Trial Outcomes & Findings for Development and Evaluation of a Tonic Immobility Focused Psychoeducational Intervention (NCT NCT05113277)

NCT ID: NCT05113277

Last Updated: 2024-08-23

Results Overview

PTSD symptoms measured using the posttraumatic stress checklist for DSM-5 (PCL-5). The PCL-5 is a 20-item scale with values ranging from 0 to 4 for each item. Items are totaled for a total score ranging 0 to 80, with lower values indicating better outcomes.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

51 participants

Primary outcome timeframe

up to 1 month

Results posted on

2024-08-23

Participant Flow

Participant milestones

Participant milestones
Measure
Tonic Immobility Psychoeducation (TIP)
Participants in the experimental condition will receive the TIP intervention. Tonic Immobility Psychoeducation (TIP): TIP is a 45-minute computerized psychoeducation intervention aimed at addressing maladaptive cognitions and emotions associated with TI while using educational and behavioral techniques commonly used in the treatment of trauma-related disorders. Throughout the psychoeducation program vignettes will be presented to clarify concepts and promote participant engagement. In addition, practice exercises and rating scales will be integrated, where applicable, to increase the interactive nature of the program. The following modules will be addressed in the TI psychoeducation intervention: education, myth busting, and behavioral experiments.
Health Education Training (HET)
Participants in the control condition will receive the HET intervention. Health Education Training (HET): The Healthy Education Training intervention was developed as a 45-minute online intervention that provides education about physical health habits that can impact mental health, such as diet, exercise, and sleep. This intervention has been used in prior clinical trials to control for effects of general education, general coping techniques, and use of technology. Participants in past clinical trials have reported that HET is engaging and beneficial. However, HET is not expected to have an effect on the main symptom outcomes of the current study (guilt, shame, PTSD symptoms).
Overall Study
STARTED
26
25
Overall Study
COMPLETED
18
17
Overall Study
NOT COMPLETED
8
8

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Development and Evaluation of a Tonic Immobility Focused Psychoeducational Intervention

