A Policy Relevant US Trauma Care System Pragmatic Trial for PTSD and Comorbidity Pilot (TSOS6)

University of Washington

Status: Completed

Conditions: Posttraumatic Stress Disorder; Suicidal Ideation; Quality of Life; Mild Cognitive Impairment; Substance-Related Disorders; Depression; Alcohol-Related Disorders

Treatments: Other: Care Management; Drug: Psychotropic Drugs; Behavioral: Cognitive Behavioral Therapy Elements; Behavioral: Motivational Interviewing

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT02335125

UH2MH106338 (U.S. NIH Grant/Contract)

STUDY00010782

Details and patient eligibility

About

The goal of this pilot study is to develop and implement a larger scale, multi-site stepped collaborative care trial that targets injured patients with presentations of posttraumatic stress disorder (PTSD) and related comorbidities.

Enrollment: 40 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Inpatient/Emergency Admission for traumatic injury

Exclusion criteria

• Non-English speaking
• Self-inflicted injury
• Actively psychotic
• Incarcerated or in custody

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Intervention

Experimental group

Description:

The intervention aims to prevent the development of chronic PTSD and depressive symptoms, alcohol use problems, and enduring physical disability in survivors of both TBI and non-TBI injuries. The intervention utilizes a computerized decision support tool to flexibly target these multiple conditions including and includes care management, medication, and psychotherapy elements.

Treatment:

Other: Care Management

Behavioral: Cognitive Behavioral Therapy Elements

Drug: Psychotropic Drugs

Behavioral: Motivational Interviewing

Usual Care

No Intervention group

Description:

Only standard care practices will be administered to this arm.