PTSD - Post Traumatic Stress Disorder, TBI-Traumatic Brain Injury
Conditions
Keywords
PTSD, TBI, First responders, STAIR-NT, GMT
Brief summary
This study is a randomized controlled pilot examining the implementation of an adapted intervention, Skills Training in Affective and Interpersonal Regulation-Narrative Therapy (STAIR-NT), among a first responder population with a history of TBI and PTSD.
Detailed description
The primary objective of the study is to implement and evaluate the effectiveness of an evidence-based intervention, STAIR-NT, which will be adapted with Goal Management Training (GMT). A small-scale randomized control pilot will be conducted using the adapted intervention to examine implementation (i.e., feasibility, acceptability) and improvements in short-term PTSD, as well as secondary mental health outcomes (e.g., anxiety, and depression symptoms, substance misuse) among a first responder population with a history of TBI and PTSD.
Interventions
BEHAVIORALAdapted STAIR-NT
An adapted version of STAIR-NT that utilizes components from GMT in order to treat PTSD and TBI.
Sponsors
Florida State University
Invisible Wounds Project
United States Department of Defense
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Pilot randomized control trial with an intervention arm and a treatment-as-usual arm.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years or older * be a first responder within the state of Minnesota * have a history of a TBI * screen for PTSD.
Exclusion criteria
* Does not meet inclusion criteria.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Post-Traumatic Stress Disorder Symptoms | Baseline, 4-6 weeks, 3 months, 6 months | The 20-item PTSD Checklist for DSM-5 (PCL-5) will be used to assess PTSD symptoms. All items are scored on a 5-point Likert scale ranging between 0 (not at all) and 4 (extremely). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Anxiety Symptoms | Baseline, 4-6 weeks, 3 months, 6 months | The Generalized Anxiety Disorder Screener-7 (GAD-7) will be used to assess anxiety symptoms. The included items ask participants to indicate how frequently they experienced seven symptoms over the past two weeks, with provided response categories ranging between 0 (not at all) to 3 (nearly every day). |
| Change in Depression Symptoms | Baseline, 4-6 weeks, 3 months, 6 months | The Patient Health Questionnarie-9 (PHQ-9) is an abbreviated version of the full PHQ focused on major depressive disorder and will be used to assess depression symptoms. Participants are asked to indicate how often they experienced nine different feelings over the past two weeks with possible response categories ranging between 0 (not at all) and 3 (nearly every day). |
| Change in Alcohol Use | Baseline, 4-6 weeks, 3 months, 6 months | The Alcohol Use Disorders Identification Test (AUDIT) is a self-administered instrument that includes 10 screening questions tapping alcohol use and alcohol-related consequences in the past 12 months. |
| Change in Drug Use | Baseline, 4-6 weeks, 3 months, 6 months | The Drug Abuse Screening Test (DAST-10) is a 10-item questionnaire tapping the use of drugs and related health effects and behaviors over the past 12 months. |
Countries
United States
Contacts
CONTACTJoseph Schwartz, PhD
CONTACTTanya Renn, PhD
PRINCIPAL_INVESTIGATORJoseph Schwartz, PhD
Florida State University
Outcome results
None listed