About this trial
Purpose of this study: The purpose of this study is to evaluate the effectiveness of two psychological treatments for moral injury: Acceptance and Commitment Therapy for Moral Injury and Present Centered Therapy for Moral Injury. The main questions it aims to answer are:
1. Determine the efficacy of ACT-MI for building functional recovery among 180 warzone deployed Veterans. 2. Identify barriers and facilitators to implementing ACT-MI in VA mental health clinics or a national telehealth hub in preparation for future dissemination efforts.
Participants will be asked to:
* Complete a two to two and a half hour initial assessment session online using videoconferencing. Participants will be asked to complete surveys and questionnaires. * Be randomized to either ACT-MI or PCT-MI * Meet with the study clinicians for 15 virtual outpatient sessions (12-group and 3-individual sessions). * Complete a post-treatment assessment session offered online using videoconferencing within one week of treatment completion to complete surveys and questionnaires. * Complete one- and three-month follow-up assessments offered online using videoconferencing to complete surveys and questionnaires.
Eligibility criteria
Qualifiers
Eligible for VHA care
Age 18-89
Has been deployed to a warzone
Has experienced moral injury from a morally injurious event in war that is impacting psychosocial functioning
Disqualifiers
Inability to provide informed consent (operationalized as inability to answer 7 questions about the study and research participants' rights)
Inability to complete study measures (e.g., due to significant acute intoxication/withdrawal symptoms, mania, psychosis, aggression, catatonia, cognitive impairment)
Imminent suicide risk
Participation in another interventional mental health research study
Trial design
Treatments tested in this trial
- Acceptance and Commitment Therapy for Moral Injury (ACT-MI)
- Present Centered Therapy for Moral Injury (PCT-MI)
Treatment groups
Sponsors and collaborators
VA Eastern Colorado Health Care System
Lead sponsor
Denver Research Institute
Collaborator
Northern California Institute of Research and Education
Collaborator
Henry M. Jackson Foundation for the Advancement of Military Medicine
Collaborator
Palo Alto Veterans Institute for Research
Collaborator