The Effects of Home-Based Telemental Health for Rural Veterans With PTSD

Completed

Conditions studied: Stress Disorders, Post-Traumatic

In brief

The intent of this study is to assess whether cognitive functioning improves as Post-Traumatic Stress Disorder (PTSD) symptoms decrease as a step toward developing an objective measure of PTSD improvement. The study also evaluates the feasibility and effectiveness of home-based telemental health care (HBTMH) compared to usual care in the treatment of rural Veterans with posttraumatic stress disorder (PTSD). For this assessment-only study, the investigators plan to assess approximately 200 Veterans in total, of which 150 will be undergoing regular evidenced-based therapy (EBT) for PTSD, and 50 will be receiving other treatment as usual (TAU). The 150 veterans in the EBT group will be undergoing Cognitive Processing Therapy (CPT), Cognitive-Behavioral Couple Therapy (CBCT), Prolonged Exposure (PE), or Seeking Safety (SS) treatment for PTSD in clinic or via home-based telemental health (HBTMH). The study will also assess a comparison group of approximately 50 rural Veterans with PTSD diagnoses who are receiving treatment as usual (TAU) (neither EBT nor HBTMH). The HBTMH patients will be recruited from an Office of Rural Health (ORH) funded project to VA Pacific Island Health Care System (VAPIHCS), based at the National Center for PTSD (NCPTSD) and funded to offer 100 rural Veterans mental health treatment in their homes. This research protocol intends to assess rural veterans with PTSD who are being seen within this clinic versus those who have been referred for HBTMH yet who are ineligible for pragmatic purposes, with outcomes including feasibility, cost-effectiveness, and clinical effectiveness. The cognitive change will also be measured in patients with PTSD diagnoses receiving EBT PTSD treatment at VA clinics in the Pacific Islands.

Key facts

Study ID

NCT02295410

Run by

VA Pacific Islands Health Care System

People needed

66

Starts

2013-05-01

Expected to finish

2015-03-01

Last updated by the study team

2017-11-06

Who can join

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

You may qualify if…

• Participants must have a referral to the HBTMH Clinic or VA clinic for PTSD treatment as well as:
• ability to use a keyboard
• the ability to demonstrate a thorough understanding of the study and willingness to participate
• comfort using a tablet device and the Internet, or willingness to learn
• have agreed to return the tablet and headset after the study (TAU and HBTMH-only)
• adequate (or corrected) vision and hearing
• ability to read and write at an 8th grade level or higher.

You may not qualify if…

• clinical disqualification (current psychosis, active homicidal or suicidal intent or within the past six months)
• significant cognitive impairment as determined by inability to sufficiently comprehend the study goals, risks and benefits.
• To determine this, potential research participants will be asked to summarize the study as explained to them and as presented by the Study Fact Sheet/Consent Form as applicable.

Where it is running

• VA Pacific Island Health Care System — Honolulu, Hawaii, United States

Full record on ClinicalTrials.gov

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