- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00350584
Evaluation of Telehealth Interventions for Post-Trauma Stress
July 28, 2011 updated by: VA Boston Healthcare System
Evaluation of Two Telehealth Interventions Targeting Post-Trauma Stress in Combat Veterans: Comparing Mindfulness and Psychoeducation
Posttraumatic Stress Disorder (PTSD) is very prevalent within the veteran population and is associated with decreased quality of life and an increased risk of developing other psychiatric and physical illnesses.
The overarching objective of the proposed study is to evaluate the effectiveness of two telehealth treatment conditions in promoting healing within a population of veterans with full or partial PTSD.
In particular, we are targeting newly returned veterans from the Iraq and Afghanistan conflicts.
Specifically, we are comparing the relative efficacy of an alternative therapeutic approach, a Mindfulness based treatment, with a Psychoeducation treatment in reducing symptoms of PTSD and more generalized psychiatric symptoms, while increasing quality of life.
Of note, both treatment conditions will consist of two in-person sessions and six brief weekly telephone calls.
Participants will be 58 veterans (29 per condition) recruited from the VA Boston Healthcare System.
Assessment will occur before and after the delivery of the intervention.
We hypothesize that while both treatments will result in improved outcomes, the Mindfulness intervention will promote more healing than the Psychoeducation intervention.
Results from this project will help further our understanding of the role of mindfulness in treating PTSD, particularly in those veterans who are returning from deployment.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Aim: To evaluate the relative feasibility and healing efficacy of two eight-week telehealth interventions for individuals with combat-related PTSD: (1) Mindfulness and (2) Psychoeducation.
Objectives:
The first short-term objective is to determine whether two eight-week telehealth interventions are:
- feasible to conduct in a population of veterans with symptoms of combat-related PTSD;
- effective at promoting healing specific to combat survivors as evidenced by reductions in symptoms of PTSD;
- effective at promoting more generalized healing in combat veterans as evidenced by reductions in symptoms that are often co-morbid with PTSD (e.g., depression, anxiety, and substance abuse problem severity); and
- effective at promoting healing beyond a symptom level in combat veterans as evidenced by increases in quality of life after the interventions.
- The second short-term objective of this study is to determine whether a Mindfulness intervention will be more effective at promoting healing than a Psychoeducation intervention. This comparison will be made on the levels of specific PTSD symptoms, more general co-morbid symptoms, and global quality of life.
- The long-term objectives of this line of research are to identify mechanisms of action in a Mindfulness Telehealth Intervention that allow healing and promote increased quality of life in individuals with PTSD.
- An additional long-term objective of this project is to contribute to the development of efficacious wellness interventions that can promote healing after combat exposure in veterans returning from current military conflicts (e.g. Iraq and Afghanistan).
Hypotheses:
- It is hypothesized that both eight-week telehealth interventions (Mindfulness and Psychoeducation) will be feasible in a population of veterans with symptoms of combat-related PTSD. Specifically, satisfaction and compliance with the interventions is predicted to be high.
- It is hypothesized that both eight-week telehealth interventions (Mindfulness and Psychoeducation) will be effective at promoting healing and reducing symptoms of PTSD. Specifically, it is predicted that levels of PTSD measured post-intervention will be lower than levels measured pre-intervention.
- It is hypothesized that both eight-week telehealth interventions (Mindfulness and Psychoeducation) will be effective at promoting healing and reducing symptoms co-morbid with PTSD. Specifically, it is predicted that levels of depression, anxiety, and substance abuse problem severity measured post-intervention will be lower than levels measured pre-intervention.
- It is hypothesized that both eight-week telehealth interventions (Mindfulness and Psychoeducation) will be effective at improving quality of life. Specifically, it is predicted that levels of quality of life measured post-intervention will be higher than levels measured pre-intervention.
- Although it is hypothesized that both eight-week interventions will be effective at healing for veterans with PTSD symptoms, the holistic Mindfulness intervention is hypothesized to be more effective at promoting healing and reducing symptoms of PTSD and co-morbid disorders and improving quality of life than the Psychoeducation intervention. Specifically, it is predicted that levels of PTSD, depression, anxiety, and substance abuse problem severity will be lower post-intervention and quality of life will be higher for those individuals in the Mindfulness condition than for those in the Psychoeducation condition.
Study Type
Interventional
Enrollment (Actual)
33
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02130
- VA Boston Healthcare System
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- documented United States military service in war or peacekeeping theater
- a current diagnosis of PTSD or partial PTSD
- access to a telephone
Exclusion Criteria:
- veteran's mental status precludes completion of the assessment procedures (e.g., severe organicity or active psychosis)
- the veteran's regimen of psychiatric medication has not been stable over the past two months (if applicable)
- the veteran has symptoms consistent with a diagnosis of alcohol or drug dependence within the past three months.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Mindfulness Telehealth for PTSD
Participants receive two in-person sessions and 6 sessions over the phone.
