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NCT05751473NARecruiting

Reducing Posttraumatic Stress Disorder (PTSD) Symptoms in First Responders and Frontline Health Care Workers

University of Michigan

Start Date

5/16/2023

Completion Date

7/30/2027

Summary

This study addresses PTSD symptoms in First Responders and Healthcare workers. Specifically, it tests whether a brief PTSD treatment (talk therapy) effectively treats PTSD when provided to First Responders and Healthcare workers by counselors in Employee Assistance Programs (EAPs). The central hypothesis is that the PTSD treatment, Prolonged Exposure for Primary Care (PE-PC), will reduce PTSD symptoms and improve functioning, compared to EAP Treatment as Usual (TAU).

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * Are employees at an orginization served by a participating EAP * Have a Post-Traumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5) score ≥33 * Have had psychotropic medication stability for at least 4 weeks Inclusion criteria for the qualitative portion of the study: \- Enrolled into the randomized clinical trial and were a treatment responder or were a treatment non-responder Exclusion Criteria: * Severe cognitive impairment that in the judgment of the investigators makes it unlikely that the participant can adhere to the study regimen (as evidenced by confusion, inability to track discussion or answer questions, or other clear and significant indicators of cognitive impairment) * High risk of suicide (defined as meeting criteria for Action Step 3 on the Participant Suicide Risk Screening form: found in protocol) * Need for detoxification * Active psychosis or unmanaged bipolar disorder, as measured by items 12 and 13 of the cross cutting assessment * Currently engagement in a trauma-focused behavioral treatment (such as Prolonged Exposure or Cognitive Processing Therapy). * Patients who do not speak English will be excluded for logistical reasons.

Interventions

BEHAVIORAL

Prolonged Exposure for Primary Care (PE-PC)

BEHAVIORAL

EAP Treatment as Usual (TAU)

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Conditions

Post Traumatic Stress Disorder

Locations

Sharp Healthcare

San Diego, California 92129

United States

Tanner Health System

Carrollton, Georgia 30117

United States

University of Michigan

Ann Arbor, Michigan 48109

United States

Henry Ford Health System

Detroit, Michigan 48202

United States

Detroit Fire Department

Detroit, Michigan 48226

United States

Health Management Systems of America

Detroit, Michigan 48226

United States

Michigan State University

East Lansing, Michigan 48824-1037

United States

West Bloomfield Fire Department

West Bloomfield, Michigan 48322

United States

Rutgers Health

Piscataway, New Jersey 08854

United States

Cope NewYork-Presbyterian

New York, New York 10017

United States

Duke University Health System

Durham, North Carolina 27705

United States

University of Cincinati Health

Cincinnati, Ohio 45229

United States

ProMedica

Fremont, Ohio 43420

United States

Houston Fire Department

Houston, Texas 77002

United States