Family Involvement in Treatment for PTSD (FIT-PTSD): A Brief, Feasible Method for Enhancing Outcomes, Retention, and Engagement

家庭参与治疗 PTSD (FIT-PTSD)：一种增强结果、保留和参与度的简短、可行的方法

• 批准号: 10361786
• 负责人: Johanna Thompson-Hollands
• 金额: --
• 依托单位: VA BOSTON HEALTH CARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-01 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10361786
• 关键词: Adult; Afghanistan; Ambulatory Care Facilities; Award; Caring; Cognitive; Communication; Complement; Cues; DSM-V; Data; Department of Defense; Distress; Dose; Dropout; Effectiveness; Evidence based practice; Family; Family member; Feedback; Funding; Goals; Individual; Infrastructure; Intervention; Interview; Investments; Iraq; Memory; Methods; Outcome; Outpatients; Persons; Post-Traumatic Stress Disorders; Protocols documentation; Provider; Psychotherapy; Quality of life; Randomized; Randomized Controlled Trials; Research; Sampling; Severities; Site; Surveys; Symptoms; Telephone; Testing; Trauma; United States Department of Veterans Affairs; Veterans; Veterans Health Administration; Weather; acceptability and feasibility; base; design; effective therapy; effectiveness implementation study; effectiveness testing; experience; group intervention; implementation intervention; improved; improved outcome; intervention effect; loved ones; primary outcome; psychoeducation; psychoeducational; rate of change; recruit; response; retention rate; skills; symptom treatment; therapy design; treatment as usual

Although effective treatments for PTSD exist, high rates of treatment dropout and sub -optimal response rates remain common. Incorporating family members in treatment represents one avenue for improving outcomes and providing Veteran-centered care, and surveys of Veterans in outpatient VA PTSD care indicate that 80% desire family involvement. The VA has invested many years and millions of dollars on the dissemination of Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE) for PTSD. A family-based intervention that complements these two first-line treatments would capitalize on existing treatment infrastructure while also potentially boosting outcomes and retention. Preliminary testing of the proposed Brief Family Intervention (BFI) resulted in 50% less dropout from CPT/PE among Veterans whose family members received the BFI. There was also a large impact on PTSD symptoms at 16 weeks (d = 1.12) in favor of the BFI group. The goal of this study is to test the effectiveness of the BFI among a fully-powered sample. One hundred Veteran-family member dyads (n = 200) will be recruited. Veterans will be beginning a course of usual-care CPT or PE at one of two VA sites. Family members will be randomized to receive or not receive the BFI, a two -session psychoeducational and skills-based protocol. PTSD symptom severity and treatment retention will be the primary outcomes. Assessments will be conducted by independent evaluators at baseline, 6 -, 12-, 18-, and 26- weeks. Veterans whose family members receive the BFI are expected to have lower dropout and a greater rate of change in their PTSD symptoms compared to Veterans whose family members do not receive the BFI. If the BFI is found to increase the effectiveness of and retention in CPT/PE, it will be a highly appealing option for incorporating families into Veterans’ PTSD care.

尽管存在有效的PTSD治疗方法，但治疗效率高和亚最佳反应率很高 保持普遍。将家庭成员纳入治疗代表改善结果的途径 并提供以退伍军人为中心的护理，并在门诊VA PTSD护理中对退伍军人进行调查，表明80％ 渴望家庭参与。弗吉尼亚州已经投资了很多年和数百万美元 PTSD的认知加工疗法（CPT）和长期暴露（PE）。一种基于家庭的干预措施 完成这两种一线治疗将资本利用现有的治疗基础设施 有可能提高结果和保留率。拟议的简短家庭干预（BFI）的初步测试 在家庭成员接受BFI的退伍军人中，CPT/PE的辍学率降低了50％。那里 在16周（d = 1.12）对BFI组的16周（d = 1.12）的PTSD症状也很大。目标的目标 研究是在完全动力的样本中测试BFI的有效性。一百个老兵家庭 将招募成员二元组（n = 200）。退伍军人将开始使用通常的护理CPT或PE。 两个VA站点。家庭成员将被随机接收或不接收BFI，两次。 心理教育和基于技能的协议。 PTSD症状严重程度和治疗保留将是 主要结果。评估将由基线，6-，12-，18-和26-的独立评估者进行。 几周。退伍军人的家庭成员收到BFI的辍学率较低和更高 与家庭成员没有接受BFI的退伍军人相比，其PTSD症状的变化。如果是 发现BFI可以提高CPT/PE的保留率和保留率，这将是一个非常吸引人的选择 将家庭纳入退伍军人的PTSD护理中。