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Enhancing Equitable and Effective (E-3) Post Traumatic Stress Disorder (PTSD) Disability Assessment (E-3 PTSD)

This study is not yet open for participant recruitment.
Verified by Department of Veterans Affairs, June 2008

Sponsored by: Department of Veterans Affairs
Information provided by: Department of Veterans Affairs
ClinicalTrials.gov Identifier: NCT00699660
  Purpose

This project will evaluate variations of the inital PTSD C&P interview on the examination process..


Condition Intervention
Post Traumatic Stress Disorder
Behavioral: Clinician Assessment of PTSD Symptoms (CAPS)
Behavioral: Nonstructured Interview

MedlinePlus related topics:   Post-Traumatic Stress Disorder    Stress   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Diagnostic, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Official Title:   Enhancing Equitable and Effective PTSD Disability Assessment

Further study details as provided by Department of Veterans Affairs:

Primary Outcome Measures:
  • completeness and quality of PTSD interview [ Time Frame: Post-exam, same day ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • PTSD diagnosis [ Time Frame: post-exam, same day ] [ Designated as safety issue: No ]
  • PTSD diagnosis [ Time Frame: Post-exam, same day ] [ Designated as safety issue: No ]
  • Patient Satisfaction [ Time Frame: post-exam, same day ] [ Designated as safety issue: No ]
  • resource utilization [ Time Frame: same day ] [ Designated as safety issue: No ]

Estimated Enrollment:   644
Study Start Date:   August 2008
Estimated Study Completion Date:   August 2009
Estimated Primary Completion Date:   April 2009 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1: Experimental
PTSD interview using CAPS and WHODAS
Behavioral: Clinician Assessment of PTSD Symptoms (CAPS)
CAPS/WHODAS structured clinical PTSD interview
2: Active Comparator
Usual PTSD interview, without CAPS or WHODAS
Behavioral: Nonstructured Interview
Usual PTSD clinical PTSD interview, not CAPS or SCID

Detailed Description:

Our objective is to compare the process and outcomes of C&P exams for PTSD conducted with CAPS and WHODAS-II interviews versus the PTSD exams conducted without the CAPS and WHODAS-II interviews. This project will conduct a randomized controlled trial on 688 veterans to evaluate the effects of the CAPS/WHODAS instruments on the initial PTSD C&P examination process. Study outcomes include variation in assessing the DSM-IV components of PTSD, diagnostic accuracy, veteran perception of the exam process, VBA rater utility and resource utilization. This project will 1) demonstrate the feasibility of conducting program evaluation and intervention studies on the PTSD C&P examination process, 2) develop research tools, instruments and methods for C&P evaluation, 3) provide data on the value-added contribution of CAPS and WHODAS-II to the PTSD assessment process and examination report, and 4) inform the business case of utilizing the CAPS and WHODAS-II in the PTSD C&P process. The ultimate aim is to improve the reproducibility, consistency and validity of the PTSD examination process while maintaining a level of efficiency and cost restraint that provides veterans with an exam process that is fair, accurate and equitable across VHA.

  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  1. Veterans refered to VHA for an Initial PTSD Compensation and Pension Examination
  2. Informed consent

Exclusion Criteria:

  1. Mentally impaired, not able to give informed consent
  2. English speaking
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00699660

Contacts
Contact: Theodore Speroff, PhD MS PhD     (615) 340-2357     ted.speroff@va.gov    
Contact: Heather J Davis-Underwood, MPH MBA BA     (615) 340-2354     heather.davis-underwood@va.gov    

