- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02283333
Treatment of Prolonged Grief Disorder in Combat Veterans (PGD)
The purpose of this study is to compare the efficacy of an experimental treatment (termed BATE-G) for Prolonged Grief Disorder (PGD) in Veterans compared to the current, VA-approved standard of care treatment. Currently, treatments for grief in Veterans remain understudied. Our research group has recently completed pilot work on an innovative, technology-leveraged treatment protocol for PGD that combines Behavioral Activation with Therapeutic Exposure (BATE) and appears readily applicable to the Veteran and Military populations. Per the VA / DoD Iraq War Clinician Guide, 2nd ed., the current standard of treatment is Cognitive Restructuring and Supportive Grief Counseling.
The study will enroll 140 Veterans, aged 21 years and older, who served in any combat era. All Veterans will meet criteria for PGD. There will be assessments at baseline, 1 week, 3 months, and 6 months post treatment. During the treatment phase, Veterans will undergo 7 weekly sessions of either BATE-G or standard treatment. Sessions 2-6 will be delivered via televideo to the Veteran's home.
We hypothesize that BATE-G will be more effective than standard treatment in reducing symptoms of PGD, both at post-treatment and follow-up. Moreover, BATE-G will be more effective in reducing acute emotional distress and preventing long-term emotional distress in terms of general depression and anxiety symptoms. BATE-G will result in increased frequency of completed positively reinforcing, community-based events when compared to Cognitive Restructuring and Supportive Grief Counseling. BATE-G will also result in greater improvements in perceived social support and health.
Note: This project is the first evidence-based treatment for PGD in military populations, thus addressing a significant service gap.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
South Carolina
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Charleston, South Carolina, United States, 29401-5799
- Ralph H. Johnson VA Medical Center, Charleston, SC
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Charleston, South Carolina, United States, 29401
- Medical University of South Carolina
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Participants may be either Active Duty Service Personnel/Veterans of any service era.
Participants may be male or female,
- age 21 and above,
- with a diagnosis of Prolonged Grief Disorder.
- Veterans starting a new psychotropic medication at baseline will be asked to wait 4 weeks for medication stabilization before starting the study.
Exclusion Criteria:
- Actively psychotic or demented persons,
- Individuals with both suicidal ideation and clear intent,
- Individuals with homicidal ideation and or intent,
- Individuals meeting criteria for substance dependence,
- Individuals who cannot or are unwilling to schedule regular weekly appointments (with the exception of Veterans who have medical and/or transportation barriers,
- Individuals who are already enrolled in another trial for PTSD and/or depression will be excluded.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: BATE-G
Behavioral Activation and Therapeutic Exposure - Grief therapy are delivered in 7 weekly sessions to the participant.
|
Behavioral Activation and Therapeutic Exposure - Grief therapy is delivered in 7 weekly sessions to the participant.
|
Active Comparator: Standard Treatment
Cognitive Restructuring and Supportive Grief Counseling are delivered in 7 weekly sessions to the participant.
|
Cognitive Restructuring and Supportive Grief Counseling is delivered in 7 weekly sessions to the participant.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Inventory of Complicated Grief - Revised (ICG-R)
Time Frame: Baseline
|
The Inventory of Complicated Grief (ICG) Revised is a self-report instrument that allows for the dimensional assessment of the severity of complicated grief symptoms.
It has 34 items with scores ranging from 30 to 150.
Min score 50; max score 143 indicated at baseline.
Higher scores indicate worse outcomes.
|
Baseline
|
Inventory of Complicated Grief - Revised (ICG-R)
Time Frame: 8 weeks
|
The Inventory of Complicated Grief (ICG) is a self-report instrument that allows for the dimensional assessment of the severity of complicated grief symptoms.
It has 34 items with scores ranging from 30 to 150.
Min score 33.31; max score 133 indicated at post.
Higher scores indicate worse outcomes.
|
8 weeks
|
Inventory of Complicated Grief - Revised (ICG-R)
Time Frame: 3 months
|
The Inventory of Complicated Grief (ICG) is a self-report instrument that allows for the dimensional assessment of the severity of complicated grief symptoms.
It has 34 items with scores ranging from 30 to 150.
Min score 31.97;
max score 150 indicated at 3 month.
Higher scores indicate worse outcomes.
|
3 months
|
Inventory of Complicated Grief - Revised (ICG-R)
Time Frame: 6 months
|
The Inventory of Complicated Grief (ICG) is a self-report instrument that allows for the dimensional assessment of the severity of complicated grief symptoms.
It has 34 items with scores ranging from 30 to 150.
Min score 30; max score 141 indicated at 6 month.
Higher scores indicate worse outcomes.
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Beck Depression Inventory - II (BDI-II)
Time Frame: Baseline
|
Beck Depression Inventory-II is a 21 item measure of depressive severity with scores ranging from 0 to 63. Min score 0; max score 61 indicated at baseline.
Higher scores indicate worse outcomes.
|
Baseline
|
PTSD Checklist for DSM-5 (PCL 5)
Time Frame: Baseline
|
The PCL-5 is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD with scores ranging from 0 to 80.
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.
Min score 2; max score 76 indicated at baseline.
Higher scores indicate worse outcomes.
|
Baseline
|
Beck Depression Inventory - II (BDI-II)
Time Frame: 8 weeks
|
Beck Depression Inventory-II is a 21 item measure of depressive severity with scores ranging from 0 to 63. Min score 0; max score 58 indicated at post.
Higher scores indicate worse outcomes.
|
8 weeks
|
Beck Depression Inventory - II (BDI-II)
Time Frame: 3 months
|
Beck Depression Inventory-II is a 21 item measure of depressive severity with scores ranging from 0 to 63. Min score 0; max score 52 indicated at 3 month.
Higher scores indicate worse outcomes.
|
3 months
|
Beck Depression Inventory - II (BDI-II)
Time Frame: 6 months
|
Beck Depression Inventory-II is a 21 item measure of depressive severity with scores ranging from 0 to 63. Min score 0; max score 58 indicated at 6 month.
Higher scores indicate worse outcomes.
|
6 months
|
PTSD Checklist for DSM-5 (PCL 5)
Time Frame: 8 weeks
|
The PCL-5 is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD with scores ranging from 0 to 80.
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.
Min score 0; max score 72 indicated at post.
Higher scores indicate worse outcomes.
|
8 weeks
|
PTSD Checklist for DSM-5 (PCL 5)
Time Frame: 3 months
|
The PCL-5 is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD with scores ranging from 0 to 80.
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.
Min score 0; max score 76 indicated at 3 month.
Higher scores indicate worse outcomes.
|
3 months
|
PTSD Checklist for DSM-5 (PCL 5)
Time Frame: 6 months
|
The PCL-5 is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD with scores ranging from 0 to 80.
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.
Min score 0; max score 76 indicated at 6 month.
Higher scores indicate worse outcomes.
|
6 months
|
Collaborators and Investigators
Investigators
- Principal Investigator: Ron E. Acierno, PhD MS BA, Ralph H. Johnson VA Medical Center, Charleston, SC
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CLNA-001-14S
- CX001102 (Other Grant/Funding Number: VA CSR&D)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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