Telemental Health and Cognitive Processing Therapy

  • STATUS
    Recruiting
  • participants needed
    126
  • sponsor
    VA Pacific Islands Health Care System
Updated on 7 November 2020

Summary

The immediate objective of this project is to evaluate the clinical effectiveness of a telemental health modality (video-teleconferencing) for providing an evidence-based group intervention to rural OIF/OEF Reservists, National Guardsmen, and veterans suffering with PTSD. The long-term objective of this project is to develop an empirically sound telemental health protocol that will facilitate the extension of a manual-guided evidence-based PTSD treatment intervention to remote Veterans Affairs (VA) and Department of Defense (DOD) sites through video-teleconferencing (VTC). It is hypothesized that using VTC, will be as effective as the traditional mode of service delivery (in-person) for providing Cognitive Processing Therapy (CPT), a well validated cognitive behavioral treatment for PTSD. It is expected that results from this project can be applied to other VA and DOD locations where similar specialized PTSD clinical services are needed but unavailable due to geographic barriers.

Description

The proposed project is a 4-year prospective randomized clinical trial which conducts a direct comparison of the VTC and in-person modalities using rigorous methodology and a sophisticated analysis of equivalency between clinical and process outcome domains. In addition, cost effectiveness of this modality will be addressed. Approximately 126 combat Reservists, National Guardsmen, or veterans will be recruited from multiple clinical sites. Prospective participants will receive a comprehensive assessment at baseline to determine eligibility. The exclusion criteria selected are consistent with large PTSD randomized clinical trials as well as research using the CPT protocol with military populations with PTSD. The treatment will be delivered twice a week over 6 weeks by a doctoral level psychologist. Quality control procedures will be incorporated into the study's design to ensure integrity, fidelity and standard administration of the CPT intervention across both conditions. Participants will receive additional assessments at mid-treatment, immediately post-treatment, and at 3 and 6 months post-treatment. Outcome domains include: 1) clinical outcomes (symptom severity, social functioning); 2) process outcomes (perception of treatment, satisfaction, group therapy alliance, treatment compliance, and attrition and treatment credibility); and (3) cost-effectiveness outcomes.

Details
Condition Post-Traumatic Stress Disorder
Treatment Cognitive Processing Therapy, CPT via Videoteleconference
Clinical Study IdentifierNCT00769977
SponsorVA Pacific Islands Health Care System
Last Modified on7 November 2020

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