[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100593771":3},{"organization":4,"armGroups":7,"interventions":80,"overallOfficials":111,"centralContacts":116,"locations":124,"responsibleParty":199,"collaborators":86,"id":201,"slug":202,"hasResults":203,"nctId":204,"briefTitle":205,"officialTitle":205,"acronym":206,"eligibilityCriteria":207,"healthyVolunteers":203,"sex":208,"minAge":209,"maxAge":86,"enrollmentInfo":210,"targetDuration":86,"studyType":213,"phases":214,"briefSummary":216,"conditions":217,"keywords":220,"overallStatus":127,"whyStopped":86,"lastUpdateSubmitDate":224,"lastUpdatePostDateStruct":225,"startDateStruct":228,"completionDateStruct":230,"leadSponsor":232,"locationsCount":233},{"fullName":5,"class":6},"VA Office of Research and Development","FED",[8,16,20,25,30,35,39,43,47,52,56,60,64,68,72,76],{"label":9,"type":10,"description":11,"interventionNames":12},"Condition 1-A","EXPERIMENTAL","Web-Based Training (WBT) + Work-Sample Review (WR) + early fidelity + step down to fidelity self-monitoring.",[13,14,15],"Other: Web-Based Training (WBT)","Other: Work Sample Review (WR)","Other: Step down to fidelity self-monitoring",{"label":17,"type":10,"description":18,"interventionNames":19},"Condition 1-B","Web-Based Training (WBT) + Work-Sample Review (WR) + early fidelity + continue in Standard Consultation.",[13,14],{"label":21,"type":10,"description":22,"interventionNames":23},"Condition 1-C","Web-Based Training (WBT) + Work-Sample Review (WR) + fidelity in progress + step up to session audio review.",[13,14,24],"Other: Step up to session audio review",{"label":26,"type":10,"description":27,"interventionNames":28},"Condition 1-D","Web-Based Training (WBT) + Work-Sample Review (WR)+ fidelity in progress + continue in Standard Consultation.",[13,14,29],"Other: Continue in Standard Consultation",{"label":31,"type":10,"description":32,"interventionNames":33},"Condition 2-A","Web-Based Training (WBT) + Standard Consultation (SC) + early fidelity + step down to fidelity self-monitoring.",[13,15,34],"Other: Standard Consultation (SC)",{"label":36,"type":10,"description":37,"interventionNames":38},"Condition 2-B","Web-Based Training (WBT) + Standard Consultation (SC) + early fidelity + continue in Standard Consultation.",[13,34],{"label":40,"type":10,"description":41,"interventionNames":42},"Condition 2-C","Web-Based Training (WBT) + Standard Consultation (SC) + fidelity in progress + step up to session audio review.",[13,24,34],{"label":44,"type":10,"description":45,"interventionNames":46},"Condition 2-D","Web-Based Training (WBT) + Standard Consultation (SC) + fidelity in progress + continue in Standard Consultation.",[13,34,29],{"label":48,"type":10,"description":49,"interventionNames":50},"Condition 3-A","Standard Training (ST) + Work-Sample Review (WR) + early fidelity + step down to fidelity self-monitoring.",[14,15,51],"Other: Standard Training (ST)",{"label":53,"type":10,"description":54,"interventionNames":55},"Condition 3-B","Standard Training (ST) + Work-Sample Review (WR) + early fidelity + continue in Standard Consultation.",[14,51],{"label":57,"type":10,"description":58,"interventionNames":59},"Condition 3-C","Standard Training (ST) + Work-Sample Review (WR) + fidelity in progress + step up to session audio review.",[14,24,51],{"label":61,"type":10,"description":62,"interventionNames":63},"Condition 3-D","Standard Training (ST) + Work-Sample Review (WR)+ fidelity in progress + continue in Standard Consultation.",[14,51,29],{"label":65,"type":10,"description":66,"interventionNames":67},"Condition 4-A","Standard Training (ST) + Standard Consultation (SC) + early fidelity + step down to fidelity self-monitoring.",[15,34,51],{"label":69,"type":10,"description":70,"interventionNames":71},"Condition 4-B","Standard Training (ST) + Standard Consultation (SC) + early fidelity + continue in Standard