Comparing Two Moral Injury Treatments
Starting soon · Not applicable
Conditions studied: Moral Injury
In brief
Purpose of this study: The purpose of this study is to evaluate the effectiveness of two psychological treatments for moral injury: Acceptance and Commitment Therapy for Moral Injury and Present Centered Therapy for Moral Injury. The main questions it aims to answer are: 1. Determine the efficacy of ACT-MI for building functional recovery among 180 warzone deployed Veterans. 2. Identify barriers and facilitators to implementing ACT-MI in VA mental health clinics or a national telehealth hub in preparation for future dissemination efforts. Participants will be asked to: * Complete a two to two and a half hour initial assessment session online using videoconferencing. Participants will be asked to complete surveys and questionnaires. * Be randomized to either ACT-MI or PCT-MI * Meet with the study clinicians for 15 virtual outpatient sessions (12-group and 3-individual sessions). * Complete a post-treatment assessment session offered online using videoconferencing within one week of treatment completion to complete surveys and questionnaires. * Complete one- and three-month follow-up assessments offered online using videoconferencing to complete surveys and questionnaires.
Key facts
- Study ID
- NCT07710521
- Run by
- VA Eastern Colorado Health Care System
- People needed
- 180
- Starts
- 2026-08-01
- Expected to finish
- 2030-09-01
- Last updated by the study team
- 2026-07-17
Who can join
Age: 18 and older, up to 89. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Eligible for VHA care
- Age 18-89
- Has been deployed to a warzone
- Has experienced moral injury from a morally injurious event in war that is impacting psychosocial functioning
- Willing to be randomized to either of the two conditions (ACT-MI or PCT-MI)
You may not qualify if…
- Inability to provide informed consent (operationalized as inability to answer 7 questions about the study and research participants' rights)
- Inability to complete study measures (e.g., due to significant acute intoxication/withdrawal symptoms, mania, psychosis, aggression, catatonia, cognitive impairment)
- Imminent suicide risk
- Participation in another interventional mental health research study
- Membership in a vulnerable population (e.g., cognitively impaired)
- Current participation in an EBP for a condition related to moral injury
- Past participation in ACT (based on medical record review and Veteran self-report)
Where it is running
- Rocky Mountain VA Regional Medical Center — Aurora, Colorado, United States
Full record on ClinicalTrials.gov
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