Trial Outcomes & Findings for Teaching Loved Ones to Help Veterans Optimize Their PTSD Care and Healing (NCT NCT04241094)

NCT ID: NCT04241094

Last Updated: 2024-07-01

Results Overview

Structured clinical interview assessing symptoms of PTSD. CAPS-5 is a 30-item questionnaire, corresponding to the DSM-5 diagnosis for PTSD. CAPS-5 total symptom severity score is calculated by summing severity scores for the 20 DSM-5 PTSD symptoms. Similarly, CAPS-5 symptom cluster severity scores are calculated by summing the individual item severity scores for symptoms corresponding to a given DSM-5 cluster: Criterion B (items 1-5); Criterion C (items 6-7); Criterion D (items 8-14); and, Criterion E (items 15-20). A symptom cluster score may also be calculated for dissociation by summing items 19 and 20. Severity scores range from 0 to 80 and higher scores correspond with more severe symptoms of PTSD.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

28 participants

Primary outcome timeframe

Up to 26 weeks post baseline

Results posted on

2024-07-01

Participant Flow

28 Veterans were consented and signed informed consent for the study. Only 20 of those 28 went forward with the COACH treatment.

The numbers in this chart are counted as individual participants. 28 participants (16 Veterans and 12 loved ones) consented to the study. Of those 28, only 20 participants (10 Veterans and 10 loved ones) started treatment in the study.

Participant milestones

Participant milestones
Measure
Loved One Assisted Treatment
The investigators propose to bring a loved one into PE, one of the most researched and efficacious treatments for PTSD, to increase support for PE adherence. The intervention is a 13-session cognitive-behavioral, intimate partner-assisted treatment for PTSD that draws from PE, ICBT, and PE2. Loved one assisted treatment: The investigators propose to bring a loved one into PE, one of the most researched and efficacious treatments for PTSD, to increase support for PE adherence. The intervention is a 13-session cognitive-behavioral, intimate partner-assisted treatment for PTSD that draws from PE, ICBT, and PE2.
Overall Study
STARTED
20
Overall Study
Never Started Treatment
8
Overall Study
COMPLETED
12
Overall Study
NOT COMPLETED
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Loved One Assisted Treatment
The investigators propose to bring a loved one into PE, one of the most researched and efficacious treatments for PTSD, to increase support for PE adherence. The intervention is a 13-session cognitive-behavioral, intimate partner-assisted treatment for PTSD that draws from PE, ICBT, and PE2. Loved one assisted treatment: The investigators propose to bring a loved one into PE, one of the most researched and efficacious treatments for PTSD, to increase support for PE adherence. The intervention is a 13-session cognitive-behavioral, intimate partner-assisted treatment for PTSD that draws from PE, ICBT, and PE2.
Overall Study
Dropped out of treatment
4
Overall Study
Ineligible after clinical assessment
2
Overall Study
Lost to Follow-up
2

