- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02944994
Effectiveness of a Unified Transdiagnostic Treatment in Routine Care
Effectiveness of a Unified Transdiagnostic Treatment in Routine Clinical Care
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Massachusetts
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Boston, Massachusetts, United States, 02130
- VA Boston Healthcare System
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria for Veteran Participants:
- VA Boston Health Care Patient:
Definition: Currently enrolled as a patient at VA Boston Healthcare System
- Diagnosis of an emotional disorder Definition: Diagnostic and Statistical Manual-5 (DSM-5) diagnosis of any emotional disorder (anxiety disorder, traumatic stress disorders, or unipolar depression)
- Cognitive Functioning:
Definition: free of cognitive impairment demonstrated by ability to understand and provide consent
- Psychotherapy:
Definition: not currently in psychotherapy for an emotional disorder treated in the study
Stakeholder Inclusion Criteria
- Provider Status:
Definition: Providing or overseeing mental health treatment in VA Boston Healthcare System and VA Puget Sound Healthcare System
Exclusion Criteria:
- Veteran Participant Exclusionary Criteria
- Current diagnosis of substance dependence (but not abuse)
- Primary diagnosis of bipolar disorder
- Current diagnosis of psychosis
- High suicidal risk (plan with intent)
- Recent change in psychiatric medications (< 3 months prior to entering the study).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Unified Protocol
Unified Protocol-psychotherapy
|
This is a transdiagnostic cognitive behavioral therapy
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Experimental: Routine Care
Routine Care psychotherapy comparison
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This arm will reflect typical care received in routine mental health care
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Barriers and facilitators that impact implementation of the intervention measured by the Consolidated Framework for Implementation Research (CFIR)
Time Frame: One time assessment, occurring on 1 day, approximately 4 months after treatment initiation
|
These interviews will occur at one time point and will be analyzed with Qualitative Comparative Analyses guided by the Consolidated Framework for Implementation Research.
Qualitative analyses are often descriptive in nature and a summary of common themes are reported to speak to factors impacting implementation of the intervention in this population.
NVivo software will be used to aggregate the qualitative interviews from all participants and highlight the common themes across CFIR interviews
|
One time assessment, occurring on 1 day, approximately 4 months after treatment initiation
|
Change in clinician administered Anxiety Disorders Interview Scheduled will be used to generate clinical diagnoses for mental health disorders
Time Frame: 7 months
|
Change will be examined from baseline through the end of treatment.
For each participant it will be reported if there was a change in each participants clinician administered diagnostic assessment and the resulting clinician severity rating for each mental health diagnosis.
This assessment will be used in conjunction with the CAPS-5 (outcome 3) to inform the presence or absence of clinical diagnoses at baseline and follow-up.
Each has it's own metric, but can be used to show the presence or absence of a clinical level of the diagnosis
|
7 months
|
Change in Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) will be used to asses the presence or absence of a clinical diagnosis of PTSD
Time Frame: 7 months
|
Change will be examined from baseline through the end of treatment.
For each participant it will be reported if there was a change in each participants clinician administered diagnostic assessment and the resulting severity rating for a PTSD diagnosis.
This assessment will be used in conjunction with the ADIS-5 (outcome 2) to inform the presence or absence of clinical diagnoses at baseline and follow-up.
Each has it's own metric, but can be used to show the presence or absence of a clinical level of the diagnosis.
They cannot be combine into one variable unless a dichotomous score is calculated to indicate a clinical diagnosis more broadly is present versus absent.
|
7 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Cassidy Gutner, PhD, Boston University
Publications and helpful links
Study record dates
Study Major Dates
Study Start
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- H-33257
- K23MH103396 (U.S. NIH Grant/Contract)
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
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.
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