Sustaining and Improving Clinicians' Use of Evidence-Based Psychotherapy (EBP) for PTSD

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-06

Study Completion Date

2024-06-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of the study is to compare the impact of two strategies to sustain and improve the delivery of an evidence-based psychotherapy for PTSD, Cognitive Processing Therapy (CPT) in three different mental health systems. These approaches are based on two different theories of what is necessary to promote successful implementation. We will examine whether these strategies lead to improved patient outcomes, clinician skill, proportion of clients who receive CPT, and other outcomes that are relevant to the implementation of evidence-based psychosocial treatments. By examining these questions in 3 different mental health systems, we will also examine whether the implementation strategies yield different results in different systems.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Implementation of Evidence-based Psychotherapy for PTSD

NCT01861769

Posttraumatic Stress Disorder

COMPLETED NA

Efficacy of Internet-delivered Cognitive-behavior Therapy for PTSD

NCT05934162

Post Traumatic Stress Disorder

RECRUITING NA

Use of a Novel Neuroplasticity-based Neurobehavioral Intervention for PTSD

NCT01694316

Anxiety Depression

COMPLETED NA

Reducing Dropout and Improving Outcomes From PTSD Therapy: When to Switch Therapies or Stay the Course

NCT06957067

Post Traumatic Stress Disorder

RECRUITING NA

Mechanisms Underlying the Efficacy of Prolonged Exposure

NCT05663151

Posttraumatic Stress Disorder

RECRUITING NA

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This project will compare two different methods of post-training support to promote sustained and improved CPT delivery: Fidelity-oriented learning community (FID-LC) and Continuous Quality Improvement Learning Community (CQI-LC). Clinics in which clinicians have previously received CPT training will be randomly assigned to one of these conditions. Outcomes will be observed changes in patient symptoms during and following treatment, independent expert assessment of clinician fidelity and adaptations in delivering the psychotherapy (via audio-recordings), proportion of eligible caseloads that receive CPT, and capacity to deliver CPT. Data will also be collected to assess clinician and setting characteristics that may contribute to the success of each strategy. The study results will help inform how best to support the ongoing implementation and benefits of evidence-based psychotherapy (e.g., CPT) in routine clinical settings. This is a knowledge translation project in partnership with 3 systems; VA Canada, U.S. Veterans Health Care System and the National Centre for PTSD.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Post Traumatic Stress Disorder

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Fidelity-oriented Learning Community

The Fidelity-oriented Learning Community arm will receive fidelity consultation (adherence and competence) feedback by a CPT expert via online meetings.

Group Type EXPERIMENTAL

Fidelity-oriented Learning Community

Intervention Type BEHAVIORAL

The Fidelity-oriented Learning Community arm will receive fidelity consultation (adherence and competence) feedback by a CPT expert via online meetings.

Quality Improvement Learning Community

The Quality Improvement Learning Community arm will include clinicians who set goals related to CPT delivery, execute a plan, study results, refine plan, and continue each cycle until goals are met.

Group Type EXPERIMENTAL

Quality Improvement Learning Community

Intervention Type BEHAVIORAL

Consultation with CPT experts to effectively use evidence-based psychotherapy.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Quality Improvement Learning Community

Consultation with CPT experts to effectively use evidence-based psychotherapy.

Intervention Type BEHAVIORAL

Fidelity-oriented Learning Community

The Fidelity-oriented Learning Community arm will receive fidelity consultation (adherence and competence) feedback by a CPT expert via online meetings.

Intervention Type BEHAVIORAL

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* All clinicians that provide psychotherapy to patients with PTSD
* Agree to provide CPT to 6 patients over 2 years
* Consent to be randomized to one of two study conditions
* Are willing to record therapy sessions
* Continue to have computer/internet access.
* Patients will be clients of clinician participants that

1. Are 18 years or older
2. Have a diagnosis of PTSD
3. Are willing to have their sessions audiorecorded

Exclusion Criteria

* Ineligible patient participants are those having

1. Current uncontrolled psychotic or bipolar disorder
2. Unremitted substance dependence
3. Current imminent suicidality or homicidality that requires imminent attention
4. Significant cognitive impairment

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes