measured: 24 weeks

  8. Index of Functional Impairment (IFI)

    The Index of Functional Impairment (IFI) is a self-report inventory of functional impairment. Patients rate their level of functioning across multiple psychosocial domains including romantic relationships, employment, and educational achievement.

    Measured: 36 weeks

  9. Treatment Credibility Questionnaire

    This questionnaire is used to assess for differences in outcome expectancy using treatment credibility scales. The questionnaire asks how the participant feels about the current treatment she is receiving, how logical it seems, how likely she would be to recommend it to a friend, and how successful she believes it is in decreasing different symptoms of PTSD, such as fear.

    Measured: 13 weeks

  10. Charleston Psychiatric Outpatient Satisfaction Scale (CPOSS)

    The CPOSS is a 16-item questionnaire that assesses the participant's attitudes about the Charleston VA facility, such as the quality of care she received at the hospital, the helpfulness of the secretary, clear and correct monthly documentation of problems in her medical record, etc.

    Measured: 13 weeks

  11. Mini International Neuropsychiatric Interview (M.I.N.I.)

    The MINI is a brief structured interview that assesses the criteria for DSM-V Axis I diagnoses. The MINI will be used to assess for a diagnosis of current depression, panic symptoms, generalized anxiety symptoms, eating disorders, psychotic symptoms and to screen for substance dependence.

    Measured: Baseline

  12. Mini International Neuropsychiatric Interview (M.I.N.I.)

    The MINI is a brief structured interview that assesses the criteria for DSM-V Axis I diagnoses. The MINI will be used to assess for a diagnosis of current depression, panic symptoms, generalized anxiety symptoms, eating disorders, psychotic symptoms and to screen for substance dependence.

    Measured: 36 weeks

  13. Alcohol Use Disorder Identification Test (AUDIT)

    The AUDIT is a 10-item measure that assesses the level of the participant's drinking. Questions include how many drinks a participant has during a day or on occasions, possible harmful consequences of drinking, and feelings of remorse about drinking.

    Measured: Baseline

  14. Alcohol Use Disorder Identification Test (AUDIT)

    The AUDIT is a 10-item measure that assesses the level of the participant's drinking. Questions include how many drinks a participant has during a day or on occasions, possible harmful consequences of drinking, and feelings of remorse about drinking.

    Measured: 13 weeks

  15. Alcohol Use Disorder Identification Test (AUDIT)

    The AUDIT is a 10-item measure that assesses the level of the participant's drinking. Questions include how many drinks a participant has during a day or on occasions, possible harmful consequences of drinking, and feelings of remorse about drinking.

    Measured: 24 weeks

  16. Alcohol Use Disorder Identification Test (AUDIT)

    The AUDIT is a 10-item measure that assesses the level of the participant's drinking. Questions include how many drinks a participant has during a day or on occasions, possible harmful consequences of drinking, and feelings of remorse about drinking.

    Measured: 36 weeks

  17. Drug Abuse Screening Test (DAST-10)

    The DAST-10 is a 10-item measure designed to assess for illegal drug use (not including alcohol) for the past month.

    Measured: Baseline

  18. Drug Abuse Screening Test (DAST-10)

    The DAST-10 is a 10-item measure designed to assess for illegal drug use (not including alcohol) for the past month.

    Measured: 13 weeks

  19. Drug Abuse Screening Test (DAST-10)

    The DAST-10 is a 10-item measure designed to assess for illegal drug use (not including alcohol) for the past month.

    Measured: 24 weeks

  20. Drug Abuse Screening Test (DAST-10)

    The DAST-10 is a 10-item measure designed to assess for illegal drug use (not including alcohol) for the past month.

    Measured: 36 weeks

  21. Pittsburgh Sleep Quality Index (PSQI)

    The PSQI is a 19-item commonly used and well validated self-report measure of sleep quality and disturbance. Scores on the PSQI range from 0 to 21, with rating of 5 or higher indicative of poor sleep quality.

    Measured: Baseline

  22. Pittsburgh Sleep Quality Index (PSQI)

    The PSQI is a 19-item commonly used and well validated self-report measure of sleep quality and disturbance. Scores on the PSQI range from 0 to 21, with rating of 5 or higher indicative of poor sleep quality.

    Measured: 13 weeks

  23. Pittsburgh Sleep Quality Index (PSQI)

    The PSQI is a 19-item commonly used and well validated self-report measure of sleep quality and disturbance. Scores on the PSQI range from 0 to 21, with rating of 5 or higher indicative of poor sleep quality.

    Measured: 24 weeks

  24. Pittsburgh Sleep Quality Index (PSQI)

    The PSQI is a 19-item commonly used and well validated self-report measure of sleep quality and disturbance. Scores on the PSQI range from 0 to 21, with rating of 5 or higher indicative of poor sleep quality.

    Measured: 36 weeks

  25. Sexual Assault Related Mental Contamination Scale (SARA)

    This abbreviated version of the 80-item SARA scale assesses the participant's perceptions of her sexual assault/rape.

    Measured: Baseline

  26. Sexual Assault Related Mental Contamination Scale (SARA)

    This abbreviated version of the 80-item SARA scale assesses the participant's perceptions of her sexual assault/rape.

    Measured: 13 weeks

  27. Sexual Assault Related Mental Contamination Scale (SARA)

    This abbreviated version of the 80-item SARA scale assesses the participant's perceptions of her sexual assault/rape.

