Posttraumatic Stress Disorder
Conditions
Keywords
Self-help, Internet-delivered intervention, Couple satisfaction, COVID-19, Coronavirus
Brief summary
Posttraumatic Stress Disorder (PTSD) will be a severe problem in Canada in the wake of COVID-19, especially for Military Members, Veterans, First Responders, and Healthcare Workers (MVFH). However, gold standard face-to-face PTSD treatments do not meet current MVFH needs, which requires virtual interventions and minimal healthcare resources. Recognizing the need for a virtual, low-resource PTSD intervention for MVFH with PTSD and their loved ones, the investigators developed Couple HOPES (Helping Overcome PTSD and Enhance Satisfaction). Couple HOPES is a secure, online self-help intervention for those with PTSD and their partners (www.couplehopes.com). However, MVFH are now particularly likely to be exposed to traumas related to COVID-19. It is essential to identify if Couple HOPES is safe and helpful for couples involving MVFH with COVID-19-related PTSD specifically. This project will therefore test the efficacy of Couple HOPES compared to a delayed waitlist control in 70 couples wherein one member is a MVFH with COVID-19-related PTSD. The investigators will examine if Couple HOPES is helpful in improving PTSD symptoms and relationship satisfaction for such couples, and if it is more or less helpful to this end for these couples compared to those with other forms of trauma exposure. 70 couples including a MVFH with COVID-19-related PTSD, will be randomly assigned to receive Couple HOPES or to a waitlist. PTSD symptoms and relationship satisfaction will be measured \ weekly during the intervention and one month after it. Related problems (e.g., depression, anxiety, healthcare use) will be measured before, in the middle of, after, and one month after, the intervention.
Interventions
Couple HOPES is a guided self-help intervention for individuals with PTSD and their partners based on Cognitive-Behavioral Conjoint Therapy for PTSD (Monson \& Fredman, 2012). This intervention consists of text and video-based content across seven intervention modules and phone and online-based coaching sessions with a paraprofessional. Participants are able to complete these modules in their own home or private location of their choosing. The primary outcomes are PTSD symptoms, relationship satisfaction, and the mental health and wellbeing of partners of those with PTSD.
Sponsors
York University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Participating couples are randomized to either immediately receive the Internet-delivered Couple HOPES intervention or to a delayed intervention group, where they receive access to Couple HOPES 8 weeks later.
Eligibility
Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
Yes
Inclusion criteria
* Individual who is a Canadian military member, veteran, first responder or healthcare worker with clinically significant levels of PTSD symptoms related to COVID-19 * Individual who is an American healthcare worker with clinically significant levels of PTSD symptoms related to COVID-19 * Must be willing to be audio-recorded for coaching sessions * Intimate partner willing to participant and complete intervention modules together * Access to high speed internet
Exclusion criteria
* Elevated suicide risk * Severe physical aggression between partners in the past year * Clinically significant PTSD symptoms in both members of the dyad
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-5 (PCL-5) with change measured as mean change from baseline | Baseline, week 1, week 2, week 3, week 4, week 5, week 6, week 7, week 8, and 3 months after the intervention | Scores on the PCL-5 range from 0 to 80, with 80 being the most severe PTSD symptoms. |
| Couple Satisfaction Index (CSI-4) with change measured as mean change from baseline | Baseline, week 1, week 2, week 3, week 4, week 5, week 6, week 7, week 8, and 3 months after the intervention | Score on the CSI-4 range from 0 to 21, with 21 being the most satisfied. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean change from baseline on Ineffective Arguing Inventory | Baseline, week 3, week 8, after 3 modules are completed or 3 weeks into treatment, after 7 modules are completed or 8 weeks into treatment, 3 month post-treatment follow-up | Score range from 0 to 40, with 40 representing highly ineffective arguing. |
| Significant Others' Responses to Trauma Scale with change measured as mean change from baseline | Baseline, week 3, week 8, 3 month post-treatment follow-up | Scores range from 0 to 76, with 76 representing high partner accommodation. |
Countries
Canada
Contacts
PRINCIPAL_INVESTIGATORDr. Skye Fitzpatrick, PhD
York University
Outcome results
None listed