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Homecoming Line: Telephone Support for Veterans (HCL)

V

VA Palo Alto Health Care System

Status

Completed

Conditions

Stress Disorders, Post-Traumatic

Treatments

Behavioral: Treatment as Usual
Behavioral: Telephone Case Monitoring

Study type

Interventional

Funder types

Other U.S. Federal agency

Identifiers

NCT02655991
W81XWH=08-2-0096

Details and patient eligibility

About

This study will determine whether telephone support improves clinical outcomes of veterans who begin outpatient treatment for posttraumatic stress disorder. Participants will be randomly assigned to receive either usual care or usual care supplemented by biweekly monitoring and support by telephone during the first 3 months of treatment. Patients in both conditions will be compared on PTSD symptoms, engagement in treatment, violence and drinking at 4 months and 12 months after entering treatment.

Full description

This multisite randomized controlled trial will test whether a 3-month period of providing telephone monitoring to PTSD patients as a supplement to usual specialty mental health care improves 12-month clinical outcomes (a reduction in PTSD symptoms, violence, and substance use). Secondarily, this study will determine whether telephone monitoring promotes better engagement in outpatient treatment (Number of mental health and psychotherapy visits during the 3-month intervention period).

Demand for VA PTSD treatment is increasing as troops return from combat deployments in Afghanistan and Iraq. Telemedicine is likely to be an important component in developing more effective and efficient models of PTSD care that improves patient functioning and treatment utilization. It is hoped that using telephone case monitoring as an inexpensive adjunct to standard care may improve clinical outcomes and reduce hospitalization among veterans with PTSD.

Enrollment

358 patients

Sex

All

Ages

18 to 100 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • VA patients newly entering outpatient treatment mental health treatment for PTSD starting a new phase of outpatient PTSD treatment (e.g., transitioning from a psycho-education group to active psychotherapy) at one of the study sites.

Exclusion criteria

  • Active duty personnel
  • Cognitive impairment which precludes giving informed consent
  • Initiating residential or inpatient treatment rather than outpatient treatment

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

358 participants in 2 patient groups

Telephone Case Monitoring
Experimental group
Description:
Telephone care management augmenting treatment as usual
Treatment:
Behavioral: Telephone Case Monitoring
Behavioral: Treatment as Usual
Treatment as Usual
Active Comparator group
Description:
Case management, psychotherapy, and pharmacotherapy as usual
Treatment:
Behavioral: Treatment as Usual

Trial contacts and locations

3

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Data sourced from clinicaltrials.gov

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