RecruitingNot ApplicableNCT05751473

Reducing Posttraumatic Stress Disorder (PTSD) Symptoms in First Responders and Frontline Health Care Workers

Reducing PTSD Symptoms in First Responders and Frontline Healthcare Workers Through Trauma-focused Treatment in Employee Assistance Programs


Sponsor

University of Michigan

Enrollment

410 participants

Start Date

May 16, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This study addresses PTSD symptoms in First Responders and Healthcare workers. Specifically, it tests whether a brief PTSD treatment (talk therapy) effectively treats PTSD when provided to First Responders and Healthcare workers by counselors in Employee Assistance Programs (EAPs). The central hypothesis is that the PTSD treatment, Prolonged Exposure for Primary Care (PE-PC), will reduce PTSD symptoms and improve functioning, compared to EAP Treatment as Usual (TAU).


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a therapy program to help first responders (such as paramedics, firefighters, and police officers) and frontline healthcare workers reduce symptoms of post-traumatic stress disorder (PTSD), which are common in these high-stress professions. **You may be eligible if...** - You are an employee at an organization served by a participating Employee Assistance Program (EAP) - You have significant PTSD symptoms (PCL-5 score of 33 or higher) - Any psychiatric medications you take have been at a stable dose for at least 4 weeks **You may NOT be eligible if...** - You have severe cognitive impairment that prevents you from following the program - You are at high risk for suicide - You need detoxification from substances - You have active psychosis or unmanaged bipolar disorder - You are currently in a trauma-focused therapy program (such as Prolonged Exposure or Cognitive Processing Therapy) - You do not speak English Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALProlonged Exposure for Primary Care (PE-PC)

Treatment will be given by telehealth or in person, depending on the participant preference. Content is drawn from the Full Prolonged Exposure model and condensed so as to deliver the most efficacious components in a brief format. There will be 4-6 weekly 30-minute sessions. Treatment follows the standardized PE-PC manual and workbook. At the end of the final session, the counselor and participant will review treatment progress and either conclude treatment or refer the participant to outside mental healthcare for more intensive treatment. Participants will complete surveys and complete homework during and following the study.

BEHAVIORALEAP Treatment as Usual (TAU)

Treatment will be given by telehealth or in person, depending on the participant preference and current EAP practices (4-6 weeks). This will be the standard of care practice at each EAP site. Usually, this includes up to six sessions of solution focused therapy, and referrals to an established network of community providers who specialize in PTSD treatment. All PTSD care received during the study will be collected and monitored as TAU. The type of TAU used will reflect the current practice in EAPs and will not be constrained in the study design. EAP staff will monitor and record all EAP care received, including tracking no shows and cancellations. Study team members will document care received outside of the EAP (including psychiatric medications) by self-report. Participants will complete surveys and complete homework during and following the study.


Locations(12)

Sharp Healthcare

San Diego, California, United States

Tanner Health System

Carrollton, Georgia, United States

University of Michigan

Ann Arbor, Michigan, United States

Henry Ford Health System

Detroit, Michigan, United States

Detroit Fire Department

Detroit, Michigan, United States

Health Management Systems of America

Detroit, Michigan, United States

Michigan State University

East Lansing, Michigan, United States

West Bloomfield Fire Department

West Bloomfield, Michigan, United States

Cope NewYork-Presbyterian

New York, New York, United States

University of Cincinati Health

Cincinnati, Ohio, United States

ProMedica

Fremont, Ohio, United States

Houston Fire Department

Houston, Texas, United States

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NCT05751473


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