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Trial · NCT02655354

A Policy Relevant US Trauma Care System Pragmatic Trial for PTSD and Comorbidity

NCT02655354, Not applicable, Completed, University of Washington; results first posted 2021-07-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Policy Relevant US Trauma Care System Pragmatic Trial for PTSD and Comorbidity. Trials, record NCT02655354. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02655354

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Policy Relevant US Trauma Care System Pragmatic Trial for PTSD and Comorbidity
NCT number
NCT02655354
Status
Completed
Phases
Not applicable
Enrollment
635 participants, actual
Lead sponsor
University of Washington
Conditions
Posttraumatic Stress Disorder, Depression, Alcohol-Related Disorders, Suicidal Ideation, Substance-Related Disorders, Mild Cognitive Impairment, Quality of Life, Pain, Wounds and Injury, Brain Injuries, Chronic Disease
Interventions
Motivational Interviewing, Cognitive Behavioral Therapy Elements, Care Management, Fluoxetine, Fluvoxamine, Paroxetine, Sertraline, Citalopram, Venlafaxine, Duloxetine, Mirtazapine, Diphenhydramine, Trazodone, Prazosin
First posted
2016-01-14
Last updated
2021-07-02
Results first posted
2021-07-02

Source ClinicalTrials.gov

Registered outcomes13

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline PTSD Checklist- Civilian (PCL-C) Over the Course of the Year After InjuryBaseline, 3-month, 6-month, 12-month
The investigators will use the PTSD Checklist - Civilian (PCL-C). The scoring of the scale ranges from a minimum of 17 to a maximum of 85, with higher scores indicating a worse outcome. The measure can also provide a rating of symptoms consistent with a diagnosis of PTSD.
PrimaryChange From Baseline Patient Health Questionnaire 9 Item Depression Scale Over the Course of the Year After InjuryBaseline, 3-month, 6-month, 12-month
The investigators will use the Patient Health Questionnaire 9-item Depression Scale (PHQ-9). The scoring of the scale ranges from a minimum of 0 to a maximum of 27, with higher scores indicating a worse outcome.
PrimaryChange From Baseline Alcohol Use Disorders Identification Over the Course of the Year After InjuryBaseline, 3-month, 6-month, 12-monthThe investigators will use the Alcohol Use Disorders Identification Test (AUDIT) as a continuous measure. The 10-item scale score ranges from 0-40, with higher values indicating a worse outcome.
PrimaryChange From Baseline Short Form (SF)-12/36 Physical Function Over the Course of the Year After InjuryBaseline, 3-month, 6-month, 12-month
The investigators used the Medical Outcomes Study Short Form healthy survey (MOS SF-12/36) physical components summary to assess physical function. The minimum and maximum scores are 0-100 with higher scores representing a better outcome.
SecondaryNumber of Participants With Suicidal IdeationBaseline, 3-month, 6-month, 12-month
Item 9 of the Patient Health Questionnaire 9-item (PHQ-9) scale assesses suicidal ideation. It is scored from 0 to 3, with a score of 1 or greater indicating a patient has suicidal ideation. Participants with a PHQ-9 item 9 score of greater than or equal to 1 are reported for this outcome.
SecondaryNumber of Participants Endorsing a Single Item That Assesses Opioid UseBaseline, 3-month, 6-month, 12-monthSingle items that assess non-prescribed opioid use. Single item self-report dichotomized as none versus at least monthly use.
SecondaryCognitive Impairment ScaleBaseline, 3-month, 6-month, 12-month
The investigators will use the National Study on the Costs and Outcomes of Trauma (NSCOT) Cognitive Screen, a 4 - Item Traumatic Brain Injury / Post-concussive Symptom Screen. The scoring of the scale ranges from a minimum of 4 to a maximum of 20, with lower scores indicating a worse outcome.
SecondaryBrief Pain InventoryBaseline, 3-month, 6-month, 12-monthA brief measure scored on a 0 to 10 scale to assess a patient's pain, with a higher score indicating more severe pain; a score of 0 indicates no pain and a score of 10 indicates very severe pain.
SecondarySF-36 Quality of LifeBaseline, 3-month, 6-month, 12-monthThe SF-36 assess quality of life domains that span emotional health, overall health status, and role function; a score of 100 indicates perfect health and a score of 0 indicates extremely poor health.
SecondaryTSOS Patient Satisfaction: Overall Health CareBaseline, 3-month, 6-month, 12-monthSatisfaction with health care was rated on a scale of 1 to 5, with 1 indicating very dissatisfied and 5 indicating very satisfied.

