FY08 DRMRP Clinical Trial: Strengthening Pathways to PTSD Recovery Using Systems-Level Intervention

Abstract

The purpose of the STEPS UP (STepped Enhancement of PTSD Services Using Primary Care) trial is to compare centralized telephonic stepped-care management to optimized usual post-traumatic stress disorder (PTSD) and depression care. We hypothesize that the STEPS UP intervention will lead to improvements in the following: (1) PTSD and depression symptom severity (primary hypothesis); (2) anxiety and somatic symptom severity, alcohol use, mental health functioning, and work functioning; and (3) cost-effectiveness. We hypothesize that patients, their family members, and participating clinicians will find that the STEPS UP intervention is an acceptable, effective, and satisfying approach to delivering and receiving PTSD and depression care. In the last year, The RTI Institutional Review Board (IRB) has reviewed and approved the study protocol, consent form, and related study materials. RTI finalized the listing and ordering of items to be included on the baseline questionnaire instrument. A survey methodologist reviewed and evaluated those items. Web programming of the baseline instrument is nearly complete. It incorporates the study instrumentation, randomization scheme, emergency response protocol, data security protocol, data collection and other study reports, and other functions. In preparation for study launch, the STEPS UP team has conducted three site visits at Joint Base Lewis-McChord, Fort Bliss, and Fort Carson to initiate intervention awareness and training for primary care and behavioral health providers, clinic nurses and clerical staff, and RESPECT-Mil personnel. We have developed job descriptions and timelines to hire study support personnel. RTI has conducted recruiting, interviewing, and hiring activities for research coordinators and assistants for Joint Base Lewis-McChord, WA (coordinator hired) and Fort Bliss, TX (candidates identified).

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 2011
Accession Number
ADA555845

Entities

People

  • Robert Bray

Organizations

  • RTI International

Tags

DTIC Thesaurus Topics

  • Anxiety Disorders
  • Computer Programming
  • Department Of Defense
  • Diseases And Disorders
  • Health
  • Health Care
  • Health Services
  • Information Security
  • Institutional Review Board
  • Logistics Planning
  • Management Personnel
  • Medical Personnel
  • Mental Health
  • Military Personnel
  • Psychiatry
  • Public Health
  • Traumatic Stress Disorder

Readers

  • Clinical Trial Research.
  • Medical or Health Care Field.
  • Mental Health of Military Veterans with Posttraumatic Stress Disorder (PTSD): Risk Factors, Prevalence, Symptoms, and Treatment.