Firefighters Accessing Care for Trauma: A Clinical Case Series of Distance NET for PTSD/I Symptoms

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

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-29

Study Completion Date

2021-12-31

Brief Summary

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Repeated exposure to trauma is an unavoidable part of the job for firefighters. Because of this, many Canadian firefighters screen positive for posttraumatic stress disorder/injury (PTSD/I). Unfortunately, like the general population, firefighters face many barriers to accessing mental health care. As a result, additional efforts are needed to increase timely access to effective PTSD/I services that are delivered in a way that reduces confidentiality and stigma risk.

This research study will test the preliminary efficacy and feasibility of distance-delivered Narrative Exposure Therapy (NET) delivered by a paraprofessional for firefighters with PTSD/I. NET is an evidence-based intervention approach developed specifically for PTSD/I resulting from repeated and continuous trauma. The intervention will be conducted via videoconference with a trained paraprofessional supervised by a clinical psychologist. The NET intervention will consist of 12 weekly 90-minute videoconference sessions.

Approximately 25 firefighters will be recruited to participate in the study. To test the efficacy of the intervention, participants will complete self-report questionnaires about PTSD/I and other mental health symptoms pre- and post-intervention as well as two- and six-months following intervention completion. Participants will also complete an open-ended interview at the end of the intervention to assess feasibility and participant satisfaction.

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Detailed Description

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Conditions

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Post Traumatic Stress Disorder Post Traumatic Stress Injury

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Narrative Exposure Therapy

Firefighters will receive distance-delivered NET administered by a paraprofessional.

Group Type EXPERIMENTAL

Distance-delivered NET

Intervention Type BEHAVIORAL

One-on-one intervention delivered by a paraprofessional; 12 weekly videoconference sessions at 90 minutes.

Interventions

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Distance-delivered NET

One-on-one intervention delivered by a paraprofessional; 12 weekly videoconference sessions at 90 minutes.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Participants must meet the following criteria to be eligible to move on to Consent

1. Be at least 19 years of age
2. Be able to understand spoken and written English at a Grade 8 level
3. Be employed, or have been employed, by the fire service or be current or past fire service volunteers.
4. Fulfill the criteria of full or subclinical PTSD/I according to the PCL-5.
5. Have access to a computer with Internet.
6. Live in Atlantic Canada or Ontario.
7. Consent to be audio- (for consent and interview) and video-recorded (for intervention sessions).

Exclusion Criteria

1. Having a psychotropic medication change in the past three weeks.
2. Are currently engaged in or have previously been engaged in exposure therapy for PTSD/I.
3. Meet criteria for current mania or psychosis.
4. Endorse suicidal ideation with plan or intent.
5. Experience high levels of dissociation (as assessed by a score of \>18.5 on the Shutdown Dissociation Scale).

Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No