- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01723215
Prevention of Combat-related PTSD Using Attention Bias Modification (ABM): A Randomized Controlled Trial
17. marts 2015 opdateret af: Yair Bar-Haim, Tel Aviv University
Prevention of Posttraumatic Symptoms in IDF Soldiers Using Attention Bias Modification (ABM): A Randomized Controlled Trial
Military deployment to combat zones involves exposure to trauma at a higher than average rate and therefore presents a unique opportunity to study predisposing factors to posttraumatic stress reactions and test strategies designed to prevent and ameliorate posttraumatic symptoms.
Decades of scientific research on the origins of resilience and vulnerability to combat-related posttraumatic stress symptoms revealed various predisposing and protective factors.
All these factors however, offer limited opportunity for systematic pre-deployment prevention efforts.
Considering the magnitude of psychological adjustment difficulties encountered by combat personnel in deployment and the limited access to existing evidence-based therapies for PTSD, the development and testing of a novel evidence-based and theory-driven prevention protocol for these problems is of considerable significance.
The current study translates cognitive-neuroscience knowledge and attention bias modification research into a novel computerized training tool that could be easily delivered to soldiers during different stages of the deployment cycle.
If proved efficacious in reducing risk for posttraumatic symptoms ABMT could be integrated into the Army's resilience training program.
Thus, we propose a longitudinal double-blind randomized controlled study of ABMT in soldiers.
We will assess attention bias and symptoms before deployment, will randomly assign soldiers to either 8 ABMT sessions, 4 ABMT sessions, 8 Placebo training sessions, or no training.
Following 6 months of deployment to combat zone symptoms will be assessed again.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
862
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
-
-
Beer sheva, Israel
- IDF Military camps
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år til 28 år (Voksen)
Tager imod sunde frivillige
Ja
Køn, der er berettiget til at studere
Han
Beskrivelse
Inclusion Criteria:
- combat soldiers
Exclusion Criteria:
- Fluent Hebrew
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Faktoriel opgave
- Maskning: Firedobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Aktiv komparator: Active ABMT8
Active ABMT8 8 active ABMT sessions (10 min.
each, over 7-8 weeks) designed to promote adaptive threat attendance
|
Active ABMT8 8 active ABMT sessions (10 min.
each, over 7-8 weeks) designed to promote adaptive threat attendance
|
|
Aktiv komparator: Active ABMT4
Active ABMT4 4 active ABMT sessions (10 min.
each, over 7-8 weeks) designed to promote adaptive threat attendance
|
Active ABMT4 4 active ABMT sessions (10 min.
each, over 7-8 weeks) designed to promote adaptive threat attendance
|
|
Ingen indgriben: Control
Control: will not receive any intervention
|
|
|
Placebo komparator: Placebo
Placebo: will receive 4 training sessions(10 min.
each, over 7-8 weeks) using the same task and stimuli as in the active arms, but not designed to change attention patterns
|
Placebo: will receive 4 training sessions(10 min.
each, over 7-8 weeks) using the same task and stimuli as in the active arms, but not designed to change attention patterns
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Changes in PTSD symptoms(PCL)
Tidsramme: Pre-treatment(baseline), after first deployment, 10 days after combat, 4 months after combat
|
1. pre-treatment 2.after first deployment 3.10 days after combat 4. 4 months after combat
|
Pre-treatment(baseline), after first deployment, 10 days after combat, 4 months after combat
|
|
Probable PTSD diagnosis(CAPS)
Tidsramme: Four months after combat
|
Four months after combat
|
Four months after combat
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Changes in Depression(PHQ-9)) and Anxiety(STAI)
Tidsramme: Pre-treatment(baseline), after first deployment, 10 days after combat, 4 months after combat
|
1. Pre-treatment(baseline) 2.after first deployment 3.10 days after combat 4. 4 months after combat
|
Pre-treatment(baseline), after first deployment, 10 days after combat, 4 months after combat
|
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Attention Bias Scores
Tidsramme: Pre-traetment baseline and in deployment
|
Attention bias scores measured in milliseconds using the dot-probe task
|
Pre-traetment baseline and in deployment
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Eyal Fruchter, Mental Health Department IDF
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Bar-Haim Y. Research review: Attention bias modification (ABM): a novel treatment for anxiety disorders. J Child Psychol Psychiatry. 2010 Aug;51(8):859-70. doi: 10.1111/j.1469-7610.2010.02251.x. Epub 2010 May 6.
