Stepped Care for Posttraumatic Stress Disorder Study

Description

Posttraumatic stress disorder (PTSD) prevalence can be as high as 50% in low income and racially diverse primary care clinics, wherein only 13% of people with PTSD receive any treatment. This study extends a program of research by the investigator focused on developing adaptive interventions for PTSD. The adaptive intervention sequences a digital mental health intervention (DMHI) and brief trauma- and skills-focused treatments for PTSD. The selected treatments are brief and scalable, less burdensome to systems of care, and highly acceptable to diverse patients and care settings. These treatments are: web-administered Skills Training in Affective and Interpersonal Regulation (webSTAIR), Brief STAIR, and Written Exposure Therapy (WET).

Conditions

Post Traumatic Stress Disorder

Study Overview

Study Details

Study overview

Posttraumatic stress disorder (PTSD) prevalence can be as high as 50% in low income and racially diverse primary care clinics, wherein only 13% of people with PTSD receive any treatment. This study extends a program of research by the investigator focused on developing adaptive interventions for PTSD. The adaptive intervention sequences a digital mental health intervention (DMHI) and brief trauma- and skills-focused treatments for PTSD. The selected treatments are brief and scalable, less burdensome to systems of care, and highly acceptable to diverse patients and care settings. These treatments are: web-administered Skills Training in Affective and Interpersonal Regulation (webSTAIR), Brief STAIR, and Written Exposure Therapy (WET).

Adaptive Interventions to Enhance Equitable Access, Engagement, and Effectiveness of Posttraumatic Stress Disorder (PTSD) Treatments in Settings With Low Access to Mental Health Specialty Care

Stepped Care for Posttraumatic Stress Disorder Study

Condition
Post Traumatic Stress Disorder
Intervention / Treatment

-

Contacts and Locations

Boston

Boston Medical Center, Boston, Massachusetts, United States, 02118

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Boston Medical Center primary care patient
  • * At least 18 years of age
  • * Access to computer or mobile device
  • * Able to receive treatments in English or Spanish
  • * Able to read at 4th grade level
  • * Endorsement of Criterion A trauma using the Life Events Checklist for the DSM-5 (LEC-5), assessed at baseline
  • * PTSD diagnosis, confirmed by the Clinician-Administered PTSD Scale for the DSM-5 (CAPS-5) assessed at baseline
  • * Clinically appropriate for outpatient level of care
  • * Stable on psychotropic medication for \>4 weeks
  • * Patient is not clinically appropriate for outpatient level of care.
  • * Acute risk for suicidal thoughts or behaviors, assessed by the Columbia Suicide Severity Rating Scale, administered by research clinician at baseline.

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Boston Medical Center,

Sarah Valentine, PhD, PRINCIPAL_INVESTIGATOR, Boston Medical Center, Psychiatry

Study Record Dates

2029-06