A Deployment Focused Pragmatic Trial of Optimal Stepped Care Intervention Targeting PTSD and Comorbidity for Acutely Hospitalized Injury Survivors Treated in US Trauma Care Systems
Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
This investigation is a randomized pragmatic trial of a brief stepped care intervention delivered from an acute care medical trauma center that may both reduce the symptoms of posttraumatic stress disorder (PTSD) and diminish emergency department health service utilization.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:
• Injured patients ≥18 years of age
• Meet ≥ 3 of 10 risk domain criteria in electronic health records (EHR) screen
• Score of ≥ 30 on DSM-5 PTSD Checklist (PCL) score or score of ≥ 35 on DSM-IV PTSD Checklist (PCL) .
• Speak English and/or Spanish
Locations
United States
Washington
Harborview Medical Center
RECRUITING
Seattle
Contact Information
Primary
Douglas Zatzick, MD
dzatzick@uw.edu
206-744-6701
Backup
Tanya Knutsen, MSW
206-406-1273
Time Frame
Start Date: 2023-01-09
Estimated Completion Date: 2027-10-31
Participants
Target number of participants: 424
Treatments
Experimental: Stepped Collaborative Care (Intervention)
Patients in the intervention condition will receive a stepped collaborative care intervention that includes posttraumatic concern elicitation, proactive care management, medication, and psychotherapy elements targeting posttraumatic stress disorder (PTSD) and related comorbidity.
Active_comparator: American College of Surgeons (ACS) Required Screening and Referral (Usual Care)
Patients in the control condition will receive usual trauma center care with American College of Surgeons (ACS) required psychosocial screening and referral.
Related Therapeutic Areas
Sponsors
Collaborators: National Institute of Mental Health (NIMH)
Leads: University of Washington