About this trial
The goal of this clinical trial is to learn if receiving Prolonged Exposure Therapy for PTSD in massed format (multiple sessions weekly) is as effective as receiving it with sessions once per week among veterans with PTSD and substance use disorder in intensive outpatient substance use treatment. The main questions it aims to answer are:
* Will the massed format help participants complete and benefit from Prolonged Exposure in terms of PTSD symptoms? * Will it help participants reduce substance use? Participants who are in intensive substance use treatment will be asked to complete Prolonged Exposure with either weekly sessions or multiple sessions per week.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Veterans
age 18+
who have served since September 2001
who are enrolled in a SUD IOP at a participating VA
Disqualifiers
severe cognitive impairment
current suicidal or homicidal intent requiring immediate treatment
current unstable psychotic or manic symptoms not attributable to SUD
Trial design
Parallel
Treatments tested in this trial
Prolonged Exposure Therapy
BehavioralExposure therapy for PTSD
Treatment groups
Trial outcomes
Primary outcomes
Clinician Administered PTSD Scale for DSM-5 (CAPS-5)
Measures PTSD symptom severity, score range 0-80, higher scores mean greater symptom severity
Time Line Follow back (TLFB)
Measures percent days of alcohol or other drug use, score range 0-100%, higher scores indicate greater percent days of use
Psychotherapy Completion Rates
Percent of participants completing all sessions of psychotherapy, range is 0-100%, higher number means greater percent completed therapy
Secondary outcomes
Patient Health Questionnaire-9 (PHQ-9)
Depression symptom severity, range = 0-27, higher scores mean greater depression symptom severity
Brief Psychosocial Functioning Inventory (B-IPF)
Measures severity of impairment in psychosocial functioning, scores = 0-100, higher scores indicate greater impairment
Client Satisfaction Questionnaire-8 (CSQ-8)
Measures satisfaction with treatment, scores range from 8 to 32. higher scores indicate greater satisfaction with treatment
Sponsors and contacts
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Veterans Medical Research Foundation
Lead sponsor
University of Minnesota
Collaborator
Center for Veterans Research and Education
Collaborator