ACTIVE_NOT_RECRUITING

Web-administered STAIR for Patients on Behavioral Health Waitlists

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Posttraumatic stress disorder (PTSD) is a significant public health challenge with population prevalence rates in the US between 6.1 to 9.2%. There are large racial and socioeconomic inequities in access to PTSD treatment, as up to half (30-50%) of patients in safety net clinical settings meet criteria for PTSD, yet only 13% receive any behavioral health treatment. Workforce shortages are one major barrier to accessing care. Additional barriers to care can include heightened mental health stigma and mistrust of health services. Digital mental health interventions (DMHIs) may be suitable within the continuum of care for PTSD in hospital settings, given their potential for rapid-access, scalability, and the high acceptability of DMHI among individuals with high stigma and social needs. Among the available DMHIs for PTSD, the investigators have selected web-administered Skills Training in Affective and Interpersonal Regulation (webSTAIR), based on emerging scientific evidence and a close collaboration with Boston Medical Center (BMC) users (patients and providers) in a previous pilot study in primary care. The aim of this randomized study is to implement webSTAIR at BMC in the Recovery from Stress and Trauma through Outpatient Care, Research, and Education (RESTORE) Center's subspecialty clinic.

Official Title

The Feasibility, Acceptability, and Initial Effectiveness of Web-administered Skills Training in Affective and Interpersonal Regulation (webSTAIR) for Posttraumatic Stress Disorder (PTSD) for Patients on Behavioral Health Waitlists

Quick Facts

Study Start:2024-11-15
Study Completion:2026-05
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:ACTIVE_NOT_RECRUITING

Study ID

NCT06431022

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Client on the RESTORE Center waitlist at Boston Medical Center
  2. * Over 18 years of age
  3. * Able to receive therapy in English or Spanish (per participant report)
  4. * Exposure to trauma (as indicated by the Life Events Checklist for the DSM-5 \[LEC-5\])
  5. * Probable PTSD (as indicated by the PTSD Checklist for the DSM-5 \[PCL-5\] based on PCL score of 33+).
  6. * Reasonable to access to technology (e.g., phone, computer, internet access).
  1. * Patient declines to be in the study.

Contacts and Locations

Principal Investigator

Sarah Valentine, PhD
PRINCIPAL_INVESTIGATOR
Boston Medical Center, Psychiatry Department

Study Locations (Sites)

Boston Medical Center
Boston, Massachusetts, 02118
United States

Collaborators and Investigators

Sponsor: Boston Medical Center

  • Sarah Valentine, PhD, PRINCIPAL_INVESTIGATOR, Boston Medical Center, Psychiatry Department

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-11-15
Study Completion Date2026-05

Study Record Updates

Study Start Date2024-11-15
Study Completion Date2026-05

Terms related to this study

Keywords Provided by Researchers

  • Digital mental health intervention (DMHI)
  • Community health worker (CHW)
  • Web-administered Skills Training in Affective and Interpersonal Regulation (webSTAIR)
  • Stepped care

Additional Relevant MeSH Terms

  • Post Traumatic Stress Disorder