RecruitingNot ApplicableNCT05632770

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


Sponsor

University of Washington

Enrollment

424 participants

Start Date

Jan 9, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

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.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study tests a structured, step-by-step mental health program for people who have experienced a serious physical injury and are at risk for PTSD (post-traumatic stress disorder). It aims to provide the right level of care at the right time after trauma. **You may be eligible if...** - You are 18 years or older - You were recently injured and treated at a trauma center - You scored high on a PTSD screening questionnaire - You speak English or Spanish **You may NOT be eligible if...** - You are under 18 - You do not meet the PTSD risk criteria on screening - You do not speak English or Spanish Talk to your doctor to see if this trial is right for you.

This is a simplified summary. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALStepped Collaborative Care

Case management, behavioral intervention elements, psychopharmacologic medication recommendations and 24/7 cell phone coverage for 6 months post-injury.

BEHAVIORALAmerican College of Surgeons (ACS) Required Screening and Referral (Usual Care)

The study will contribute to usual care with the study 10-domain electronic health record (EHR) screen and the posttraumatic stress disorder (PTSD) evaluation. The study team may also collaborate with hospital providers on the referral process and/or inform a member of the patient's care team of distress patients are experiencing as identified by a DSM-5 PTSD Checklist (PCL) score of ≥ 30 or a DSM-IV PTSD Checklist (PCL) score of ≥ 35.


Locations(1)

Harborview Medical Center

Seattle, Washington, United States

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NCT05632770


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