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| ID | Type | Description | Link |
|---|---|---|---|
| HT9425-25-1-0585 | Other Grant/Funding Number | Department of Defense |
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| Name | Class |
|---|---|
| Stanford University | OTHER |
| Medical University of South Carolina | OTHER |
| Boston University | OTHER |
| Rush University Medical Center |
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This research study tests strategies to train behavioral health providers in Written Exposure Therapy (WET), an evidence-based treatment for posttraumatic stress disorder (PTSD). There are a number of evidence-based treatments for posttraumatic stress disorder (PTSD). However, most behavioral health providers have not received training in these PTSD treatments and do not offer them regularly to their patients.
The researchers hope to learn about the optimal way to train behavioral providers in this type of treatment. This study is designed to determine the comparative effectiveness of different training strategies on key outcomes such as how much competency providers develop in the therapy and to how many patients they deliver the therapy. This study will help the researchers understand if we can help more providers learn to competently delivery Written Exposure Therapy by using strategies that are more convenient and cost less money, including web-based and AI-facilitated training supports. This study will also help us learn which training strategies work best for which providers so that in the future we can make personalized training recommendations.
This study will enroll behavioral health providers (i.e., professional therapists) and test a training program for Written Exposure Therapy that includes
This randomized clinical trial will compare web/AI training, among providers who serve Veterans and Service Members, to standard Written Exposure Therapy training (i.e., human-delivered live workshop and consultation calls) on provider, patient, and cost-effectiveness outcomes. There is no cross-over of conditions. Providers in both conditions will be eligible to earn continuing education credits and approval as Written Exposure Therapy Providers who have completed competency based training and two training cases.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Workshop + Consultation Calls | Active Comparator | 10-hour, live workshop over 2 days with a live trainer via video conferencing. There will also be twelve 1 hour calls with a live therapy consultant . |
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| Workshop + TherapyTrainer | Active Comparator | 10-hour, live workshop over 2 days with a live trainer via video conferencing.There will also be approximately 12 hours of engagement with the AI training support tool (TherapyTrainer) |
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| Web-Based Training + Consultation Calls | Active Comparator | AI enhanced Web-based training with no live meetings, but approximately 8-10 hours of asynchronous, self-paced training. There will also be twelve 1 hour calls with a live therapy consultant . |
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| Web-based Training + TherapyTrainer | Active Comparator | AI enhanced Web-based training with no live meetings, but approximately 8-10 hours of asynchronous, self-paced training. There will also be approximately 12 hours of engagement with the AI training support tool (TherapyTrainer) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Live workshop | Behavioral | Approximately 10 hours (excluding breaks) over 2 days with a live trainer via video conferencing (e.g., Zoom) |
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| Measure | Description | Time Frame |
|---|---|---|
| Provider WET Competency | A 20-item multiple choice treatment knowledge assessment. Higher scores indicate greater knowledge of WET. | Baseline to 7 months |
| Measure | Description | Time Frame |
|---|---|---|
| Completion of Practice Cases | Number of participants that complete practice cases | 4 months |
| Time to complete Practice Cases | Number of days to complete two training cases (real or simulated) |
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Inclusion Criteria:
Exclusion Criteria:
1. has already completed formal training in Written Exposure Therapy
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Stefanie Losavio, PhD | Contact | (210) 562-6714 | ASCENT@uthscsa.edu |
| Name | Affiliation | Role |
|---|---|---|
| Stefanie LoSavio, PhD | The University of Texas Health Science Center at San Antonio | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Texas Health Science Center at San Antonio | San Antonio | Texas | 78229 | United States |
The PI will ensure all mechanisms used to share data will include proper plans and safeguards for the protection of privacy, confidentiality, and security for data dissemination and reuse (e.g., all data will be de-identified and will not be traceable to a specific study participant).
At study completion and after data analysis is complete
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| ID | Term |
|---|---|
| D003130 | Combat Disorders |
| ID | Term |
|---|---|
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
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| OTHER |
Three hundred providers will be randomized at a 1:1 ratio to a foundational learning condition and a competency development condition (2 x 2 design).
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| AI-enhanced Web-based training | Behavioral | No live meetings, but approximately 8-10 hours of asynchronous training at the learner's pace over about 1 month. |
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| Consultation video calls | Behavioral | Twelve 1-hour calls with a live therapy consultant via videoconferencing (e.g., Zoom) |
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| TherapyTrainer | Behavioral | No live meetings, but approximately 12 hours of engaging with the AI training support tool (TherapyTrainer) |
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| 4 months |