[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT05310097":3,"trial-entities:NCT05310097":169,"trial-summary:NCT05310097":173},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":7,"overall_status":8,"completion_date":9,"status_verified_date":10,"last_update_date":11,"start_date":12,"sponsor_name":13,"lead_sponsor_class":14,"has_dmc":15,"brief_summary":16,"detailed_description":17,"conditions":18,"keywords":20,"study_type":24,"primary_purpose":25,"phases":26,"enrollment_info":28,"interventions":31,"primary_outcomes":42,"secondary_outcomes":76,"sex":126,"minimum_age":127,"maximum_age":17,"healthy_volunteers":15,"eligibility_criteria":128,"std_ages":142,"locations":145,"central_contacts":161,"overall_officials":163,"references":167,"see_also_links":168},"NCT05310097","H-42343","Cognitive Processing Therapy (CPT) Memory Support (MS) Study","Enhancing Memory and Learning in Cognitive Processing Therapy for Post Traumatic Stress Disorder (PTSD)","RECRUITING","2027-04","2026-03","2026-04-01","2023-01-04","Boston University","OTHER",false,"The efficacy of psychological interventions for posttraumatic stress disorder (PTSD) is likely limited by the difficulty participants have learning and remembering important therapy content. Accordingly, the present study will examine the utility of integrating a Memory Support (MS) intervention into Cognitive Processing Therapy (CPT), an empirically supported and widely disseminated treatment for PTSD. MS was designed to integrate techniques aimed at facilitating encoding, consolidation, and retrieval of new learning into existing treatments, and has been shown to improve outcomes when integrated into cognitive therapy for depression. A pilot randomized controlled trial (n=52) comparing CPT with Memory Support (CPT+MS) to CPT-alone will be conducted. Study participants will be adults diagnosed with PTSD.\n\nThe primary aim of the trial will be to determine if CPT+MS will lead to greater memory and learning of therapy content relative to CPT-alone, and to establish the acceptability and feasibility of integrating MS into CPT. Secondary aims include a preliminary examination of treatment efficacy, as indicated by the magnitude of changes in PTSD symptoms between conditions, and target validation, as indicated by associations between memory and learning of therapy content and treatment response. Exploratory analyses will examine several indicators of baseline memory-related cognitive functioning as predictors of memory and learning of therapy content, providing preliminary data to inform future research on personalized application of MS. Results of the trial will advance scientific knowledge about methods for optimizing memory and learning as a mechanism for improving PTSD treatment outcomes.",null,[19],"PTSD",[21,22,23],"Cognitive Processing Therapy (CPT)","Memory Support (MS)","CPT + MS","INTERVENTIONAL","TREATMENT",[27],"NA",{"count":29,"type":30},100,"ESTIMATED",[32,38],{"type":33,"name":34,"description":35,"armGroupLabels":36},"BEHAVIORAL","CPT","CPT will be delivered over the course of 12 one-hour weekly sessions (maximum of 18 weeks to complete treatment). Participants will have the option of receiving CPT in-person or via videoconferencing.",[21,37],"Cognitive Processing Therapy + Memory Support (CPT + MS)",{"type":33,"name":39,"description":40,"armGroupLabels":41},"MS","The MS protocol consists of eight strategies: categorization, evaluation, application, cue-based reminders, practice remembering, attention recruitment, praising recall, and repetitions.",[37],[43,47,50,53,56,59,62,66,69,71,74],{"measure":44,"description":45,"timeFrame":46},"Mid-treatment Memory of therapy content assessed by the Therapy Recall Task","The Therapy Recall Task involves participants writing down as many distinct \"treatment points\" as they can in a 10-minute period. Treatment points are defined as insights, skills, or strategies they think are important to remember or implement as part of their therapy. Responses are scored based on the number of distinct treatment points described.","6 weeks",{"measure":48,"description":45,"timeFrame":49},"Post-treatment Memory of therapy content assessed by the