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Increasing the Reach of Evidence-Based PTSD Treatment: Development and Clinical Trial of Artificial Intelligence (AI)-Facilitated, Web-Based Written Exposure Therapy Training

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07707102
Acronym
ASCENT
Enrollment
300
Registered
2026-07-16
Start date
2026-08-20
Completion date
2028-08-31
Last updated
2026-08-24

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

Conditions

PTSD - Post Traumatic Stress Disorder

Keywords

Written Exposure Therapy, AI-facilitated training

Brief summary

This research study tests strategies to train behavioral health providers in Written Exposure Therapy (WET), an evidence-based treatment for posttraumatic stress disorder (PTSD). There are a number of evidence-based treatments for posttraumatic stress disorder (PTSD). However, most behavioral health providers have not received training in these PTSD treatments and do not offer them regularly to their patients. The researchers hope to learn about the optimal way to train behavioral providers in this type of treatment. This study is designed to determine the comparative effectiveness of different training strategies on key outcomes such as how much competency providers develop in the therapy and to how many patients they deliver the therapy. This study will help the researchers understand if we can help more providers learn to competently delivery Written Exposure Therapy by using strategies that are more convenient and cost less money, including web-based and AI-facilitated training supports. This study will also help us learn which training strategies work best for which providers so that in the future we can make personalized training recommendations.

Detailed description

This study will enroll behavioral health providers (i.e., professional therapists) and test a training program for Written Exposure Therapy that includes 1. an enhanced, web-based foundational training (web-based training plus integrated TherapyTrainer components) and 2. an AI training support tool for competency development (TherapyTrainer). This randomized clinical trial will compare web/AI training, among providers who serve Veterans and Service Members, to standard Written Exposure Therapy training (i.e., human-delivered live workshop and consultation calls) on provider, patient, and cost-effectiveness outcomes. There is no cross-over of conditions. Providers in both conditions will be eligible to earn continuing education credits and approval as Written Exposure Therapy Providers who have completed competency based training and two training cases.

Interventions

BEHAVIORALLive workshop

Approximately 10 hours (excluding breaks) over 2 days with a live trainer via video conferencing (e.g., Zoom)

BEHAVIORALAI-enhanced Web-based training

No live meetings, but approximately 8-10 hours of asynchronous training at the learner's pace over about 1 month.

BEHAVIORALConsultation video calls

Twelve 1-hour calls with a live therapy consultant via videoconferencing (e.g., Zoom)

BEHAVIORALTherapyTrainer

No live meetings, but approximately 12 hours of engaging with the AI training support tool (TherapyTrainer)

Sponsors

The University of Texas Health Science Center at San Antonio
Lead SponsorOTHER
Stanford University
CollaboratorOTHER
Medical University of South Carolina
CollaboratorOTHER
Boston University
CollaboratorOTHER
Rush University Medical Center
CollaboratorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Intervention model description

Three hundred providers will be randomized at a 1:1 ratio to a foundational learning condition and a competency development condition (2 x 2 design).

Eligibility

Sex/Gender
ALL
Healthy volunteers
Yes

Inclusion criteria

1. mental health provider; 2. serves veterans and/or service members with PTSD (by self-report); 3. willing to participate in either live or web-based training.

Exclusion criteria

1\. has already completed formal training in Written Exposure Therapy

Design outcomes

Primary

MeasureTime frameDescription
Provider WET CompetencyBaseline to 7 monthsA 20-item multiple choice treatment knowledge assessment. Higher scores indicate greater knowledge of WET.

Secondary

MeasureTime frameDescription
Completion of Practice Cases4 monthsNumber of participants that complete practice cases
Time to complete Practice Cases4 monthsNumber of days to complete two training cases (real or simulated)

Countries

United States

Contacts

CONTACTStefanie Losavio, PhD
ASCENT@uthscsa.edu(210) 562-6714
PRINCIPAL_INVESTIGATORStefanie LoSavio, PhD

The University of Texas Health Science Center at San Antonio

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Aug 25, 2026