Baseline Characteristics

There are two cohort types in this study: Veterans and loved ones

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Loved One Assisted Treatment
n=20 Participants
The investigators propose to bring a loved one into PE, one of the most researched and efficacious treatments for PTSD, to increase support for PE adherence. The intervention is a 13-session cognitive-behavioral, intimate partner-assisted treatment for PTSD that draws from PE, ICBT, and PE2. Loved one assisted treatment: The investigators propose to bring a loved one into PE, one of the most researched and efficacious treatments for PTSD, to increase support for PE adherence. The intervention is a 13-session cognitive-behavioral, intimate partner-assisted treatment for PTSD that draws from PE, ICBT, and PE2.
Age, Categorical
Veterans · <=18 years
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Age, Categorical
Veterans · Between 18 and 65 years
10 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Age, Categorical
Veterans · >=65 years
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Age, Categorical
Loved Ones · <=18 years
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Age, Categorical
Loved Ones · Between 18 and 65 years
10 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Age, Categorical
Loved Ones · >=65 years
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Sex: Female, Male
Veterans · Female
4 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Sex: Female, Male
Veterans · Male
6 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Sex: Female, Male
Loved ones · Female
7 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Sex: Female, Male
Loved ones · Male
3 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Ethnicity (NIH/OMB)
Veterans · Hispanic or Latino
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Ethnicity (NIH/OMB)
Veterans · Not Hispanic or Latino
10 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Ethnicity (NIH/OMB)
Veterans · Unknown or Not Reported
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Ethnicity (NIH/OMB)
Loved ones · Hispanic or Latino
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Ethnicity (NIH/OMB)
Loved ones · Not Hispanic or Latino
10 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Ethnicity (NIH/OMB)
Loved ones · Unknown or Not Reported
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Race (NIH/OMB)
Veterans · American Indian or Alaska Native
1 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Race (NIH/OMB)
Veterans · Asian
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Race (NIH/OMB)
Veterans · Native Hawaiian or Other Pacific Islander
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Race (NIH/OMB)
Veterans · Black or African American
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Race (NIH/OMB)
Veterans · White
8 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Race (NIH/OMB)
Veterans · More than one race
1 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Race (NIH/OMB)
Veterans · Unknown or Not Reported
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Race (NIH/OMB)
Loved ones · American Indian or Alaska Native
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Race (NIH/OMB)
Loved ones · Asian
1 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Race (NIH/OMB)
Loved ones · Native Hawaiian or Other Pacific Islander
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Race (NIH/OMB)
Loved ones · Black or African American
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Race (NIH/OMB)
Loved ones · White
8 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Race (NIH/OMB)
Loved ones · More than one race
1 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Race (NIH/OMB)
Loved ones · Unknown or Not Reported
0 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Length of relationship
Veterans · 6+ months
1 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Length of relationship
Veterans · 1-4 years
3 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Length of relationship
Veterans · 5-10 years
3 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Length of relationship
Veterans · 11+ years
3 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Length of relationship
Loved ones · 6+ months
1 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Length of relationship
Loved ones · 1-4 years
3 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Length of relationship
Loved ones · 5-10 years
3 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones
Length of relationship
Loved ones · 11+ years
3 Participants
n=10 Participants • There are two cohort types in this study: Veterans and loved ones

PRIMARY outcome

Timeframe: Up to 26 weeks post baseline

Population: Veteran participants

Structured clinical interview assessing symptoms of PTSD. CAPS-5 is a 30-item questionnaire, corresponding to the DSM-5 diagnosis for PTSD. CAPS-5 total symptom severity score is calculated by summing severity scores for the 20 DSM-5 PTSD symptoms. Similarly, CAPS-5 symptom cluster severity scores are calculated by summing the individual item severity scores for symptoms corresponding to a given DSM-5 cluster: Criterion B (items 1-5); Criterion C (items 6-7); Criterion D (items 8-14); and, Criterion E (items 15-20). A symptom cluster score may also be calculated for dissociation by summing items 19 and 20. Severity scores range from 0 to 80 and higher scores correspond with more severe symptoms of PTSD.

Outcome measures

Outcome measures
Measure
Loved One Assisted Treatment at Baseline
n=10 Participants
The investigators propose to bring a loved one into PE, one of the most researched and efficacious treatments for PTSD, to increase support for PE adherence. The intervention is a 13-session cognitive-behavioral, intimate partner-assisted treatment for PTSD that draws from PE, ICBT, and PE2. Loved one assisted treatment: The investigators propose to bring a loved one into PE, one of the most researched and efficacious treatments for PTSD, to increase support for PE adherence. The intervention is a 13-session cognitive-behavioral, intimate partner-assisted treatment for PTSD that draws from PE, ICBT, and PE2. This is data from Veterans before treatment begins.
Loved One Assisted Treatment at Posttreatment
n=6 Participants
The investigators propose to bring a loved one into PE, one of the most researched and efficacious treatments for PTSD, to increase support for PE adherence. The intervention is a 13-session cognitive-behavioral, intimate partner-assisted treatment for PTSD that draws from PE, ICBT, and PE2. Loved one assisted treatment: The investigators propose to bring a loved one into PE, one of the most researched and efficacious treatments for PTSD, to increase support for PE adherence. The intervention is a 13-session cognitive-behavioral, intimate partner-assisted treatment for PTSD that draws from PE, ICBT, and PE2. This is data from Veterans after treatment ended.
Clinician Administered PTSD Scale for DSM-5 to Assess Changes in PTSD Symptoms.
35.3 score on scale
Standard Deviation 9.12
11.33 score on scale
Standard Deviation 7.26

Adverse Events

Loved One Assisted Treatment

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Laura Meis, PhD

Center for Care Delivery & Outcomes Research

Phone: 651-467-4516

Results disclosure agreements

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