[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100452010":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":30,"centralContacts":35,"locations":41,"responsibleParty":58,"collaborators":60,"id":63,"slug":64,"hasResults":65,"nctId":66,"briefTitle":67,"officialTitle":68,"acronym":26,"eligibilityCriteria":69,"healthyVolunteers":65,"sex":70,"minAge":71,"maxAge":26,"enrollmentInfo":72,"targetDuration":26,"studyType":75,"phases":76,"briefSummary":78,"conditions":79,"keywords":81,"overallStatus":82,"whyStopped":26,"lastUpdateSubmitDate":83,"lastUpdatePostDateStruct":84,"startDateStruct":87,"completionDateStruct":89,"leadSponsor":91,"locationsCount":92},{"fullName":5,"class":6},"VA Office of Research and Development","FED",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"TAU","ACTIVE_COMPARATOR","Treatment As Usual with a VA mental health treatment coordinator",[13],"Behavioral: Treatment As Usual",{"label":15,"type":16,"description":17,"interventionNames":18},"New Health Services Intervention","EXPERIMENTAL","Novel health services intervention with a VA mental health treatment coordinator",[19],"Behavioral: New Health Services Intervention",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","Treatment As Usual","Care Coordination Treatment as usual with a VA mental health treatment coordinator",[9],null,{"type":22,"name":15,"description":28,"armGroupLabels":29,"otherNames":26},"The experimental care coordination intervention begins with a 60-minute in-person session and continues with regular, brief contacts between the Veteran and clinician. During the first session, the clinician and Veteran will (1) discuss the Veteran's beliefs about their presenting problem; (2) collaboratively identify SMART goals; (3) discuss treatment options; (4) use shared decision-making to match treatment to SMART goals; (5) develop criteria to evaluate treatment progress; and (6) manage treatment expectations. During follow-up sessions, the clinician and Veteran will reflect on treatment progress, make appropriate updates to SMART goals, and re-evaluate barriers to CPT or PE.",[15],[31],{"name":32,"affiliation":33,"role":34},"Nicholas Holder, PhD","San Francisco VA Medical Center, San Francisco, CA","PRINCIPAL_INVESTIGATOR",[36],{"name":32,"role":37,"phone":38,"phoneExt":39,"email":40},"CONTACT","(415) 221-4810","23084","nicholas.holder@va.gov",[42],{"facility":33,"status":26,"city":43,"state":44,"zip":45,"country":46,"countryCode":47,"cosmosGeoPoint":48,"geoPoint":53,"contacts":54},"San Francisco","California","94121-1563","United States","US",{"type":49,"coordinates":50},"Point",[51,52],-122.41942,37.77493,{"lat":52,"lon":51},[55,57],{"name":32,"role":37,"phone":56,"phoneExt":39,"email":40},"415-221-4810",{"name":32,"role":34,"phone":26,"phoneExt":26,"email":26},{"type":59,"investigatorFullName":26,"investigatorTitle":26,"investigatorAffiliation":26,"oldNameTitle":26,"oldOrganization":26},"SPONSOR",[61],{"name":62,"class":6},"White River Junction Veterans Affairs Medical Center","100452010","facilitating-transition-to-recommended-ptsd-treatment-100452010",false,"NCT05165940","Facilitating Transition to Recommended PTSD Treatment","Improving Care for Veterans by Understanding and Facilitating Transition to Recommended PTSD Treatment (CDA 21-194)","Inclusion Criteria:\n\n* Veteran\n* Diagnosed with PTSD as part of an intake assessment at the San Francisco Veterans Affairs Medical Center.\n\nExclusion Criteria:\n\n* Inability to provide informed consent\n* Cognitive impairment that precludes comprehension of study materials\n* Active psychosis","ALL","18 Years",{"count":73,"type":74},40,"ESTIMATED","INTERVENTIONAL",[77],"NA","Cognitive processing therapy (CPT) and prolonged exposure therapy (PE) were widely disseminated as recommended posttraumatic stress disorder (PTSD) treatments. However, post-9\u002F11 Veterans with PTSD rarely initiate CPT or PE, especially as an initial treatment. Little research has explored the combinations and sequences of psychosocial and medication treatments that Veterans receive (\"treatment sequences\"). One common and understudied treatment sequence begins with stabilization treatment, which is designed to prepare Veterans for CPT or PE. There is a significant research gap in understanding how treatment sequence affects initiation of CPT or PE. The proposed research is an innovative, mixed-methods approach to assessing the impact of variability in treatment sequence, including stabilization treatment, on initiation of CPT or PE and applying this knowledge by developing a health services intervention that facilitates timely transition to CPT or PE. Research aims can improve PTSD treatment by increasing initiation of and reducing disparities in CPT\u002FPE.",[80],"PTSD",[80],"NOT_YET_RECRUITING","2026-06-01",{"date":85,"type":86},"2026-06-02","ACTUAL",{"date":88,"type":74},"2026-08-01",{"date":90,"type":74},"2027-05-03",{"name":5,"class":6},1]