Therapy Recall Task","12 weeks",{"measure":51,"description":45,"timeFrame":52},"Follow-up Memory of therapy content assessed by the Therapy Recall Task","6 months",{"measure":54,"description":55,"timeFrame":49},"Feasibility assessed by mean CPT Adherence","CPT adherence is defined as the portion of CPT protocol elements completed across therapy sessions, rated from 0-100%. This will be assessed via observer ratings of a random selection of 25% of tapes\u002Fsession recordings from each treatment condition using the CPT Therapist Adherence and Competence Protocol - Revised. Completion of ≥ 90% mean adherence to protocol elements indicates high CPT adherence, and would be an indicator of feasibility of CPT+MS.",{"measure":57,"description":58,"timeFrame":49},"Feasibility assessed by mean CPT Competence","CPT competence will be assessed via observer ratings of a random selection of 25% of tapes\u002Fsession recordings from each treatment condition of the competence with which CPT protocol elements are delivered, rated from 1 (poor) to 7 (excellent). This will be assessed via observer ratings of a random selection of session recordings using the CPT Therapist Adherence and Competence Protocol - Revised. A mean skill rating of \"good\" or higher (≥5 on a 7-point Likert scale) on protocol elements indicates high CPT competence, and would be an indicator of feasibility of CPT+MS.",{"measure":60,"description":61,"timeFrame":49},"Feasibility assessed by the Memory Support Rating Scale (MSRS)","The Memory Support Rating Scale (MSRS) is an an observer-rated scale used to measure the type and frequency of Memory Support strategies used. A greater number of Memory Support strategies used in the CPT+MS condition compared to CPT will indicate feasibility of CPT+MS. A random selection of 25% of tapes from each treatment condition will be assessed to derive the mean Memory Support strategies used.",{"measure":63,"description":64,"timeFrame":65},"Treatment acceptability after Session 1 assessed by the Credibility and Expectancy (CEQ) questionnaire","The CEQ is a 6-item questionnaire that assesses how credible participants think the treatment they are receiving is and how much they expect to benefit, measured after the initial treatment session. The potential range of scores is 6 to 54 and higher scores indicating greater treatment credibility\u002Facceptability.","1 week",{"measure":67,"description":68,"timeFrame":46},"Mid-treatment acceptability assessed by the Working Alliance Inventory Short-Revised (WAI-R)","The WAI-R is a 12-item self-report questionnaire that measures three aspects of the therapeutic alliance: agreement on tasks, agreement on goals, and affective bond with the therapist. The potential range of scores is 12 to 60 and higher scores indicate stronger therapeutic alliance\u002Ftreatment acceptability.",{"measure":70,"description":68,"timeFrame":49},"Post-treatment acceptability assessed by the Working Alliance Inventory Short-Revised (WAI-R)",{"measure":72,"description":73,"timeFrame":46},"Mid-treatment client satisfaction assessed by the Client Satisfaction Questionnaire (CSQ)","The CSQ is an 8-item self-report questionnaire that assesses client satisfaction with the treatment they received. The potential range of scores is 8 to 32 and higher scores suggest greater client satisfaction\u002Ftreatment acceptability.",{"measure":75,"description":73,"timeFrame":49},"Post-treatment client satisfaction assessed by the Client Satisfaction Questionnaire (CSQ)",[77,80,82,84,88,91,94,97,99,101,104,106,109,111,114,116,119,121,124],{"measure":78,"description":79,"timeFrame":46},"Mid-treatment Memory of Therapy Content assessed by the Treatment Thoughts and Application Task","The Treatment Thoughts and Application Task assesses the number of treatment points participants thought about and applied in the previous 24 hours. Higher numbers of treatment points indicate greater memory and learning of therapy content.",{"measure":81,"description":79,"timeFrame":49},"Post-treatment Memory of Therapy Content assessed by the Treatment Thoughts and Application Task",{"measure":83,"description":79,"timeFrame":52},"Follow-up Memory of Therapy