Telemedicine Outreach for Post Traumatic Stress in CBOCs

Completed · Phase 4

Conditions studied: Posttraumatic Stress Disorder

In brief

The purpose of this study is improved outcomes for veterans with Post Traumatic Stress Disorder (PTSD) treated in small VA Community Based Outpatient Clinics (CBOCs). Although psychotherapy and pharmacotherapy treatments for PTSD have been proven to be efficacious in controlled trials, geographic barriers often prevent veterans from accessing these evidence-based treatments. Telemedicine technologies will be used to overcome geographic barriers to care. Specifically, we will evaluate the Telemedicine Outreach for PTSD (TOP) intervention which is based on the principals of the Chronic Care Model and Disease Management, and builds on the evidence base of quality improvement for depression in primary care settings. The TOP intervention will employ an off-site PTSD care team (tele-psychiatrist, tele-psychologist, tele-pharmacist, and tele-nurse care manager) and will use telemedicine technologies (telephone, interactive video and electronically shared medical records) to treat CBOC patients with a newly emerging or chronic PTSD. We hypothesize that study participants randomized to the TOP intervention will receive higher quality of care and experience better outcomes compared to study participants randomized to treatment as usual.

Key facts

Study ID

NCT00821678

Run by

VA Office of Research and Development

People needed

265

Starts

2009-11-01

Expected to finish

2013-09-01

Last updated by the study team

2019-01-08

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• diagnostic Criteria for PTSD (CAPS),
• veterans,
• treated in CBOC

You may not qualify if…

• schizophrenia,
• bipolar disorder,
• current substance dependence,
• current specialty PTSD treatment at VA Medical Center,
• no access to telephone,
• hearing or speech impediment,
• terminal illness,
• non-capacity to consent

Where it is running

• Central Arkansas Veterans Healthcare System (North Little Rock) — North Little Rock, Arkansas, United States
• VA Medical Center, Loma Linda — Loma Linda, California, United States
• Overton Brooks VA Medical Center, Shreveport, LA — Shreveport, Louisiana, United States

Full record on ClinicalTrials.gov

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