Anger, Posttraumatic Stress Disorder
Conditions
Keywords
Veterans, Posttraumatic Stress Disorder, Anger, Behavioral Health, Mobile Health Technology
Brief summary
The purpose of this study is to examine feasibility, tolerability, utilization, and effectiveness of using the SupportTeam mobile application in the context of Cognitive Behavioral Therapy (CBT) for veterans with PTSD.
Detailed description
Purpose: we will examine feasibility, tolerability, utilization, and effectiveness of using the SupportTeam mobile application in the context of Cognitive Behavioral Therapy (CBT) for veterans with PTSD. Participants: (N=100) 50 veterans who have served in the military since October 2001 and have PTSD with anger problems; and 50 collateral family members/close friends above the age of 18. Procedures (methods): All Veterans with PTSD will receive a 12 session standard CBT for anger. Veterans in the intervention group will additionally receive instructions for using SupportTeam with a family member or friend that will provide data for the CBT clinician. Veterans in the control group will receive the CBT sessions, but will not receive the SupportTeam mobile application.
Interventions
BEHAVIORALConnectd mobile application
Connectd is a mobile application that collects and automatically analyzes input from patients with PTSD/TBI, as well as their families, for clinician review. The app will aggregate patient and family input on current issues, relationship stressors, and situational stressors to better focus (personalize) treatment as well as to more efficiently and accurately understand key factors and root causes. In addition, the app provides informational resources for veterans and family regarding treatment options and mental health supports.
Sponsors
Duke University
University of California, Los Angeles
InferLink Corporation
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
For Veteran: * Age 18 or older * Served in a branch of the US military since October, 2001 * Meets DSM-5 criteria for current PTSD as measured by the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5); * Reports at least one episode of anger or irritability in the past week; * Has and regularly uses an iOS (iPhone 5s or higher with iOS 8 or higher) or Android (with 4G network and Android 4.1 or higher) smartphone with a data plan; * Has a family member or friend who also has and uses a smartphone with a data plan and agrees to participate in the study. * Is able and willing to attend 12 weekly sessions at Duke Psychiatry offices within normal business hours (M-F 8:00-5:00) For Collateral: * 18 years old or older * Has and regularly uses an iOS (iPhone 5s or higher with iOS 8 or higher) or Android (with 4G network and Android 4.1 or higher) smartphone with a data plan; * Has a family member or friend who meets the veteran inclusion criteria and agrees to participate in the study.
Exclusion criteria
, Veteran: \- Is currently participating in, or is scheduled to participate in a manualized psychosocial treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participant Treatment Participation | 12 weeks | Number of weekly sessions attended by participants |
| PTSD Knowledge Scale | 12 weeks | Measures general knowledge about PTSD |
| Zarit Burden Interview | 12 weeks | Measures stress felt by caregivers |
| Working Alliance Inventory (Short Form, Therapist) | 12 weeks | Documents perspectives of therapist-client relationship |
| Working Alliance Inventory (Client) | 12 weeks | Documents perspectives of therapist-client relationship |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinician-Administered PTSD Scale for DSM5 (CAPS 5) | Past month | Assessment of PTSD symptoms |
| Dimensions of Anger Reactions | 12 weeks | Measure of anger disposition towards others |
Countries
United States
Outcome results
None listed