Locations
United States, Arkansas
Central Arkansas VHS Eugene J. Towbin Healthcare Ctr, Little Rock     Not yet recruiting
      No. Little Rock, Arkansas, United States, 72114-1706
      Contact: Richard R Owen, MD     501-257-1710     owenrichardr@uams.edu    
      Contact: Jeffrey L Smith, BS     (501) 257-1066     jeffrey.smith6@med.va.gov    
      Sub-Investigator: Richard R. Owen, MD            
      Sub-Investigator: Jeffrey L. Smith, BS            
United States, Connecticut
VA Connecticut Health Care System (West Haven)     Not yet recruiting
      West Haven, Connecticut, United States, 06516
      Contact: Marc Rosen, MD     203-932-5711 ext 2112     marc.rosen@va.gov    
United States, Louisiana
Southeast Veterans Healthcare System, New Orleans     Not yet recruiting
      New Orleans, Louisiana, United States, 70112
      Contact: Madeline Uddo, PhD     504-571-8107     madeline./uddo@va.gov    
United States, Massachusetts
VA Medical Center     Not yet recruiting
      Boston, Massachusetts, United States, 02130
      Contact: Brian P Marx, PhD     (857) 364-6071     brian.marx@va.gov    
      Contact: Terence M Keane, PhD     (857) 364-4551     terry.keane@va.gov    
      Sub-Investigator: Brian Paul Marx, PhD            
United States, Michigan
John D. Dingell VA Medical Center, Detroit     Not yet recruiting
      Detroit, Michigan, United States, 48201
      Contact: Lad J Vidergar, PhD     313-576-1000     lad.vidergar@va.gov    
United States, Minnesota
VA Medical Center     Not yet recruiting
      Minneapolis, Minnesota, United States, 55417
      Contact: Maureen Murdoch, MD MPH     612-467-2688     maureen.murdoch@med.va.gov    
      Contact: Nina A Sayer, PhD     (612) 467-4623     nina.sayer@med.va.gov    
      Sub-Investigator: Nina A. Sayer, PhD            
      Sub-Investigator: Maureen Murdoch, MD MPH            
United States, New Mexico
New Mexico VA Health Care System, Albuquerque     Not yet recruiting
      Albuquerque, New Mexico, United States, 87108-5153
      Contact: Janet CdeBaca, PhD     505-265-1711 ext 5856     janet.cdebaca@va.gov    
United States, Tennessee
VA Medical Center     Not yet recruiting
      Nashville, Tennessee, United States, 37212-2637
      Contact: Theodore Speroff, PhD MS PhD     (615) 340-2357     ted.speroff@va.gov    
      Principal Investigator: Theodore Speroff, PhD MS PhD            
      Sub-Investigator: Steven Holloway Brown, AB MD MS            
      Sub-Investigator: James C Jackson, PSYD MA BA            
      Sub-Investigator: Elliot Fielstein, BA PhD            
VA Medical Center, Memphis     Not yet recruiting
      Memphis, Tennessee, United States, 38104
      Contact: Karin Thompson, PhD     901-523-8990 ext 5762     karin.thompson@va.gov    
United States, Texas
VA South Texas Health Care System, San Antonio     Not yet recruiting
      San Antonio, Texas, United States, 78229
      Contact: Twila J Thompson, PhD     210-617-5300     twila.thompson@va.gov    
Michael E. DeBakey VA Medical Center (152)     Not yet recruiting
      Houston, Texas, United States, 77030
      Contact: Thomas Anderson, PhD     713-141-1414 ext 6741     thomas.anderson@va.gov    
United States, Wisconsin
Zablocki VA Medical Center, Milwaukee     Not yet recruiting
      Milwaukee, Wisconsin, United States, 53295-1000
      Contact: Michelle Cornette, PhD     414-384-2000 ext 46229     michelle.cornette@va.gov    

Sponsors and Collaborators

Investigators
Principal Investigator:     Theodore Speroff, PhD MS PhD     Department of Veterans Affairs    
  More Information


Responsible Party:   Department of Veterans Affairs ( Speroff, Theodore - Principal Investigator )
Study ID Numbers:   SDR 06-331
First Received:   June 12, 2008
Last Updated:   June 17, 2008
ClinicalTrials.gov Identifier:   NCT00699660
Health Authority:   United States: Federal Government

Keywords provided by Department of Veterans Affairs:
Disability Examination  
Clinician Administered PTSD Scale  
Quality of Care  

Study placed in the following topic categories:
Anxiety Disorders
Mental Disorders
Stress Disorders, Post-Traumatic
Stress
Stress Disorders, Traumatic

Additional relevant MeSH terms:
Pathologic Processes
Disease

ClinicalTrials.gov processed this record on October 10, 2008




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