Content assessed by the Treatment Thoughts and Application Task",{"measure":85,"description":86,"timeFrame":87},"Mid-treatment Change in Memory of Therapy Content assessed by the Generalization Task","The Generalization Task asks participants to imagine two scenarios that commonly elicit symptom-related distress and asks how they would respond. Responses are coded based on the number of treatment points accurately described. Higher numbers of treatment points indicate greater ability to generalize\u002Flearn and remember therapy content.","Baseline, 6 weeks",{"measure":89,"description":86,"timeFrame":90},"Post-treatment Change in Memory of Therapy Content assessed by the Generalization Task","Baseline, 12 weeks",{"measure":92,"description":86,"timeFrame":93},"Follow-up Change in Memory of Therapy Content assessed by the Generalization Task","Baseline, 6 months",{"measure":95,"description":96,"timeFrame":46},"Mid-treatment Skills of Cognitive Therapy (SoCT) - Patient","The SoCT - Patient is an 8-item self-report measure assessing comprehension and application of cognitive therapy skills. Scores range from 8 to 40, with higher scores indicating greater skill use and comprehension.",{"measure":98,"description":96,"timeFrame":49},"Post-treatment Skills of Cognitive Therapy (SoCT) - Patient",{"measure":100,"description":96,"timeFrame":52},"Follow-up Skills of Cognitive Therapy (SoCT) - Patient",{"measure":102,"description":103,"timeFrame":46},"Mid-treatment Skills of Cognitive Therapy (SoCT) - Therapist","The SoCT - Therapist is an 8-item measure assessing therapist's perception of their patient's comprehension and application of cognitive therapy skills. Scores range from 8 to 40, with higher scores indicating greater skill use and comprehension.",{"measure":105,"description":103,"timeFrame":49},"Post-treatment Skills of Cognitive Therapy (SoCT) - Therapist",{"measure":107,"description":108,"timeFrame":90},"Post-treatment Change in PTSD symptoms assessed by the Clinician Administered PTSD Scale for DSM-5 (CAPS-5)","The CAPS-5 is a structured interview that will be used to assess PTSD severity based on the severity and frequency of the 20 DSM-5 symptom criteria of PTSD. Scores range from 0 to 80, with higher scores indicating more severe PTSD.",{"measure":110,"description":108,"timeFrame":93},"Follow-up Change in PTSD symptoms assessed by the Clinician Administered PTSD Scale for DSM-5 (CAPS-5)",{"measure":112,"description":113,"timeFrame":90},"Post-treatment Change in PTSD symptoms assessed by the PTSD Checklist for DSM-5 (PCL-5)","The PCL-5 is a 20-item self-report measure PTSD symptoms. Scores range from 0 to 80, with higher scores indicating more severe PTSD.",{"measure":115,"description":113,"timeFrame":93},"Follow-up Change in PTSD symptoms assessed by the PTSD Checklist for DSM-5 (PCL-5)",{"measure":117,"description":118,"timeFrame":90},"Post-treatment Change in Depression symptoms assessed by the Patient Health Questionnaire 9-item (PHQ-9)","The PHQ is a 9-item self-report measure of depression symptoms. Scores range from 0 to 27, with higher scores indicating more severe depression.",{"measure":120,"description":118,"timeFrame":93},"Follow-up Change in Depression symptoms assessed by the Patient Health Questionnaire 9-item (PHQ-9)",{"measure":122,"description":123,"timeFrame":90},"Post-treatment Change in general functioning assessed by the WHO Disability Assessment Scale-II (WHODAS-II)","The WHODAS-II is a 36-item self-report questionnaire measuring disability and general functioning. Scores range from 0 to 144, with higher scores indicating greater disability\u002Flower functioning",{"measure":125,"description":123,"timeFrame":93},"Follow-up Change in general functioning assessed by the WHO Disability Assessment Scale-II (WHODAS-II)","ALL","18 Years",{"inclusion":129,"exclusion":133,"raw_text":141},[130,131,132],"Current diagnosis of PTSD as determined by the Clinician Administered PTSD Scale for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)","For potential participants on psychiatric medication, dose must be stable for the past four weeks.","Veteran status",[134,135,136,137,138,139,140],"Current DSM-5 diagnoses