Novel Telemedicine-Delivered Prolonged Exposure Therapy for Treating PTSD in Individuals With OUD

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Vermont

About this trial

Among individuals with opioid use disorder (OUD), posttraumatic stress disorder (PTSD) presents a significant clinical challenge. The prevalence of PTSD is substantially higher in individuals with OUD than in the general population, with nearly 90% reporting lifetime trauma exposure and 33% meeting diagnostic criteria for PTSD. The primary objective of this study is to evaluate the efficacy of a novel telemedicine-delivered prolonged exposure therapy protocol for improving PE attendance and reducing PTSD symptom severity in individuals with concurrent PTSD and OUD.

Eligibility criteria

Qualifiers

>18 years old

Maintained on a stable methadone or buprenorphine dose for >1 month prior to the study

Meet current DSM-5 posttraumatic stress disorder criteria based on the Clinician Administered PTSD Scale for DSM-5

Participants receiving psychotropic medications must be maintained on a stable dose for >1 month prior to enrollment.

Disqualifiers

Current delusions or hallucinations, unstable bipolar disorder, imminent risk for suicide as assessed by the Mini International Neuropsychiatric Interview

Cognitive impairment as evidenced by scores <22 on the Videoconference-based Mini Mental Status Examination (MMSE; Folstein, et al., 1975)

Enrolled in another ongoing evidence-based treatment for PTSD.

Pregnancy as verified by pregnancy test

Trial design

Treatments tested in this trial

  • Prolonged exposure therapy
  • Financial incentives
  • Treatment as usual

Treatment groups

135 Participants
are divided into 3 treatment groups

Sponsors and collaborators

University of Vermont

Lead sponsor

National Institute on Drug Abuse (NIDA)

Collaborator