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Tonic Immobility Psychoeducation (TIP)
n=26 Participants
Participants in the experimental condition will receive the TIP intervention. Tonic Immobility Psychoeducation (TIP): TIP is a 45-minute computerized psychoeducation intervention aimed at addressing maladaptive cognitions and emotions associated with TI while using educational and behavioral techniques commonly used in the treatment of trauma-related disorders. Throughout the psychoeducation program vignettes will be presented to clarify concepts and promote participant engagement. In addition, practice exercises and rating scales will be integrated, where applicable, to increase the interactive nature of the program. The following modules will be addressed in the TI psychoeducation intervention: education, myth busting, and behavioral experiments.
Health Education Training (HET)
n=25 Participants
Participants in the control condition will receive the HET intervention. Health Education Training (HET): The Healthy Education Training intervention was developed as a 45-minute online intervention that provides education about physical health habits that can impact mental health, such as diet, exercise, and sleep. This intervention has been used in prior clinical trials to control for effects of general education, general coping techniques, and use of technology. Participants in past clinical trials have reported that HET is engaging and beneficial. However, HET is not expected to have an effect on the main symptom outcomes of the current study (guilt, shame, PTSD symptoms).
Total
n=51 Participants
Total of all reporting groups
Age, Continuous
23.65 years
STANDARD_DEVIATION 8.90 • n=5 Participants
21.48 years
STANDARD_DEVIATION 5.85 • n=7 Participants
22.59 years
STANDARD_DEVIATION 7.57 • n=5 Participants
Sex: Female, Male
Female
24 Participants
n=5 Participants
23 Participants
n=7 Participants
47 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
12 Participants
n=7 Participants
15 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
23 Participants
n=5 Participants
13 Participants
n=7 Participants
36 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
0 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
20 Participants
n=7 Participants
40 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
United States
26 participants
n=5 Participants
25 participants
n=7 Participants
51 participants
n=5 Participants
Posttraumatic Stress Checklist for DSM-5
51.85 units on a scale
STANDARD_DEVIATION 14.15 • n=5 Participants
46.6 units on a scale
STANDARD_DEVIATION 16.04 • n=7 Participants
49.27 units on a scale
STANDARD_DEVIATION 15.19 • n=5 Participants
State Shame (State Shame Guilt Scale)
9.65 units on a scale
STANDARD_DEVIATION 4.57 • n=5 Participants
9.36 units on a scale
STANDARD_DEVIATION 4.83 • n=7 Participants
9.51 units on a scale
STANDARD_DEVIATION 4.65 • n=5 Participants
Posttraumatic Cognitions Inventory
126.50 units on a scale
STANDARD_DEVIATION 39.09 • n=5 Participants
111.38 units on a scale
STANDARD_DEVIATION 36.63 • n=7 Participants
119.44 units on a scale
STANDARD_DEVIATION 38.30 • n=5 Participants
Negative Affect
25.24 units on a scale
STANDARD_DEVIATION 8.46 • n=5 Participants
26.32 units on a scale
STANDARD_DEVIATION 8.13 • n=7 Participants
25.78 units on a scale
STANDARD_DEVIATION 8.23 • n=5 Participants
Anxiety Sensitivity Inventory 3
35.24 units on a scale
STANDARD_DEVIATION 16.05 • n=5 Participants
36.68 units on a scale
STANDARD_DEVIATION 13.85 • n=7 Participants
35.96 units on a scale
STANDARD_DEVIATION 14.85 • n=5 Participants
Life Events Checklist for DSM-5
13.77 Number of items endorsed
STANDARD_DEVIATION 6.94 • n=5 Participants
12.6 Number of items endorsed
STANDARD_DEVIATION 5.33 • n=7 Participants
13.20 Number of items endorsed
STANDARD_DEVIATION 6.17 • n=5 Participants
Tonic Immobility Questionnaire
32.08 units on a scale
STANDARD_DEVIATION 11.22 • n=5 Participants
32.92 units on a scale
STANDARD_DEVIATION 12.03 • n=7 Participants
32.49 units on a scale
STANDARD_DEVIATION 11.51 • n=5 Participants
State Guilt (State Shame Guilt Scale)
10.50 units on a scale
STANDARD_DEVIATION 5.03 • n=5 Participants
8.40 units on a scale
STANDARD_DEVIATION 4.75 • n=7 Participants
9.47 units on a scale
STANDARD_DEVIATION 4.96 • n=5 Participants

PRIMARY outcome

Timeframe: up to 1 month

Population: The final sample was comprised of 46 individuals. Of the 51 participants recruited, three participants failed to complete the intervention, as determined at the analysis phase after examining total time spent, and two participants were excluded from analyses due to significantly impairing drug use during the TI experience.

PTSD symptoms measured using the posttraumatic stress checklist for DSM-5 (PCL-5). The PCL-5 is a 20-item scale with values ranging from 0 to 4 for each item. Items are totaled for a total score ranging 0 to 80, with lower values indicating better outcomes.

Outcome measures

Outcome measures
Measure
Tonic Immobility Psychoeducation (TIP)
n=25 Participants
Participants in the experimental condition will receive the TIP intervention. Tonic Immobility Psychoeducation (TIP): TIP is a 45-minute computerized psychoeducation intervention aimed at addressing maladaptive cognitions and emotions associated with TI while using educational and behavioral techniques commonly used in the treatment of trauma-related disorders. Throughout the psychoeducation program vignettes will be presented to clarify concepts and promote participant engagement. In addition, practice exercises and rating scales will be integrated, where applicable, to increase the interactive nature of the program. The following modules will be addressed in the TI psychoeducation intervention: education, myth busting, and behavioral experiments.
Health Education Training (HET)
n=21 Participants
Participants in the control condition will receive the HET intervention. Health Education Training (HET): The Healthy Education Training intervention was developed as a 45-minute online intervention that provides education about physical health habits that can impact mental health, such as diet, exercise, and sleep. This intervention has been used in prior clinical trials to control for effects of general education, general coping techniques, and use of technology. Participants in past clinical trials have reported that HET is engaging and beneficial. However, HET is not expected to have an effect on the main symptom outcomes of the current study (guilt, shame, PTSD symptoms).
Posttraumatic Stress Disorder Symptoms
30.41 units on a scale
Standard Deviation 18.23
31.93 units on a scale
Standard Deviation 18.33

PRIMARY outcome

Timeframe: post-intervention, on Day 1

Population: The final sample was comprised of 46 individuals. Of the 51 participants recruited, three participants failed to complete the intervention, as determined at the analysis phase after examining total time spent, and two participants were excluded from analyses due to significantly impairing drug use during the TI experience.

