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Sponsored by: |
Department of Veterans Affairs |
---|---|
Information provided by: | Department of Veterans Affairs |
ClinicalTrials.gov Identifier: | NCT00373698 |
The study is an evaluation of a systemic intervention to enhance the delivery of care according to practice guidelines for posttraumatic stress disorder (PTSD). The immediate objectives are to (1) implement three component model (3CM) in VA primary care clinics; and (2) evaluate the effects of 3CM on clinician behavior and patient outcomes. The long-term objectives are to generate information to support implementation research on the RESPECT model for treating PTSD in primary care and ultimately, the implementation of the model in VHA to provide care to veterans with PTSD.
Condition | Intervention | Phase |
---|---|---|
Stress Disorders, Posttraumatic Depression |
Behavioral: Three Component Model of Collaborative Care Behavioral: Usual Care |
Phase III |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Single Blind (Outcomes Assessor), Active Control, Parallel Assignment, Efficacy Study |
Official Title: | Reengineering Systems for the Primary Care Treatment of PTSD |
Estimated Enrollment: | 220 |
Study Start Date: | March 2008 |
Estimated Study Completion Date: | April 2011 |
Estimated Primary Completion Date: | April 2010 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
---|---|
1: Experimental
Patients randomized to 3CM will receive telephone care management along with usual care by VA clinicians.
|
Behavioral: Three Component Model of Collaborative Care
Patients randomized to 3CM will receive telephone care management along with usual care by VA clinicians.
|
2: No Intervention
Patients randomized to "Usual Care" will recieve care as usual by VA clinicians.
|
Behavioral: Usual Care
Patients randomized to "Usual Care" will receive care as usual by VA clinicians.
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3CM consists of (1) a prepared practice, (2) care management, and (3) enhanced mental health support. A prepared practice refers to education for primary care clinicians and office staff about practice guidelines and evidence-based care, the skills needed for use of assessment measures, and the use of communication forms and routines. The education plan consists of predisposing activities, including active teaching and learning, and enabling and reinforcing activities in order to help clinicians use newly acquired skills and to reinforce the continued use of these skills in practice. Care management is accomplished by telephone, usually by a centrally located care manager during acute phase treatment and follow up to answer patient questions, promote adherence to the clinician's management plan, and help patients overcome barriers to adherence. Enhanced mental health support is provided by a psychiatrist who supervises care managers by telephone, provides informal consultation to primary care clinicians, and helps to increase the quantity or quality of mental health referral resources.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Liz Forshay, MSW MS | (802) 291-6218 | elizabeth.forshay@va.gov |
Contact: Veronica Thurston, MBA | veronica.thurston@va.gov |
United States, Texas | |
VA North Texas Health Care System, Dallas | Recruiting |
Dallas, Texas, United States, 75216 | |
Contact: Guna Raj 214-857-1588 Guna.Raj@va.gov | |
Contact: Dzung V Le, DO (817) 882-6004 Dzung.Le2@va.gov | |
Sub-Investigator: Guna Raj | |
VA North Texas Health Care System, Dallas | Recruiting |
Fort Worth, Texas, United States, 76104 | |
Contact: Guna Raj 214-857-1588 Guna.Raj@va.gov | |
Contact: Dzung V Le, DO (817) 882-6004 Dzung.Le2@va.gov | |
Sub-Investigator: Dzung V. Le, DO | |
VA South Texas Health Care System, San Antonio | Terminated |
San Antonio, Texas, United States, 78229 | |
Central Texas Veterans Health Care System - Waco | Recruiting |
Waco, Texas, United States, 76711 | |
Contact: Immanuel Thamban, MD 254-297-3735 Immanuel.Thamban@va.gov | |
United States, Vermont | |
VA Medical & Regional Office Center | Not yet recruiting |
White River Junction, Vermont, United States, 05009-0001 | |
Contact: Liz Forshay, MSW MS 802-291-6218 elizabeth.forshay@va.gov | |
Contact: Veronica Thurston, MBA veronica.thurston@va.gov | |
Sub-Investigator: Matthew J. Friedman, MD PhD | |
Principal Investigator: Paula P. Schnurr, PhD |
Principal Investigator: | Paula P. Schnurr, PhD | VA Medical & Regional Office Center, White River |
Responsible Party: | Department of Veterans Affairs ( Schnurr, Paula - Principal Investigator ) |
Study ID Numbers: | IAC 06-073 |
Study First Received: | September 6, 2006 |
Last Updated: | February 18, 2009 |
ClinicalTrials.gov Identifier: | NCT00373698 History of Changes |
Health Authority: | United States: Federal Government |
Stress Disorders, Posttraumatic Delivery of Health Care, Integrated Primary Health Care Veterans Depression |
Depression Anxiety Disorders Mental Disorders Mood Disorders Stress Disorders, Post-Traumatic |
Stress Depressive Disorder Stress Disorders, Traumatic Behavioral Symptoms |
Depression Anxiety Disorders Mental Disorders Mood Disorders |
Stress Disorders, Post-Traumatic Depressive Disorder Stress Disorders, Traumatic Behavioral Symptoms |