Status:
COMPLETED
The Mobile PTSD Coach App in Acute Injury Survivors
Lead Sponsor:
University of Pittsburgh
Collaborating Sponsors:
Palo Alto Veterans Institute for Research
Conditions:
Chronic Pain
Acute Pain Due to Trauma
Eligibility:
All Genders
18-65 years
Phase:
NA
Brief Summary
This project is a preliminary randomized controlled trial testing the potential impact of the PTSD Coach mobile application at reducing posttraumatic stress and pain symptoms among acutely injured tra...
Detailed Description
Traumatic injury is the leading cause of mortality in the U.S. for young people, and a source of long-term morbidity in all ages. A majority of trauma patients report chronic pain (CP) and disability ...
Eligibility Criteria
Inclusion
- English-speaking adults seeking treatment in the ED
- Adults between the ages of 18-65
- Sustained a musculoskeletal injury (e.g., fractures, sprains or strains, contusions, dislocations, crushing injuries and open wounds; and other chief complains involving the neck, back, or extremities)
- Injury resulting from a motor vehicle crash (MVC) or motorcycle crash (MCC) that occurred within the past 24 hours
- Eligible patients must own a mobile phone with short-message service (SMS) features (e.g., the ability to send and respond to text messages) and the ability to download apps
- Participants must self-report that they experienced a potential traumatic event reflected by Criterion A of the DSM-5 PTSD diagnosis (endorse actual or perceived life threat and/or serious injury141,142)
- Participants must self-report that they experienced a painful injury reflected by a pain score ≥4 using the verbal numerical score (0-10) in response to the question: "On a scale of 0-10, how severe is your pain?"
- Patients with a past history of PTSD, but not currently receiving treatment (e.g., benzodiazepines or mental/behavioral therapy), are eligible for participation.
Exclusion
- Presenting to the ED for a non-MVC/MCC (i.e., fall, assault)
- Participants who do not own a mobile phone with SMS features
- Participants with a pain score \< 4 or do not endorse Criterion A of the DSM-5 PTSD diagnosis
- Spinal injuries
- Major lacerations resulting in significant damage to subcutaneous tissue (e.g., degloving) and specific nerve injury (these injuries could lead to a distinct neuropathic pain syndrome)
- Traumatic brain injury; Evidence of moderate to severe cognitive impairment secondary to trauma-related head injury (GCS\<13)
- Self-inflicted injury
- Time since trauma \> 24 hours
- Non-English speaking; younger than 18 or older than 65
- Not medically stable or alert and oriented
- Initiation of benzodiazepines and other psychotropic medications at time of ED visit
- Initiation of mental or behavioral health therapy at time of ED visit
- Currently enrolled in treatment (medication or mental/behavioral health therapy) for PTSD
- Prisoners
Key Trial Info
Start Date :
September 19 2017
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
February 15 2019
Estimated Enrollment :
64 Patients enrolled
Trial Details
Trial ID
NCT03247179
Start Date
September 19 2017
End Date
February 15 2019
Last Update
March 4 2019
Active Locations (2)
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1
UPMC Presbyterian Hospital
Pittsburgh, Pennsylvania, United States, 15213
2
UPMC Mercy Hospital
Pittsburgh, Pennsylvania, United States, 15219