Consultation.",[34,51,29],{"label":73,"type":10,"description":74,"interventionNames":75},"Condition 4-C","Standard Training (ST) + Standard Consultation (SC) + fidelity in progress + step up to session audio review.",[24,34,51],{"label":77,"type":10,"description":78,"interventionNames":79},"Condition 4-D","Standard Training (ST) + Standard Consultation (SC) + fidelity in progress + continue in Standard Consultation.",[34,51,29],[81,87,91,95,99,103,107],{"type":82,"name":83,"description":84,"armGroupLabels":85,"otherNames":86},"OTHER","Web-Based Training (WBT)","A self-paced online training course that includes video demonstrations, self-guided modules, and clinical materials\u002Fresources.",[9,17,21,26,31,36,40,44],null,{"type":82,"name":88,"description":89,"armGroupLabels":90,"otherNames":86},"Work Sample Review (WR)","Four months of weekly hour-long consultation that will include trainer-led reviews of work samples, focusing on the Impact Statement and Stuck Point Log.",[9,17,21,26,48,53,57,61],{"type":82,"name":92,"description":93,"armGroupLabels":94,"otherNames":86},"Step down to fidelity self-monitoring","After four months, and for participants who are classified as meeting \"early fidelity\", for the next two months, therapists in self-monitored fidelity will no longer attend group consultation. Instead, they will assess their own fidelity through self-report surveys.",[9,31,48,65],{"type":82,"name":96,"description":97,"armGroupLabels":98,"otherNames":86},"Step up to session audio review","After four months, and for participants who are classified as meeting \"fidelity in progress\", for the next two months, therapists will have their session audio recordings reviewed and rated for fidelity.",[21,40,57,73],{"type":82,"name":100,"description":101,"armGroupLabels":102,"otherNames":86},"Standard Consultation (SC)","Four months of weekly hour-long group consultation",[31,36,40,44,65,69,73,77],{"type":82,"name":104,"description":105,"armGroupLabels":106,"otherNames":86},"Standard Training (ST)","2-day instructor-led CPT workshop.",[48,53,57,61,65,69,73,77],{"type":82,"name":108,"description":109,"armGroupLabels":110,"otherNames":86},"Continue in Standard Consultation","After four months, therapists will continue to attend weekly hour-long group consultation for another two months.",[26,44,61,69,77],[112],{"name":113,"affiliation":114,"role":115},"Rebecca Kaufman Sripada, PhD MS","VA Ann Arbor Healthcare System, Ann Arbor, MI","PRINCIPAL_INVESTIGATOR",[117,122],{"name":118,"role":119,"phone":120,"phoneExt":86,"email":121},"Rebecca K Sripada, PhD MS","CONTACT","(734) 222-7432","rebecca.sripada@va.gov",{"name":123,"role":119,"phone":86,"phoneExt":86,"email":86},"Isabel Gracy, BS",[125,144,163,183],{"facility":126,"status":127,"city":128,"state":129,"zip":130,"country":131,"countryCode":132,"cosmosGeoPoint":133,"geoPoint":138,"contacts":139},"VA Palo Alto Health Care System, Palo Alto, CA","RECRUITING","Palo Alto","California","94304-1207","United States","US",{"type":134,"coordinates":135},"Point",[136,137],-122.14302,37.44188,{"lat":137,"lon":136},[140],{"name":141,"role":119,"phone":142,"phoneExt":86,"email":143},"Shannon Wiltsey-Stirman, PhD","650-493-5000","shannon.wiltsey-stirman@va.gov",{"facility":114,"status":127,"city":145,"state":146,"zip":147,"country":131,"countryCode":132,"cosmosGeoPoint":148,"geoPoint":152,"contacts":153},"Ann Arbor","Michigan","48105-2303",{"type":134,"coordinates":149},[150,151],-83.74088,42.27756,{"lat":151,"lon":150},[154,158,162],{"name":155,"role":119,"phone":156,"phoneExt":86,"email":157},"Michael P Robertson","(734) 845-5718","Michael.Robertson6@va.gov",{"name":159,"role":119,"phone":160,"phoneExt":86,"email":161},"Fatima Makki, MPH MSW","(734) 845-3623","fatima.makki@va.gov",{"name":113,"role":115,"phone":86,"phoneExt":86,"email":86},{"facility":164,"status":127,"city":165,"state":166,"zip":167,"country":131,"countryCode":132,"cosmosGeoPoint":168,"geoPoint":172,"contacts":173},"Minneapolis