Computerized Tailored Intervention for Behavioral Sequelae of PTSD in Veterans

Completed · Not applicable

Conditions studied: Post Traumatic Stress Disorder, Smoking, Anxiety, Depression

In brief

This project assesses the usability and feasibility of a multi-behavioral computerized, tailored intervention (CTI) or expert system delivered via the Internet for veterans with Post-Traumatic Stress symptoms. Three behavioral health risk factors, (1) smoking, (2) depression, and (3) stress, that are associated with Post-Traumatic Stress Disorder (PTSD), are included in the Computerized, Tailored Intervention (CTI) system. The project adapts and modifies an existing CTI system built on the Transtheoretical Model of Behavior Change (TTM) to make it relevant to a veteran population. The system has been successfully utilized with general adult populations. The study utilizes methods that are characteristic of a product development project. Each of the four project phases are sequential and build upon the results of the previous phase. Phase 1 focuses on the review of current CTI programs on smoking cessation, stress management, and depression prevention, and integrating them into a multi-behavioral program for application with veterans. Phase 2 includes the development and adaptation of text-based feedback messages and multimedia components for smoking cessation, stress management, and depression prevention for veterans. Initial testing of the modified CTI programs commences in Phase 3. Cognitive and usability testing with veterans are performed, and additional modifications to the behavioral modules are made based on the test results. Phase 4 focuses on a feasibility study to test the multi-behavioral CTI system with veterans online.

Key facts

Study ID

NCT01510834

Run by

VA Pacific Islands Health Care System

People needed

90

Starts

2011-07-01

Expected to finish

2012-10-01

Last updated by the study team

2017-12-07

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Military Veterans, Operation Iraqi Freedom (OIF)/Operation Enduring Freedom (OEF) service preferred
• 18 years or older
• Ability to read and comprehend English
• Mild to moderate PTSD symptoms
• Cigarette smoking (preferred)
• Mild to moderate depression (preferred)
• Difficulty managing stress
• Comfortable using a computer and access to the Internet

You may not qualify if…

• Present with psychosis, bipolar disorder, active substance use, or cognitive impairment
• Severe depression or suicidal ideation (Patient Health Questionnaire-9)(PHQ-9 >19)
• Severe PTSD symptoms (PTSD Symptom Checklist)(PCL-M >73)

Where it is running

• VA Pacific Island Health Care System — Honolulu, Hawaii, United States
• Dept of Public Health, John A. Burns School of Medicine, University of Hawaii at Manoa — Honolulu, Hawaii, United States
• Pro-Change Behavioral Systems, Inc. — Kingston, Rhode Island, United States

Full record on ClinicalTrials.gov

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