Peer-Delivered Whole Health Coaching for Veterans With PTSD
Peer-Delivered Whole Health Coaching to Improve Recovery in Veterans With PTSD
The investigators are evaluating a service called peer-delivered Whole Health Coaching to understand how it can help Veterans with PTSD. This project has two main goals: (1) determine how peer-delivered Whole Health Coaching can help Veterans with post-traumatic stress disorder and (2) learning about feasibility of implementing this service in Veterans Health Administration primary care settings. The investigators are also evaluating feasibility of the research methods in this trial to learn how to improve future studies on this topic.
Whole Health Coaching is a service designed to improve health and wellness. It is a variation of integrative health coaching and is being used in Veterans Health Administration medical centers. In Whole Health Coaching, Veterans will work with coaches to develop a personal health mission, develop specific goals and action steps, and then adjust their plan as needed. Coaches provide guidance and support throughout the process. In this project, a peer support specialist working in primary care will be the coach. VA Peer Support Specialists, "peers", are Veterans recovering from a mental health condition trained to help other Veterans improve their health.
All participants will receive peer-delivered Whole Health Coaching. Participants will be randomly assigned a start date for their first session with the Peer Whole Health Coach between 4 and 13 weeks after they start the study. The information provided during this time prior to the first session helps us understand how participants do on their own without the service. The research components include interviews and questionnaires about health and wellness, goals, and experiences with the service. Veterans who participate in the study will complete short questionnaires twice a week for 6 months and have four longer appointments where more questions will be asked. Participants will also be given the opportunity to provide feedback on the service.
Descripción general del estudio
Descripción detallada
The investigators are evaluating a service called peer-delivered Whole Health Coaching to understand how it can help Veterans with PTSD. This project has two main goals: (1) determine how peer-delivered Whole Health Coaching can help Veterans with post-traumatic stress disorder and (2) learning about feasibility of implementing this service in Veterans Health Administration primary care settings. The investigators are also evaluating feasibility of the research methods in this trial to learn how to improve future studies on this topic.
Whole Health Coaching is a service designed to improve health and wellness. It is a variation of integrative health coaching and is being used in Veterans Health Administration medical centers. In Whole Health Coaching, Veterans will work with coaches to develop a personal health mission, develop specific goals and action steps, and then adjust their plan as needed. Coaches provide guidance and support throughout the process. In this project, a peer support specialist working in primary care will be the coach. VA Peer Support Specialists, "peers", are Veterans recovering from a mental health condition trained to help other Veterans improve their health.
All participants will receive peer-delivered Whole Health Coaching. Participants will be randomly assigned a start date for their first session with the Peer Whole Health Coach between 4 and 13 weeks after they start the study. The information provided during this time prior to the first session helps us understand how participants do on their own without the service. The research components include interviews and questionnaires about health and wellness, goals, and experiences with the service. Veterans who participate in the study will complete short questionnaires twice a week for 6 months and have four longer appointments where more questions will be asked. Participants will also be given the opportunity to provide feedback on the service.
Tipo de estudio
Inscripción (Actual)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
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New York
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Syracuse, New York, Estados Unidos, 13210
- Syracuse VA Medical Center, Syracuse, NY
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Veteran status
- Enrolled in primary care at the Syracuse VA (and affiliated CBOCs) and seen in primary care within the past year
- Probable PTSD defined as screening positive for a Criterion A event and PTSD Checklist for DSM-5 (PCL-5) score 33
Exclusion Criteria:
- Unable to communicate in spoken and written English
- Gross cognitive impairment
- Current symptoms of mania/psychosis
- At risk for suicide
- Engaged in psychotherapy in a non-primary care setting
- Changes to psychotropic medications for PTSD within the last 2 months
- Preference for direct referral to specialty mental healthcare
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Cuidados de apoyo
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Experimental: Peer-delivered Whole Health Coaching
Whole Health Coaching is a Veterans Health Administration variation of integrative health coaching.
For this study it will be administered by a peer support specialist.
