Testing Adaptive Interventions to Improve Posttraumatic Stress Disorder Treatment Outcomes in Federally Qualified Health Centers

Description

This trial is being completed to develop a stepped-care talk therapy model for patients with PTSD. Specifically, this study is testing whether beginning with one type of therapy is better than beginning with another type of therapy, and whether moving to a different therapy after four sessions is more helpful than staying with the same therapy, depending on how well it is working. The central hypothesis is that beginning with a low- or medium-intensity PTSD intervention and then titrating intensity based on early indications of response will result in clinically significant PTSD symptom reduction with parsimony of resources.

Conditions

PTSD

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Study Overview

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Study Details

Study overview

This trial is being completed to develop a stepped-care talk therapy model for patients with PTSD. Specifically, this study is testing whether beginning with one type of therapy is better than beginning with another type of therapy, and whether moving to a different therapy after four sessions is more helpful than staying with the same therapy, depending on how well it is working. The central hypothesis is that beginning with a low- or medium-intensity PTSD intervention and then titrating intensity based on early indications of response will result in clinically significant PTSD symptom reduction with parsimony of resources.

Testing Adaptive Interventions to Improve Posttraumatic Stress Disorder (PTSD) Treatment Outcomes in Federally Qualified Health Centers

Testing Adaptive Interventions to Improve Posttraumatic Stress Disorder Treatment Outcomes in Federally Qualified Health Centers

Condition
PTSD
Intervention / Treatment

-

Contacts and Locations

Baldwin

Family Health Care, Baldwin, Michigan, United States, 49304

Battle Creek

Grace Health, Battle Creek, Michigan, United States, 49037

Flint

Genesee Community Health Center, Flint, Michigan, United States, 48503

Flint

Hamilton Community Health Network, Flint, Michigan, United States, 48503

Grand Rapids

Cherry Health, Grand Rapids, Michigan, United States, 49503

Houghton Lake

MidMichigan Community Health Services, Houghton Lake, Michigan, United States, 48629

Menominee

Upper Great Lakes Family Health Care Center, Menominee, Michigan, United States, 49858

Monroe

Family Medical Center of Michigan, Monroe, Michigan, United States, 48162

Sterling

Sterling Area Health Center, Sterling, Michigan, United States, 48659

Saint Louis

Family Care Health Centers, Saint Louis, Missouri, United States, 63111

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.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Receive care at a participating federally qualified health center (FQHC)
  • * Have a Posttraumatic Stress Disorder checklist (PCL-5) score greater or equal (≥) to 33
  • * Own a mobile device that can be used for the PTSD Coach App
  • * Have had psychotropic medication stability for at least 4 weeks
  • * Severe cognitive impairment that in the judgment of the investigators makes it unlikely that the participant can adhere to the study regimen (as evidenced by confusion, inability to track discussion or answer questions, or other clear and significant indicators of cognitive impairment)
  • * High risk of suicide (defined as meeting criteria for Action Step 3 on the Participant Suicide Risk Screening form
  • * Severe alcohol or substance use disorder (moderate-severe alcohol use disorder on Alcohol Use Disorders Identification Test (AUDIT) (scores ≥ 15) or high risk on National Institute on Drug Abuse Quick Screen (scores ≥ 27))
  • * Active psychosis or unmanaged bipolar disorder
  • * Unstable housing
  • * Current engagement in a trauma-focused behavioral treatment (such as Prolonged Exposure or Cognitive Processing Therapy).
  • * Patients who do not speak English will be excluded for logistical reasons.

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Michigan,

Study Record Dates

2026-05