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Multiphase Optimization Strategy (MOST) for Treating Pediatric Post-traumatic Stress Disorder (PTSD) (MOST for PTSD)

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University of Rochester

Status

Begins enrollment in 3 months

Conditions

PTSD
Trauma
Pediatric ALL

Treatments

Behavioral: Psychological Placebo
Behavioral: Bi-lateral Stimulation
Behavioral: Cognitive Processing
Behavioral: Exposure
Behavioral: Emotion Regulation

Study type

Interventional

Funder types

Other

Identifiers

NCT06956781
STUDY00010448

Details and patient eligibility

About

The goal of this clinical trial is to test the extent to which different treatment components work to improve pediatric post-traumatic stress disorder (PTSD). It will also provide evidence for how these components work. The main research questions are:

What are the effects of different components used to treat PTSD? What do these components change to produce benefits in PTSD?

Researchers will:

Compare components to a psychological placebo to estimate their effects and measure how they work

Examine how components work alone and in conjunction with other components

Participants will:

Receive different combinations of components and placebo

Attend weekly treatment sessions

Provide information to evaluate changes in PTSD

Enrollment

125 estimated patients

Sex

All

Ages

8 to 17 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

A child between the ages of 8-17 exposed to at least one DSM-defined trauma

Child assent for participation

The participation of a caregiver with custodial rights to provide parental permission

Willing to participate in treatment delivery and respond to surveys

Meet PTSD diagnostic criteria that is the result of exposure to at least one of the identified traumas

Ability to read and understand English

Willingness to be randomized to an experimental condition

Placement in a stable caregiving environment for two months without an impending transition

Children currently taking psychotropic medications must have taken the medicine without dose adjustment for two months prior to study entry.

Exclusion criteria

Psychiatric concerns requiring a higher level of care (e.g. suicidal ideation with intent; current psychotic disorder)

An intelligence quotient (IQ) < 70

Currently receiving a behavioral health intervention for concerns related to PTSD or pediatric trauma

A participating caregiver who is a perpetrator of any identified trauma (e.g. sexual abuse)

MRI contraindicators (e.g. presence of metal in the body)

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Factorial Assignment

Masking

Triple Blind

125 participants in 16 patient groups

Treatment Condition 1
Experimental group
Description:
Participants receive emotion regulation, exposure, cognitive processing, and bi-lateral stimulation
Treatment:
Behavioral: Emotion Regulation
Behavioral: Exposure
Behavioral: Bi-lateral Stimulation
Behavioral: Cognitive Processing
Treatment Condition 2
Experimental group
Description:
Participants receive emotion regulation, exposure, cognitive processing, and psychological placebo
Treatment:
Behavioral: Emotion Regulation
Behavioral: Exposure
Behavioral: Cognitive Processing
Behavioral: Psychological Placebo
Treatment Condition 3
Experimental group
Description:
Participants receive emotion regulation, exposure, bi-lateral stimulation, and psychological placebo
Treatment:
Behavioral: Emotion Regulation
Behavioral: Exposure
Behavioral: Bi-lateral Stimulation
Behavioral: Psychological Placebo
Treatment Condition 4
Experimental group
Description:
Participants receive emotion regulation, exposure, and psychological placebo
Treatment:
Behavioral: Emotion Regulation
Behavioral: Exposure
Behavioral: Psychological Placebo
Treatment Condition 5
Experimental group
Description:
Participants receive emotion regulation, cognitive processing, bi-lateral stimulation, and psychological placebo
Treatment:
Behavioral: Emotion Regulation
Behavioral: Bi-lateral Stimulation
Behavioral: Cognitive Processing
Behavioral: Psychological Placebo
Treatment Condition 6
Experimental group
Description:
Participants receive emotion regulation, cognitive processing, and psychological placebo
Treatment:
Behavioral: Emotion Regulation
Behavioral: Cognitive Processing
Behavioral: Psychological Placebo
Treatment Condition 7
Experimental group
Description:
Participants receive emotion regulation, bi-lateral stimulation, and psychological placebo
Treatment:
Behavioral: Emotion Regulation
Behavioral: Bi-lateral Stimulation
Behavioral: Psychological Placebo
Treatment Condition 8
Experimental group
Description:
Participants receive emotion regulation and psychological placebo
Treatment:
Behavioral: Emotion Regulation
Behavioral: Psychological Placebo
Treatment Condition 9
Experimental group
Description:
Participants receive exposure, cognitive processing, bi-lateral stimulation, and psychological placebo
Treatment:
Behavioral: Exposure
Behavioral: Bi-lateral Stimulation
Behavioral: Cognitive Processing
Behavioral: Psychological Placebo
Treatment Condition 10
Experimental group
Description:
Participants receive exposure, cognitive processing, and psychological placebo
Treatment:
Behavioral: Exposure
Behavioral: Cognitive Processing
Behavioral: Psychological Placebo
Treatment Condition 11
Experimental group
Description:
Participants receive exposure, bi-lateral stimulation, and psychological placebo
Treatment:
Behavioral: Exposure
Behavioral: Bi-lateral Stimulation
Behavioral: Psychological Placebo
Treatment Condition 12
Experimental group
Description:
Participants receive exposure and psychological placebo
Treatment:
Behavioral: Exposure
Behavioral: Psychological Placebo
Treatment Condition 13
Experimental group
Description:
Participants receive cognitive processing, bi-lateral stimulation, and psychological placebo
Treatment:
Behavioral: Bi-lateral Stimulation
Behavioral: Cognitive Processing
Behavioral: Psychological Placebo
Treatment Condition 14
Experimental group
Description:
Participants receive cognitive processing and psychological placebo
Treatment:
Behavioral: Cognitive Processing
Behavioral: Psychological Placebo
Treatment Condition 15
Experimental group
Description:
Participants receive bi-lateral stimulation and psychological placebo
Treatment:
Behavioral: Bi-lateral Stimulation
Behavioral: Psychological Placebo
Treatment Condition 16
Experimental group
Description:
Participants receive psychological placebo
Treatment:
Behavioral: Psychological Placebo

Trial contacts and locations

0

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Central trial contact

Chad E Shenk, PhD

Data sourced from clinicaltrials.gov

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