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

Description

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.

Conditions

PTSD, Physical Injury

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Study Overview

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Study Details

Study overview

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.

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

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

Condition
PTSD
Intervention / Treatment

-

Contacts and Locations

Seattle

Harborview Medical Center, Seattle, Washington, United States, 98104

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

  • * 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
  • * Age \<18
  • * Not admitted for a traumatic injury
  • * Speak a language other than English and/or Spanish
  • * Acutely suicidal/admitted for a suicide attempt
  • * Cognitively impaired
  • * Incarcerated
  • * Acutely psychotic
  • * Not a resident of Washington, California, Alaska, Oregon, Idaho, Montana, or Nevada
  • * Less than 2 pieces of contact information
  • * Prior history of violence, such that study staff may not be safe
  • * Patient with overwhelming psychiatric distress and not advisable/will not tolerate randomization to control condition
  • * Most recent COVID-19 test positive

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Washington,

Douglas Zatzick, MD, PRINCIPAL_INVESTIGATOR, University of Washington

Study Record Dates

2027-10-31