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Veterans Health Administration variation of integrative health coaching.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Goal Attainment Scaling (GAS)
Periodo de tiempo: Participants completed GAS twice weekly throughout the entire 24 week study period and scores were compared over time.
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Goal Attainment Scaling (GAS) is a systematic method used to evaluate participants' individualized goals and progress towards Whole Health goals.
Scores range from 0-10 for each domain of whole health measured with higher scores indicating more positive outcomes.
Each participant's GAS score reflects the GAS score from the goal domain(s) that the participant identified as primary during the course of the intervention.
For participants with multiple goals, GAS scores were average across domains.
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Participants completed GAS twice weekly throughout the entire 24 week study period and scores were compared over time.
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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PTSD Checklist for DSM-5 (PCL-5)
Periodo de tiempo: Participants completed the PCL-5 at baseline, pre-treatment, post-treatment, and final follow-up assessments over the course of the 24 week study period.
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The PTSD Checklist for DSM-5 (PCL-5) is a measure of participants' PTSD symptoms.
The total sum score ranges from 0-80 with lower scores indicating more positive outcomes.
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Participants completed the PCL-5 at baseline, pre-treatment, post-treatment, and final follow-up assessments over the course of the 24 week study period.
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Inventory of Psychosocial Functioning (IPF)
Periodo de tiempo: Participants completed the IPF at baseline, pre-treatment, post-treatment, and final follow-up assessments over the course of the 24 week study period.
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The Inventory of Psychosocial Functioning (IPF) is a measure of psychosocial functioning across several domains.
The total score was used for this project and reflects a composite of multiple subscales (romantic relationships, family, work, friendships and socializing, parenting, education, and self care).
Scores range from 0-100 with lower scores indicating more positive outcomes.
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Participants completed the IPF at baseline, pre-treatment, post-treatment, and final follow-up assessments over the course of the 24 week study period.
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Client Satisfaction Questionnaire
Periodo de tiempo: 8 weeks following intervention onset
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Measure of participants' satisfaction with the peer-delivered Whole Health Coaching service.
CSQ-8 scores range from 8-32 with higher values indicating more positive outcomes.
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8 weeks following intervention onset
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Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Investigador principal: Emily Johnson, PhD, Syracuse VA Medical Center, Syracuse, NY
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Otros números de identificación del estudio
- D2476-M
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
producto fabricado y exportado desde los EE. UU.
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Ensayos clínicos sobre TEPT
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VA Office of Research and DevelopmentTerminadoComportamientos de crianza y síntomas de PTSDEstados Unidos
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University of Alabama at BirminghamTerminadoDesarrollo del PTSD después de un desastre naturalEstados Unidos
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United States Naval Medical Center, San DiegoTerminadoPTSD - Trastorno de Estrés Postraumático
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Herzog HospitalMetiv Israel Psychotrauma CenterReclutamientoPTSD, trastorno de estrés postraumático | Daño MoralIsrael
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VA Boston Healthcare SystemThe University of Texas Health Science Center at San Antonio; Fort Belvoir Community...TerminadoPTSD, trastorno de estrés postraumáticoEstados Unidos
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White River Junction Veterans Affairs Medical CenterTerminadoEstimulación de Electroterapia Craneal en el Tratamiento del Trastorno de Estrés Postraumático (CES)PTSD, trastorno de estrés postraumáticoEstados Unidos
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United States Naval Medical Center, San DiegoTerminadoPTSD, trastorno de estrés postraumáticoEstados Unidos
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University of California, Los AngelesAún no reclutandoPsicoterapia | Adolescentes | PTSD, trastorno de estrés postraumáticoEstados Unidos
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Hôpital Universitaire SahloulTerminadoPTSD, trastorno de estrés postraumático | Diagnóstico, Psiquiátrico | Hacer un seguimientoTúnez
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Minneapolis Veterans Affairs Medical CenterAún no reclutandoLesión cerebral traumática | Trastorno depresivo mayor | PTSD, trastorno de estrés postraumáticoEstados Unidos
Ensayos clínicos sobre Whole Health Coaching
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-
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Scott & White Health PlanTerminado
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Food and Health Bureau, Hong KongReclutamiento