of unstable bipolar disorder, past or present psychosis, or organic mental disorder","Active suicidal or homicidal ideation with plan or intent","Current moderate or severe substance use disorder, as defined by DSM-5 \\[i.e., at least 4 diagnostic symptoms of Substance use disorder (SUD) present\\]","Prior receipt of CPT or concurrent therapy for PTSD","Significant cognitive impairment as indicated by a score \\\u003C10th percentile on the Montreal Cognitive Assessment","History of moderate or severe traumatic brain injury (TBI) based on the Ohio State University TBI Identification Method and Veterans Administration\u002F Department of Defense (VA\u002FDOD) guidelines","High verbal memory ability, as indicated by a score \\>1 standard deviation (SD) above the population mean on the California Verbal Learning Test® Third Edition (CVLT-3) immediate recall task","Inclusion Criteria:\n\n* Current diagnosis of PTSD as determined by the Clinician Administered PTSD Scale for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)\n* For potential participants on psychiatric medication, dose must be stable for the past four weeks.\n* Veteran status\n\nExclusion Criteria:\n\n* Current DSM-5 diagnoses of unstable bipolar disorder, past or present psychosis, or organic mental disorder\n* Active suicidal or homicidal ideation with plan or intent\n* Current moderate or severe substance use disorder, as defined by DSM-5 \\[i.e., at least 4 diagnostic symptoms of Substance use disorder (SUD) present\\]\n* Prior receipt of CPT or concurrent therapy for PTSD\n* Significant cognitive impairment as indicated by a score \\\u003C10th percentile on the Montreal Cognitive Assessment\n* History of moderate or severe traumatic brain injury (TBI) based on the Ohio State University TBI Identification Method and Veterans Administration\u002F Department of Defense (VA\u002FDOD) guidelines\n* High verbal memory ability, as indicated by a score \\>1 standard deviation (SD) above the population mean on the California Verbal Learning Test® Third Edition (CVLT-3) immediate recall task",[143,144],"ADULT","OLDER_ADULT",[146],{"facility":147,"status":8,"city":148,"state":149,"zip":150,"country":151,"contacts":152,"geoPoint":158},"VA Boston Healthcare System","Jamaica Plain","Massachusetts","02130","United States",[153],{"name":154,"role":155,"phone":156,"email":157},"Joseph Carpenter, PhD MA","CONTACT","617-435-5319","jcarpen@bu.edu",{"lat":159,"lon":160},42.30982,-71.12033,[162],{"name":154,"role":155,"phone":156,"email":157},[164],{"name":154,"affiliation":165,"role":166},"VA Boston Healthcare System, BUSM Psychiatry Dept.","PRINCIPAL_INVESTIGATOR",[],[],{"nct_id":4,"conditions":170,"biomarkers":172},[171],"Post-Traumatic Stress Disorder",[],{"nct_id":4,"found":174,"summary":175,"prompt_version":185},true,{"design":176,"status":177,"heading":178,"summary":179,"follow_up":180,"word_count":181,"commitments":182,"compensation":183,"drugs_mentioned":184},"This is an interventional study with a planned enrollment of 100 participants. It is a pilot randomized controlled trial comparing CPT with Memory Support (CPT+MS) to CPT alone.","completed","Cognitive Processing Therapy (CPT) Memory Support (MS) Study for PTSD","This study is testing a new way to improve Cognitive Processing Therapy (CPT) for Post-Traumatic Stress Disorder (PTSD). CPT is a common therapy, and this study adds \"Memory Support\" (MS) to it. MS uses techniques like categorization and practice to help you remember important therapy content better. Researchers want to see if adding MS helps people learn and remember CPT more effectively. You might be able to join if you are 18 or older, have a current PTSD diagnosis, and if you're on psychiatric medication, your dose has been stable for at least four weeks. The study will measure how well you remember therapy content at 6 weeks, 12 weeks, and 6 months after treatment.","Your memory of therapy content will be assessed at 6 weeks, 12 weeks, and 6 months after treatment.",115,"You would attend 12 weekly one-hour CPT sessions, which can be in-person or via videoconferencing, over a maximum of 18 weeks.","Not stated in the trial record.",[34,39],"v2"]