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Effective Implementation of Stress Treatments in US Department of Veterans Affairs PTSD Clinics

A Quasi-Experimental Implementation Trial of Toolkit Guided External Facilitation to Improve Reach of Evidence-Based Psychotherapies for Posttraumatic Stress Disorder (PTSD) in US Department of Veterans Affairs PTSD Clinics

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN65119065
Enrollment
2
Registered
2018-07-25
Start date
2018-04-01
Completion date
Unknown
Last updated
2020-10-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Post-traumatic Stress Disorder (PTSD) Mental and Behavioural Disorders Post-traumatic Stress Disorder (PTSD)

Interventions

The study will have 2 intervention sites and 6 comparison sites. The 2 intervention sites will engage in toolkit-guided external facilitation for 6 months. Each intervention site will

Sponsors

VA Health Services Research and Development Service
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Low reach PTSD team (defined as less than or equal to the national median of reach on PTSD teams during a 12-month period preceding project start) 2. Have a champion to serve as an internal change agent 3. Facility leadership support for the project

Exclusion criteria

Exclusion criteria: PTSD teams that treat fewer than 500 patients in a 12 month period

Design outcomes

Primary

MeasureTime frame
Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE) reach to therapy patients seen by the PTSD team, measured as the proportion of veterans diagnosed with PTSD during a psychotherapy appointment with a provider on the PTSD team within the 6 months before and after the intervention who receive at least one CPT or PE appointment.

Secondary

MeasureTime frame
Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE) reach in other mental health teams in the facility, measured as the proportion of veterans diagnosed with PTSD during a psychotherapy appointment with a provider in any other mental health team within the 6 months before and after the intervention who receive at least one CPT or PE appointment.

Countries

United States of America

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 25, 2026