Trial Outcomes & Findings for Acceptance and Commitment Therapy (ACT) for OEF/OIF Veterans (NCT NCT01253044)

NCT ID: NCT01253044

Last Updated: 2015-10-19

Results Overview

To determine if receiving ACT, as compared to PCT, is associated with reduced distress as measured by the BSI-18 General Symptom Index (GSI) at the end of treatment. The BSI-18 GSI summarizes a respondent's overall level of distress. The score used in a normatively based T-score (range 1-100) calculated from the sum of responses. Higher scores are indicative of greater distress.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

160 participants

Primary outcome timeframe

Baseline and week 12

Results posted on

2015-10-19

Participant Flow

Participant milestones

Participant milestones
Measure
Acceptance and Commitment Therapy
Acceptance and Commitment Therapy: Acceptance and Commitment Therapy, delivered twelve 60-minute one-on-one treatment sessions over 6-10 weeks (additional weeks are permissible if needed).
Present Centered Therapy
Present Centered Therapy: Present Centered Therapy, delivered twelve 60-minute one-on-one treatment sessions over 6-10 weeks (additional weeks are permissible if needed).
Overall Study
STARTED
80
80
Overall Study
COMPLETED
42
51
Overall Study
NOT COMPLETED
38
29

Reasons for withdrawal

Reasons for withdrawal
Measure
Acceptance and Commitment Therapy
Acceptance and Commitment Therapy: Acceptance and Commitment Therapy, delivered twelve 60-minute one-on-one treatment sessions over 6-10 weeks (additional weeks are permissible if needed).
Present Centered Therapy
Present Centered Therapy: Present Centered Therapy, delivered twelve 60-minute one-on-one treatment sessions over 6-10 weeks (additional weeks are permissible if needed).
Overall Study
Lost to Follow-up
38
29

Baseline Characteristics

Acceptance and Commitment Therapy (ACT) for OEF/OIF Veterans

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Acceptance and Commitment Therapy
n=80 Participants
Acceptance and Commitment Therapy: Acceptance and Commitment Therapy, delivered twelve 60-minute one-on-one treatment sessions over 6-10 weeks (additional weeks are permissible if needed).
Present Centered Therapy
n=80 Participants
Present Centered Therapy: Present Centered Therapy, delivered twelve 60-minute one-on-one treatment sessions over 6-10 weeks (additional weeks are permissible if needed).
Total
n=160 Participants
Total of all reporting groups
Age, Continuous
34.5 years
STANDARD_DEVIATION 7.9 • n=5 Participants
34.0 years
STANDARD_DEVIATION 8.1 • n=7 Participants
34.2 years
STANDARD_DEVIATION 8 • n=5 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
17 Participants
n=7 Participants
32 Participants
n=5 Participants
Sex: Female, Male
Male
65 Participants
n=5 Participants
63 Participants
n=7 Participants
128 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
9 Participants
n=5 Participants
12 Participants
n=7 Participants
21 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
70 Participants
n=5 Participants
65 Participants
n=7 Participants
135 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=5 Participants
10 Participants
n=7 Participants
18 Participants
n=5 Participants
Race (NIH/OMB)
White
60 Participants
n=5 Participants
60 Participants
n=7 Participants
120 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
8 Participants
n=5 Participants
5 Participants
n=7 Participants
13 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and week 12

To determine if receiving ACT, as compared to PCT, is associated with reduced distress as measured by the BSI-18 General Symptom Index (GSI) at the end of treatment. The BSI-18 GSI summarizes a respondent's overall level of distress. The score used in a normatively based T-score (range 1-100) calculated from the sum of responses. Higher scores are indicative of greater distress.

Outcome measures

Outcome measures
Measure
Acceptance and Commitment Therapy
n=80 Participants
Acceptance and Commitment Therapy: Acceptance and Commitment Therapy, delivered twelve 60-minute one-on-one treatment sessions over 6-10 weeks (additional weeks are permissible if needed).
Present Centered Therapy
n=80 Participants
Present Centered Therapy: Present Centered Therapy, delivered twelve 60-minute one-on-one treatment sessions over 6-10 weeks (additional weeks are permissible if needed).
Brief Symptom Inventory 18 (BSI-18)
Baseline
73.3 T-score
Standard Deviation 8.3
74.0 T-score
Standard Deviation 7.7
Brief Symptom Inventory 18 (BSI-18)
Post-treatment
65.0 T-score
Standard Deviation 13.1
66.8 T-score
Standard Deviation 10.4

SECONDARY outcome

Timeframe: Baseline and week 12

To determine if receiving ACT, as compared to PCT, is associated with reduced functional impairment at the end of treatment. The score used is an average (range 0-10) of completed items, with higher scores indicating greater disability.

Outcome measures

Outcome measures
Measure
Acceptance and Commitment Therapy
n=80 Participants
Acceptance and Commitment Therapy: Acceptance and Commitment Therapy, delivered twelve 60-minute one-on-one treatment sessions over 6-10 weeks (additional weeks are permissible if needed).
Present Centered Therapy
n=80 Participants
Present Centered Therapy: Present Centered Therapy, delivered twelve 60-minute one-on-one treatment sessions over 6-10 weeks (additional weeks are permissible if needed).
Sheehan Disability Inventory
Baseline
6.7 units on a scale
Standard Deviation 2.0
6.4 units on a scale
Standard Deviation 1.9
Sheehan Disability Inventory
Post-treatment
4.9 units on a scale
Standard Deviation 2.4
5.3 units on a scale
Standard Deviation 2.2

Adverse Events

Acceptance and Commitment Therapy

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Present Centered Therapy

Serious events: 3 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Acceptance and Commitment Therapy
n=80 participants at risk
Acceptance and Commitment Therapy: Acceptance and Commitment Therapy, delivered twelve 60-minute one-on-one treatment sessions over 6-10 weeks (additional weeks are permissible if needed).
Present Centered Therapy
n=80 participants at risk
Present Centered Therapy: Present Centered Therapy, delivered twelve 60-minute one-on-one treatment sessions over 6-10 weeks (additional weeks are permissible if needed).
Surgical and medical procedures
Nephrectomy
0.00%
0/80 • 12 weeks
1.2%
1/80 • Number of events 1 • 12 weeks
Psychiatric disorders
Alcohol poisoning
1.2%
1/80 • Number of events 1 • 12 weeks
0.00%
0/80 • 12 weeks
Psychiatric disorders
Suicidality
0.00%
0/80 • 12 weeks
1.2%
1/80 • Number of events 1 • 12 weeks
Psychiatric disorders
Agitated altercation
0.00%
0/80 • 12 weeks
1.2%
1/80 • Number of events 1 • 12 weeks

Other adverse events

Adverse event data not reported

Additional Information

Dr. Ariel Lang

VA San Diego Healthcare System and UCSD

Phone: 858-246-0631

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place