VA Health Care System, Minneapolis, MN","Minneapolis","Minnesota","55417-2309",{"type":134,"coordinates":169},[170,171],-93.26384,44.97997,{"lat":171,"lon":170},[174,179],{"name":175,"role":119,"phone":176,"phoneExt":177,"email":178},"Nina Sayer, PhD","612-725-2000","314623","nina.sayer@va.gov",{"name":180,"role":119,"phone":181,"phoneExt":86,"email":182},"Robert Orazem, PhD","6126297453","robert.orazem2@va.gov",{"facility":184,"status":127,"city":185,"state":186,"zip":187,"country":131,"countryCode":132,"cosmosGeoPoint":188,"geoPoint":192,"contacts":193},"Cincinnati VA Medical Center, Cincinnati, OH","Cincinnati","Ohio","45220-2213",{"type":134,"coordinates":189},[190,191],-84.51439,39.12711,{"lat":191,"lon":190},[194],{"name":195,"role":119,"phone":196,"phoneExt":197,"email":198},"Kathleen Chard, PhD","513-861-3100","4434","kathleen.chard@va.gov",{"type":200,"investigatorFullName":86,"investigatorTitle":86,"investigatorAffiliation":86,"oldNameTitle":86,"oldOrganization":86},"SPONSOR","100593771","smart-therapist-training-a-hybrid-factorial-smart-design-100593771",false,"NCT07010770","SMART Therapist Training: A Hybrid Factorial-SMART Design","SMART","Inclusion Criteria:\n\nWe have designed the sample to be representative of therapists who are eligible for CPT rollout training.\n\n* Participants must be licensed mental health clinicians or a mental health trainee in VA service (e.g., practicum students, psychology interns, postdoctoral fellows) whose formal job responsibilities include the provision of psychotherapy services to Veterans on a regular basis\n* Participants must be able to participate for 9 months.\n* Participants must work in a setting where CPT may be implemented (12 weekly 60-minute individual sessions or 90-minute group sessions).\n* Participants must have local\u002Fsupervisor support to implement CPT and fully participate in all training and consultation activities.\n* Participating trainees (e.g. psychology interns) on a 6-month training rotation must have permission from their supervisors to continue the study into their next rotation.\n\nExclusion Criteria:\n\n* Participant is not a licensed mental health clinician\n* Participant is already certified in CPT","ALL","18 Years",{"count":211,"type":212},240,"ESTIMATED","INTERVENTIONAL",[215],"NA","Cognitive Processing Therapy (CPT) is highly effective in randomized controlled trials, but its effectiveness drops substantially in standard clinical practice, largely due to therapist \"drift\" from fidelity to the protocol. What remains unknown is which components of CPT training yield high therapist fidelity. Thus, there is a critical need to use empirical approaches to identify the most effective components of CPT training and to develop an adaptive training model for CPT by testing sequences of empirically-supported training strategies. The long-term goal of this research is to develop a sustainable model of therapy training that is personalized to the needs of the therapist trainee.\n\nThe overall objective of this application is to empirically optimize an adaptive model for CPT training. The rationale is that developing an adaptive training model will improve efficiency and personalization, yield higher fidelity, and ultimately improve Veteran outcomes. We expect that completion of this project will produce an adaptive CPT training program that yields high therapist fidelity. Improving CPT fidelity in VHA will have a positive impact on the health and wellbeing of Veterans with PTSD.",[218,219],"Stress Disorders, Post-Traumatic","Psychotherapy",[221,219,218,222,223],"Therapeutics","Referral and Consultation","Veterans","2025-08-29",{"date":226,"type":227},"2025-09-02","ACTUAL",{"date":229,"type":227},"2025-08-15",{"date":231,"type":212},"2030-08-30",{"name":5,"class":6},4]