Participants are introduced to mindfulness concepts.
CDs with guided meditation exercises are given to participants and they are asked to practice between sessions.
|
Two in-person sessions and six telephone sessions with a therapist.
Focus is on learning mindfulness skills.
|
Active Comparator: Psychoeducation Telehealth for PTSD
Participants receive two in-person sessions and six telehealth sessions with education about symptoms of PTSD and coping strategies.
In addition, participants are asked to read short homework assignments and think about them during the week; these are discussed in weekly sessions.
|
Two in-person sessions and six telephone sessions with a therapist.
Focus is on education about PTSD.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Clinician Administered PTSD Scale (CAPS)
Time Frame: pre and post intervention
|
Gold standard instrument to assess symptoms of PTSD.
Administered by a clinician.
|
pre and post intervention
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
PTSD Checklist
Time Frame: pre and post intervention
|
Self-report instrument to assess symptoms of PTSD.
|
pre and post intervention
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Barbara L Niles, Ph.D., VA Boston Healthcare System
- Principal Investigator: Amy K Silberbogen, Ph.D., VA Boston Healthcare System
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
February 1, 2007
Primary Completion (Actual)
April 1, 2008
Study Completion (Actual)
April 1, 2008
Study Registration Dates
First Submitted
July 10, 2006
First Submitted That Met QC Criteria
July 10, 2006
First Posted (Estimate)
July 11, 2006
Study Record Updates
Last Update Posted (Estimate)
July 29, 2011
Last Update Submitted That Met QC Criteria
July 28, 2011
Last Verified
January 1, 2009
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Telehealth for PTSD Symptoms
- SIIB 1 EA-0000043
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Post Traumatic Stress Disorders
-
University of California, Los AngelesDefense Advanced Research Projects Agency; Defense Group, Inc.CompletedPost-traumatic Stress Disorder | Post-Traumatic Stress Disorder, ChronicUnited States
-
Weill Medical College of Cornell UniversityCompletedPost-traumatic Stress Disorder | Complex Post-Traumatic Stress DisorderUnited States
-
Oregon Health and Science UniversityNational Center for Complementary and Integrative Health (NCCIH); Oregon Clinical...CompletedPost-Traumatic Stress DisordersUnited States
-
US Department of Veterans AffairsEmory UniversityWithdrawnPost-Traumatic Stress Disorders
-
University of KonstanzGerman Research Foundation; NGO vivo e.V.; GTZ-German Technical Cooperation,... and other collaboratorsCompletedPost-Traumatic Stress DisordersSri Lanka
-
University of California, Los AngelesRecruitingPost-traumatic Stress Disorder | Post-Traumatic Stress Disorder in ChildrenUnited States
-
University of UtahEunice Kennedy Shriver National Institute of Child Health and Human Development...CompletedPost-Traumatic Stress Disorder in Children | Post-Traumatic Stress Disorder in AdolescenceUnited States
-
University Hospital, ToulouseCompletedPost-traumatic StressFrance
-
University Hospital, LilleNot yet recruiting
-
Steinn SteingrimssonRecruiting
Clinical Trials on Mindfulness Telehealth Intervention
-
Vanderbilt University Medical CenterNational Center for Complementary and Integrative Health (NCCIH)RecruitingChronic Low-back Pain | Postsurgical Pain | Lumbar Spine SurgeryUnited States
-
Vanderbilt University Medical CenterTerminatedPain | Back Pain | Low Back Pain | Chronic Low-back PainUnited States
-
Vanderbilt University Medical CenterNational Center for Complementary and Integrative Health (NCCIH); Osher Center...CompletedChronic Low-back Pain | Opioid Use | Postsurgical Pain | Lumbar Spine SurgeryUnited States
-
Duke UniversityNational Institute of Mental Health (NIMH)Recruiting
-
University of California, Los AngelesPatient-Centered Outcomes Research InstituteCompletedDepression | Anxiety | Developmental Delay | Autism | Behavioral Problems | Adhd | Developmental, Behavioral and Mental HealthUnited States
-
Columbia UniversityNot yet recruitingAdherence to In-Office Glaucoma Evaluation Appointment
-
Duke UniversityCompletedHypertension | Diabetes | Diabetic Kidney DiseaseUnited States
-
Boston Children's HospitalCompleted
-
Georgetown UniversityNot yet recruitingCancer | Periodontal Diseases | Oral Mucositis
-
University of British ColumbiaVancouver Coastal Health Research InstituteNot yet recruitingQuality of Life | Medication Adherence | Asthma ExacerbationCanada