    Measured: 24 weeks

  28. Sexual Assault Related Mental Contamination Scale (SARA)

    This abbreviated version of the 80-item SARA scale assesses the participant's perceptions of her sexual assault/rape.

    Measured: 36 weeks

  29. Beck Depression Inventory - II (BDI-II)

    Beck Depression Inventory-II is a 21 item measure of depressive severity with higher total scores indicative of more severe depression.

    Measured: Baseline

  30. Beck Depression Inventory - II (BDI-II)

    Beck Depression Inventory-II is a 21 item measure of depressive severity with higher total scores indicative of more severe depression.

    Measured: 13 weeks

  31. Beck Depression Inventory - II (BDI-II)

    Beck Depression Inventory-II is a 21 item measure of depressive severity with higher total scores indicative of more severe depression.

    Measured: 24 weeks

  32. Beck Depression Inventory - II (BDI-II)

    Beck Depression Inventory-II is a 21 item measure of depressive severity with higher total scores indicative of more severe depression.

    Measured: 36 weeks

  33. PTSD Checklist, 5th Version (PCL-5)

    The PCL-5 is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD. The PCL-5 has a variety of purposes, including, monitoring symptom change during and after treatment, screening individuals for PTSD, and making a provisional PTSD diagnosis. Description information provided by the National Center for PTSD.

    Measured: Baseline

  34. PTSD Checklist, 5th Version (PCL-5)

    The PCL-5 is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD. The PCL-5 has a variety of purposes, including, monitoring symptom change during and after treatment, screening individuals for PTSD, and making a provisional PTSD diagnosis. Description information provided by the National Center for PTSD.

    Measured: 13 weeks

  35. PTSD Checklist, 5th Version (PCL-5)

    The PCL-5 is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD. The PCL-5 has a variety of purposes, including, monitoring symptom change during and after treatment, screening individuals for PTSD, and making a provisional PTSD diagnosis. Description information provided by the National Center for PTSD.

    Measured: 24 weeks

  36. PTSD Checklist, 5th Version (PCL-5)

    The PCL-5 is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD. The PCL-5 has a variety of purposes, including, monitoring symptom change during and after treatment, screening individuals for PTSD, and making a provisional PTSD diagnosis. Description information provided by the National Center for PTSD.

    Measured: 36 weeks

  37. Clinical Administrated PTSD Scale (CAPS)

    The Clinician Administered PTSD (Posttraumatic stress disorder) Scale (CAPS) is a 30-item structured interview that corresponds to the Diagnostic and Statistical Manual of Mental Disorders, 5th Version (DSM-V) criteria for PTSD. The CAPS can be used to make a current (past month) or lifetime diagnosis of PTSD or to assesses symptoms over the past week.

    Measured: Baseline

  38. Clinical Administrated PTSD Scale (CAPS)

    The Clinician Administered PTSD (Posttraumatic stress disorder) Scale (CAPS) is a 30-item structured interview that corresponds to the Diagnostic and Statistical Manual of Mental Disorders, 5th Version (DSM-V) criteria for PTSD. The CAPS can be used to make a current (past month) or lifetime diagnosis of PTSD or to assesses symptoms over the past week.

    Measured: 13 weeks

  39. Clinical Administrated PTSD Scale (CAPS)

    The Clinician Administered PTSD (Posttraumatic stress disorder) Scale (CAPS) is a 30-item structured interview that corresponds to the Diagnostic and Statistical Manual of Mental Disorders, 5th Version (DSM-V) criteria for PTSD. The CAPS can be used to make a current (past month) or lifetime diagnosis of PTSD or to assesses symptoms over the past week.

    Measured: 24 weeks

  40. Clinical Administrated PTSD Scale (CAPS)

    The Clinician Administered PTSD (Posttraumatic stress disorder) Scale (CAPS) is a 30-item structured interview that corresponds to the Diagnostic and Statistical Manual of Mental Disorders, 5th Version (DSM-V) criteria for PTSD. The CAPS can be used to make a current (past month) or lifetime diagnosis of PTSD or to assesses symptoms over the past week.

    Measured: 36 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Apr 2015 (estimated)
  2. Study startAug 2014
  3. Primary completion29 Nov 2019
  4. Study completion29 Nov 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
136 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02417025
Sponsor's protocol ID
Pro00034989
Status last verified
Dec 2019
First submitted
15 Dec 2014
Last updated
24 Dec 2019
Results posted
No
Data monitoring committee
Yes

Publications

  • Acierno R, Jaffe AE, Gilmore AK, Birks A, Denier C, Muzzy W, Lopez CM, Tuerk P, Grubaugh AL. A randomized clinical trial of in-person vs. home-based telemedicine delivery of Prolonged Exposure for PTSD in military sexual trauma survivors. J Anxiety Disord. 2021 Oct;83:102461. doi: 10.1016/j.janxdis.2021.102461. Epub 2021 Aug 8.

    PubMed 34391978

Questions about this trial

What is this clinical trial studying?

A study testing PE in people with PTSD and Stress Disorders, Post - Traumatic, run by Medical University of South Carolina at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Dec 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants Receiving Prolonged Exposure Treatment via Telemedicine with significantly decreased PTSD symptoms Compared to Number of Participants Receiving Prolonged Exposure Treatment with Standard In-Person Delivery (time frame: 36 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02417025, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Dec 2019.

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