Primary Care-Based Mindfulness Intervention for Veterans With PTSD

NCT ID: NCT02399696

Last Updated: 2015-03-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2014-06-30

Brief Summary

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Primary care patients typically do not receive adequate PTSD treatment because of their reluctance to engage in empirically-supported treatments offered in specialty care settings. Effective treatments for PTSD are also typically not provided in primary care. Brief skill-based treatments offered in primary care may alleviate symptoms and prepare patients to engage in additional treatment. VA primary care patients with PTSD (N=62) were recruited for a randomized clinical trial comparing a Primary Care-Brief Mindfulness Program (PC-bMP) to primary care-treatment as usual (PC-TAU). PC-bMP is a 4-week group program adapted from the 8-week Mindfulness Based Stress Reduction (MBSR) curriculum. Veterans in the PC-bMP condition demonstrated significantly greater decreases in PTSD and depressive symptoms from pre-treatment to post-treatment compared to PC-TAU. These gains were maintained at 8 and 12 week follow-up. PC-bMP participants experienced clinically significant decreases in PTSD, averaging a 15-point drop on the Clinician-Administered PTSD Scale. Exploratory analyses revealed that the describing, non-judging, and acting with awareness facets of mindfulness may account for decreases in PTSD. Our data support preliminary efficacy of a brief mindfulness-based intervention for Veterans with PTSD in primary care. Further research is needed to investigate how PC-bMP may facilitate engagement into full length empirically-supported treatment for PTSD.

Detailed Description

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Conditions

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PTSD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Primary Care-Brief Mindfulness Program

A 4-week group program adapted from the 8-week Mindfulness Based Stress Reduction (MBSR) curriculum.

Group Type EXPERIMENTAL

Primary Care-Brief Mindfulness Program

Intervention Type BEHAVIORAL

A 4-week group program adapted from the 8-week Mindfulness Based Stress Reduction (MBSR) curriculum

Primary Care-Treatment as Usual

Typical VA primary care treatment, including mental health services delivered by primary care staff.

Group Type ACTIVE_COMPARATOR

Primary Care-Treatment as Usual

Intervention Type BEHAVIORAL

Typical VA primary care treatment, including mental health services delivered by primary care staff.

Interventions

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Primary Care-Brief Mindfulness Program

A 4-week group program adapted from the 8-week Mindfulness Based Stress Reduction (MBSR) curriculum

Intervention Type BEHAVIORAL

Primary Care-Treatment as Usual

Typical VA primary care treatment, including mental health services delivered by primary care staff.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1\) sub-threshold or diagnostic level PTSD related to military service as determined by the Clinician Administered PTSD Scale

Exclusion Criteria

1\) gross cognitive impairment, 2) moderate to severe traumatic brain injury, 3) suicide attempt or intent to commit suicide in the last two months, and 4) receipt of mental healthcare (psychotherapy or medication) outside VA primary in the last two months.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Syracuse University

OTHER

Sponsor Role collaborator

Syracuse VA Medical Center

FED

Sponsor Role lead

Responsible Party

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Kyle Possemato

Clinical Research Psychologists

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kyle Possemato, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Syracuse VAMC

Other Identifiers

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540

Identifier Type: -

Identifier Source: org_study_id