Feelings of guilt as measured using the state shame-guilt scale, 8-item (SSGS-8); Value range = 5 to 20 with lower values indicating better outcomes.

Outcome measures

Outcome measures
Measure
Tonic Immobility Psychoeducation (TIP)
n=25 Participants
Participants in the experimental condition will receive the TIP intervention. Tonic Immobility Psychoeducation (TIP): TIP is a 45-minute computerized psychoeducation intervention aimed at addressing maladaptive cognitions and emotions associated with TI while using educational and behavioral techniques commonly used in the treatment of trauma-related disorders. Throughout the psychoeducation program vignettes will be presented to clarify concepts and promote participant engagement. In addition, practice exercises and rating scales will be integrated, where applicable, to increase the interactive nature of the program. The following modules will be addressed in the TI psychoeducation intervention: education, myth busting, and behavioral experiments.
Health Education Training (HET)
n=21 Participants
Participants in the control condition will receive the HET intervention. Health Education Training (HET): The Healthy Education Training intervention was developed as a 45-minute online intervention that provides education about physical health habits that can impact mental health, such as diet, exercise, and sleep. This intervention has been used in prior clinical trials to control for effects of general education, general coping techniques, and use of technology. Participants in past clinical trials have reported that HET is engaging and beneficial. However, HET is not expected to have an effect on the main symptom outcomes of the current study (guilt, shame, PTSD symptoms).
Guilt
6.6 units on a scale
Standard Deviation 2.94
6.85 units on a scale
Standard Deviation 3.86

PRIMARY outcome

Timeframe: post-intervention, on Day 1

Population: The final sample was comprised of 46 individuals. Of the 51 participants recruited, three participants failed to complete the intervention, as determined at the analysis phase after examining total time spent, and two participants were excluded from analyses due to significantly impairing drug use during the TI experience.

Feelings of shame as measured using the state shame-guilt scale, 8-item (SSGS-8); Value range = 5 to 20 with lower values indicating better outcomes.

Outcome measures

Outcome measures
Measure
Tonic Immobility Psychoeducation (TIP)
n=25 Participants
Participants in the experimental condition will receive the TIP intervention. Tonic Immobility Psychoeducation (TIP): TIP is a 45-minute computerized psychoeducation intervention aimed at addressing maladaptive cognitions and emotions associated with TI while using educational and behavioral techniques commonly used in the treatment of trauma-related disorders. Throughout the psychoeducation program vignettes will be presented to clarify concepts and promote participant engagement. In addition, practice exercises and rating scales will be integrated, where applicable, to increase the interactive nature of the program. The following modules will be addressed in the TI psychoeducation intervention: education, myth busting, and behavioral experiments.
Health Education Training (HET)
n=21 Participants
Participants in the control condition will receive the HET intervention. Health Education Training (HET): The Healthy Education Training intervention was developed as a 45-minute online intervention that provides education about physical health habits that can impact mental health, such as diet, exercise, and sleep. This intervention has been used in prior clinical trials to control for effects of general education, general coping techniques, and use of technology. Participants in past clinical trials have reported that HET is engaging and beneficial. However, HET is not expected to have an effect on the main symptom outcomes of the current study (guilt, shame, PTSD symptoms).
Shame
6.80 units on a scale
Standard Deviation 2.80
6.7 units on a scale
Standard Deviation 3.76

Adverse Events

Tonic Immobility Psychoeducation (TIP)

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

Health Education Training (HET)

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

Danielle M. Morabito

Florida State University

Phone: 850) 645-1766

Results disclosure agreements

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