- Bar-Haim Y, Holoshitz Y, Eldar S, Frenkel TI, Muller D, Charney DS, Pine DS, Fox NA, Wald I. Life-threatening danger and suppression of attention bias to threat. Am J Psychiatry. 2010 Jun;167(6):694-8. doi: 10.1176/appi.ajp.2009.09070956. Epub 2010 Apr 15.
- Wald I, Fruchter E, Ginat K, Stolin E, Dagan D, Bliese PD, Quartana PJ, Sipos ML, Pine DS, Bar-Haim Y. Selective prevention of combat-related post-traumatic stress disorder using attention bias modification training: a randomized controlled trial. Psychol Med. 2016 Sep;46(12):2627-36. doi: 10.1017/S0033291716000945. Epub 2016 Jul 5.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. december 2012
Primær færdiggørelse (Faktiske)
1. februar 2015
Studieafslutning (Faktiske)
1. februar 2015
Datoer for studieregistrering
Først indsendt
5. november 2012
Først indsendt, der opfyldte QC-kriterier
6. november 2012
Først opslået (Skøn)
7. november 2012
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
19. marts 2015
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
17. marts 2015
Sidst verificeret
1. marts 2015
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- TelAvivU
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med PTSD
-
University of PittsburghAfsluttetPTSD | Ikke PTSDForenede Stater
-
Acacia ClinicsElectroCore INC; Vagus Nerve SocietyRekrutteringPTSD | Post traumatisk stress syndrom | Posttraumatisk stresslidelse | Posttraumatisk stresslidelse (PTSD) | Posttraumatisk stresslidelse PTSD | PTSD - Posttraumatisk stresslidelse | Posttraumatisk stresslidelse, PTSDForenede Stater
-
COMPASS PathwaysIkke rekrutterer endnuPTSD | PTSD, posttraumatisk stresslidelse | PTSD Symptomer | PTSD - Posttraumatisk stresslidelse
-
Region ÖstergötlandAfsluttetPTSD | PTSD (fødselsrelateret) | Posttraumatisk stress | PTSD - Posttraumatisk stresslidelse | Fødselsrelateret PTSDSverige
-
Imperial College Healthcare NHS TrustImperial College LondonRekruttering
-
VA Office of Research and DevelopmentSan Diego Veterans Healthcare SystemAfsluttet
-
University of Wisconsin, MadisonNational Institute of Mental Health (NIMH)Afsluttet
-
VA Office of Research and DevelopmentAfsluttet
-
Oregon Health and Science UniversityNational Center for Advancing Translational Sciences (NCATS); Oregon Clinical...Afsluttet
-
Creighton UniversityAfsluttetPTSDForenede Stater
Kliniske forsøg med Active ABMT8
-
Universidad Complutense de MadridUkendtAtletisk præstationSpanien
-
Maastricht University Medical CenterB. Braun/Aesculap SpineAfsluttetIntervertebral diskforskydning | DiskektomiHolland
-
José Casaña GranellUniversity of Alcalá. Physiotherapy in Women's Health (FPSM) Research...AfsluttetUfrivillig vandladning | Bækkenbundslidelser | Bækkenbundsmuskelsvaghed | Urininkontinens, stressSpanien
-
Aesculap Implant SystemsAfsluttetDegenerativ diskussygdomForenede Stater