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Attentional Bias Retraining in Veterans (ABR)

Primary Purpose

Posttraumatic Stress Disorder

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Attentional bias retraining
Sponsored by
VA Pacific Islands Health Care System
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Posttraumatic Stress Disorder

Eligibility Criteria

18 Years - 89 Years (Adult, Older Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Participated in ground combat operations in Vietnam
  • Scored 40 - 80 on PTSD Checklist - Military version
  • Availability and willingness to attend 2x weekly computer sessions for 6 weeks

Exclusion Criteria:

  • Active substance dependence
  • Significant cognitive impairment
  • Current and active suicidal or homicidal ideation

Sites / Locations

  • National Center for PTSD

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Attentional Bias Retraining

Arm Description

Each participant receives 12 sessions. The first three sessions are baseline (assessment only) sessions. The last four sessions must be treatment sessions. The attentional bias intervention starts randomly on sessions 4 - 8, and continues until the end of the 12 sessions.

Outcomes

Primary Outcome Measures

Post-traumatic Checklist - Military version (PCL-M)
PCL-M assess the 17-cardinal symptoms of PTSD.

Secondary Outcome Measures

Attentional bias scores
Attentional bias scores represent participants cognitive bias to orient towards trauma-relevant information more quickly than neutral information.

Full Information

First Posted
January 15, 2014
Last Updated
October 31, 2017
Sponsor
VA Pacific Islands Health Care System
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1. Study Identification

Unique Protocol Identification Number
NCT02041572
Brief Title
Attentional Bias Retraining in Veterans
Acronym
ABR
Official Title
Attentional Bias Retraining in Veterans
Study Type
Interventional

2. Study Status

Record Verification Date
January 2014
Overall Recruitment Status
Completed
Study Start Date
May 2012 (undefined)
Primary Completion Date
December 2012 (Actual)
Study Completion Date
June 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
VA Pacific Islands Health Care System

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The study has two goals. First to develop a computer-based intervention meant to alter cognitive biases that contribute to ongoing PTSD symptoms. Second, we sought to pilot test the intervention in a small sample of veterans for feasibility and acceptability.
Detailed Description
Aim 1: Develop Attentional Bias Retraining protocol (Phase 1) 1.1 Computerized assessment & retraining programs 1.2 Procedures and measures Aim 2: Implement in pilot sample (Phase 2) 2.1: Assess feasibility and tolerability 2.2: Collect pilot data to plan future studies 2.3: Efficacy estimates based on changes in response time to dot probe task

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Posttraumatic Stress Disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Masking Description
The transition point from the assessment only version of the attention bias program to the retraining/ bias correction version was randomized at the participant level and occurred between weeks 4 and 7 of the 10-week study.
Allocation
N/A
Enrollment
22 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Attentional Bias Retraining
Arm Type
Other
Arm Description
Each participant receives 12 sessions. The first three sessions are baseline (assessment only) sessions. The last four sessions must be treatment sessions. The attentional bias intervention starts randomly on sessions 4 - 8, and continues until the end of the 12 sessions.
Intervention Type
Behavioral
Intervention Name(s)
Attentional bias retraining
Intervention Description
Participants complete a computer-based intervention, which is designed to correct cognitive biases associated with PTSD by training to attend to neutral information rather than the trauma-related cue words.
Primary Outcome Measure Information:
Title
Post-traumatic Checklist - Military version (PCL-M)
Description
PCL-M assess the 17-cardinal symptoms of PTSD.
Time Frame
Change from Baseline and Post-treatment (1 month after last training session)
Secondary Outcome Measure Information:
Title
Attentional bias scores
Description
Attentional bias scores represent participants cognitive bias to orient towards trauma-relevant information more quickly than neutral information.
Time Frame
Change from Baseline and Post-treatment (1 month after last training session)
Other Pre-specified Outcome Measures:
Title
Daily of PTSD symptoms, specifically hyperarousal and intrusive symptoms (nightmares, reenactments, and triggered and untriggered recall)
Description
Participants filled out daily symptom log nightly
Time Frame
Change from Baseline and Post-treatment (1 month after last training session)

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
89 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Participated in ground combat operations in Vietnam Scored 40 - 80 on PTSD Checklist - Military version Availability and willingness to attend 2x weekly computer sessions for 6 weeks Exclusion Criteria: Active substance dependence Significant cognitive impairment Current and active suicidal or homicidal ideation
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Margaret-Anne Mackintosh, PhD
Organizational Affiliation
National Center for PTSD/PHREI
Official's Role
Principal Investigator
Facility Information:
Facility Name
National Center for PTSD
City
Honolulu
State/Province
Hawaii
ZIP/Postal Code
96819
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
There is no plan to share individual participant data

Learn more about this trial

Attentional Bias Retraining in Veterans

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