Investigating the Use of Goal Management Therapy in Improving Cognitive Functioning in Public Safety Personnel With PTSD
NCT ID: NCT04251624
Last Updated: 2024-01-16
Study Results
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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RECRUITING
NA
88 participants
INTERVENTIONAL
2019-11-01
2025-08-31
Brief Summary
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Detailed Description
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The matched psychosocial education control group will focus on educating participants on topics like brain function and neuroplasticity, and on practicing lifestyle interventions (e.g., sleep hygiene, stress management, exercise).
The study will take place in three phases:
Phase 1 will consist of 6 sessions of Goal Management Therapy and 6 sessions of psychosocial education among public safety personnel and civilians who are inpatients at a mental health and addiction facility.
Phase 2 will consist of 9 sessions of Goal Management Therapy and 9 sessions of psychosocial education among public safety personnel who are members of the local community.
Phase 3 will consist of 9 sessions of Goal Management Therapy and 9 sessions of psychosocial education among public safety personnel who are members of the local community. This phase will also use functional Magnetic Resonance Imaging (fMRI) scans to investigate potential changes in the neurobiology of participants' brains.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
The matched control group (psychosocial education) will receive an equal number of group therapy sessions.
Each session will be 2 hours long.
TREATMENT
NONE
Study Groups
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Goal Management Therapy
Goal Management Therapy is a structured, short-term, present-oriented cognitive remediation program with emphasis on mindfulness and practice in planning and completion of goal-oriented behaviors.
The primary objective of GMT is to train patients to interrupt ongoing behavior through the resumption of executive control in order to define goal hierarchies and monitor performance in achieving goals. Sessions include instructional material, interactive tasks, discussion of patients' real-life deficits, and homework assignments.
Phase 1: Inpatients will attend group sessions twice per week for 3 weeks, each session being 2 hours in length.
Phase 2: Outpatients from the community will attend 1 session per week for 9 weeks, each session being 2 hours in length.
Phase 3: Outpatients from the community will attend 1 session per week for 9 weeks, each session being 2 hours in length.
Goal Management Therapy
A cognitive training program aimed at improving cognitive deficits such as in memory, attention, learning, and executive functioning.
Psychosocial Education
Psychosocial education will provide participants with educational materials (e.g., brain function, neuroplasticity) and lifestyle interventions (e.g., sleep hygiene, stress, exercise).
They will be matched for length and for amount of facilitator contact with the Goal Management Therapy sessions.
Phase 1: Inpatients will attend group sessions twice per week for 3 weeks, each session being 2 hours in length.
Phase 2: Outpatients from the community will attend 1 session per week for 9 weeks, each session being 2 hours in length.
Phase 3: Outpatients from the community will attend 1 session per week for 9 weeks, each session being 2 hours in length.
Psychosocial Education
A group therapy program focusing on brain function, neuroplasticity, and lifestyle interventions.
Interventions
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Goal Management Therapy
A cognitive training program aimed at improving cognitive deficits such as in memory, attention, learning, and executive functioning.
Psychosocial Education
A group therapy program focusing on brain function, neuroplasticity, and lifestyle interventions.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* are able to provide written informed consent
Exclusion Criteria
* use of benzodiazepines within the last 24 hours
* have had Electroconvulsive therapy within the past year
* a diagnosis of substance dependence or abuse within the past 6 months
* a recent history (within the past 12 months) of medical disorder known to adversely affect cognition
* a history of head trauma with more than one minute of loss of consciousness or a history of traumatic brain injury
* a history of neurological disorder
* a diagnosis of psychotic disorder or bipolar disorder
* a history of a neurodevelopmental disorder
18 Years
70 Years
ALL
Yes
Sponsors
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McMaster University
OTHER
St. Joseph's Healthcare Hamilton
OTHER
Canadian Institutes of Health Research (CIHR)
OTHER_GOV
Homewood Health Centre
UNKNOWN
Homewood Research Institute
OTHER
Responsible Party
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Principal Investigators
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Margaret McKinnon, PhD
Role: PRINCIPAL_INVESTIGATOR
McMaster University, St. Joseph's Healthcare Hamilton, Homewood Research Institute
Locations
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Homewood Research Institute
Guelph, Ontario, Canada
Countries
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Central Contacts
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Facility Contacts
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References
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Boyd JE, Lanius RA, McKinnon MC. Mindfulness-based treatments for posttraumatic stress disorder: a review of the treatment literature and neurobiological evidence. J Psychiatry Neurosci. 2018 Jan;43(1):7-25. doi: 10.1503/jpn.170021. Epub 2017 Oct 2.
Boyd JE, Protopopescu A, O'Connor C, Neufeld RWJ, Jetly R, Hood HK, Lanius RA, McKinnon MC. Dissociative symptoms mediate the relation between PTSD symptoms and functional impairment in a sample of military members, veterans, and first responders with PTSD. Eur J Psychotraumatol. 2018 May 17;9(1):1463794. doi: 10.1080/20008198.2018.1463794. eCollection 2018.
McKinnon MC, Boyd JE, Frewen PA, Lanius UF, Jetly R, Richardson JD, Lanius RA. A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions. Neuropsychologia. 2016 Sep;90:210-34. doi: 10.1016/j.neuropsychologia.2016.07.017. Epub 2016 Jul 18.
Meusel LA, Hall GB, Fougere P, McKinnon MC, MacQueen GM. Neural correlates of cognitive remediation in patients with mood disorders. Psychiatry Res. 2013 Nov 30;214(2):142-52. doi: 10.1016/j.pscychresns.2013.06.007. Epub 2013 Aug 30.
Lanius RA, Frewen PA, Tursich M, Jetly R, McKinnon MC. Restoring large-scale brain networks in PTSD and related disorders: a proposal for neuroscientifically-informed treatment interventions. Eur J Psychotraumatol. 2015 Mar 31;6:27313. doi: 10.3402/ejpt.v6.27313. eCollection 2015.
Provided Documents
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Document Type: Informed Consent Form
Other Identifiers
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19-05
Identifier Type: -
Identifier Source: org_study_id
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