Outcomes13

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline PTSD Checklist- Civilian (PCL-C) Over the Course of the Year After InjuryBaseline, 3-month, 6-month, 12-monthscore on a scaleMEAN
PRIMARYChange From Baseline Patient Health Questionnaire 9 Item Depression Scale Over the Course of the Year After InjuryBaseline, 3-month, 6-month, 12-monthscore on a scaleMEAN
PRIMARYChange From Baseline Alcohol Use Disorders Identification Over the Course of the Year After InjuryBaseline, 3-month, 6-month, 12-monthscore on a scaleMEAN
PRIMARYChange From Baseline Short Form (SF)-12/36 Physical Function Over the Course of the Year After InjuryBaseline, 3-month, 6-month, 12-monthscore on a scaleMEAN
SECONDARYNumber of Participants With Suicidal IdeationBaseline, 3-month, 6-month, 12-monthParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Endorsing a Single Item That Assesses Opioid UseBaseline, 3-month, 6-month, 12-monthParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCognitive Impairment ScaleBaseline, 3-month, 6-month, 12-monthscore on a scaleMEAN
SECONDARYBrief Pain InventoryBaseline, 3-month, 6-month, 12-monthscore on a scaleMEAN
SECONDARYSF-36 Quality of LifeBaseline, 3-month, 6-month, 12-monthscore on a scaleMEAN
SECONDARYTSOS Patient Satisfaction: Overall Health CareBaseline, 3-month, 6-month, 12-monthscore on a scaleMEAN

Results by group96

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline PTSD Checklist- Civilian (PCL-C) Over the Course of the Year After InjuryInterventionChange from Baseline at 3 Months-1.65Standard Error 0.86score on a scale
Change From Baseline PTSD Checklist- Civilian (PCL-C) Over the Course of the Year After InjuryUsual CareChange from Baseline at 3 Months0.08Standard Error 0.74score on a scale
Change From Baseline PTSD Checklist- Civilian (PCL-C) Over the Course of the Year After InjuryInterventionChange from Baseline at 6 Months-4.02Standard Error 0.99score on a scale
Change From Baseline PTSD Checklist- Civilian (PCL-C) Over the Course of the Year After InjuryUsual CareChange from Baseline at 6 Months-1.44Standard Error 0.83score on a scale
Change From Baseline PTSD Checklist- Civilian (PCL-C) Over the Course of the Year After InjuryInterventionChange from Baseline at 12 Months-5.51Standard Error 1.18score on a scale
Change From Baseline PTSD Checklist- Civilian (PCL-C) Over the Course of the Year After InjuryUsual CareChange from Baseline at 12 Months-4.25Standard Error 0.97score on a scale
Change From Baseline Patient Health Questionnaire 9 Item Depression Scale Over the Course of the Year After InjuryInterventionChange from Baseline at 3 Months-0.79Standard Error 0.40score on a scale
Change From Baseline Patient Health Questionnaire 9 Item Depression Scale Over the Course of the Year After InjuryUsual CareChange from Baseline at 3 Months-0.50Standard Error 0.35score on a scale
Change From Baseline Patient Health Questionnaire 9 Item Depression Scale Over the Course of the Year After InjuryInterventionChange from Baseline at 6 Months-1.17Standard Error 0.45score on a scale
Change From Baseline Patient Health Questionnaire 9 Item Depression Scale Over the Course of the Year After InjuryUsual CareChange from Baseline at 6 Months-0.90Standard Error 0.38score on a scale

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDIntervention265
Overall StudySTARTEDUsual Care370
Overall StudyCOMPLETEDIntervention188
Overall StudyCOMPLETEDUsual Care289
Overall StudyNOT COMPLETEDIntervention77
Overall StudyNOT COMPLETEDUsual Care81

Adverse events6

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherSuicidal IdeationPsychiatric disordersIntervention134265
otherSuicidal IdeationPsychiatric disordersUsual Care197370
seriousSuicide AttemptInjury, poisoning and procedural complicationsIntervention9265
seriousSuicide AttemptInjury, poisoning and procedural complicationsUsual Care10370
seriousDeathGeneral disordersIntervention6265
seriousDeathGeneral disordersUsual Care3370

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityIntervention6265
Total, all-cause mortalityUsual Care3370
Total, other adverse eventsIntervention134265
Total, other adverse eventsUsual Care197370
Total, serious adverse eventsIntervention15265
Total, serious adverse eventsUsual Care13370

Papers7

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
27130272DERIVEDPubMed
33688908DERIVEDPubMed
34225296DERIVEDPubMed
34932440DERIVEDPubMed
35979039DERIVEDPubMed
37085877DERIVEDPubMed
38287923DERIVEDPubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
UH3MH106338A Policy Relevant US Trauma Care System Pragmatic Trial for PTSD and ComorbidityZATZICK, DOUGLAS FUNIVERSITY OF WASHINGTONNATIONAL INSTITUTE OF MENTAL HEALTH2015 to 2018

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Intervention vs Usual Care: deaths from any causeTrial comparisons
Intervention vs Usual Care: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02655354

GET https://conductscience.org/api/trials/v1/NCT02655354/results?page=2