Study Requirements

 

For new clinician participants For clinician participants who were previously trained in CPT

Clinician Responsibilities

Initiate CPT with at least 4 patients (over the course of the first year) and 2 patients (over the course of the follow-up year) who are willing to have their sessions audio recorded and submitted for potential review by an expert to assess your competence in delivering the CPT protocol.

  • Completion of consent to participate in study, demographics information, self-report measures.
  • Consent to be randomized to one of two study conditions.
  • Complete Questionnaires/Surveys
  • Consistent with the CPT protocol, you will be asked to administer self-report questionnaires to your patient participants prior to beginning CPT treatment with them and at every therapy session to monitor their course of treatment.

    • These questionnaires will take the patients approximately 5-10 minutes to complete.
    • In addition, your patients will complete the same self-report questionnaires 3 months after they complete their CPT treatment with you (i.e., at a follow-up appointment).
    • All patient data will need to be faxed or scanned and will be maintained on a secure server by study staff at Ryerson University.

  • Agree to have computer/internet access and participate in regular consultation meetings using your phone and computer.
  • To facilitate audio recording of each of your treatment sessions with patients participating in this study, you will be provided a digital audio recorder by the study team.
  • You will upload these audio files to a secure web-based server.  If you wish to enroll more than 2 patients, you may do so during the course of the study.

Provider Status

Completion of the study and provider status will require uploading of at least 24 sessions of CPT (2 completed cases). Quality-rated Provider status requires that you meet minimum scores for adherence and competence. Some of these sessions may also be reviewed in your consultation group meetings for the purposes of supporting your CPT delivery.

Clinician Responsibilities

If you are using CPT or elements of CPT in your practice and currently have CPT patients, please submit baseline sessions that reflect your use of CPT before your consultation meetings start.

Once consultation begins, initiate CPT with at least 6 patients (over the course of 2 years) who are willing to have their sessions audio-recorded and submitted for potential review by an expert to assess your competence in delivering the protocol.

Prior to commencement of study

Submitting 2 baselines is an important step for returning clinicians as the study team needs to learn whether and how you have integrated CPT into your practice since your initial CPT training.
Completing 2 baselines includes identifying 2 patients who have PTSD, audio recording their therapy sessions and uploading the recordings to the Ryerson server, and also administering the PCL-5 patient measure weekly.

During Study

  • Completion of consent to participate in study, demographics information, self-report measures.
  • Consent to be randomized to one of two study conditions.
  • Complete Questionnaires/Surveys
  • Consistent with the CPT protocol, you will be asked to administer self-report questionnaires to your patient participants prior to beginning CPT treatment with them and at every therapy session to monitor their course of treatment.
    • These questionnaires will take the patients approximately 5-10 minutes to complete.
    • In addition, your patients will complete the same self-report questionnaires 3 months after they complete their CPT treatment with you (i.e., at a follow-up appointment).
    • All patient data will need to be accessed or transmitted to the study team through secure, approved channels.

  • Agree to have computer/internet access and participate in regular consultation meetings using your phone and computer.
  • To facilitate audio recording of each of your treatment sessions with patients participating in this study, you will be provided a digital audio recorder or microphone by the study team.
  • You will upload or save these audio files to a secure web-based server.

Provider Status

Completion of the study and provider status will require  meeting VA requirements, or, for Canada/Texas, uploading of at least 24 sessions of CPT (2 completed cases).  Quality-rated Provider status requires that you fully participate in the study and meet minimum scores for adherence and competence. Some of these sessions may also be reviewed in your learning collaborative group meetings for the purposes of supporting your CPT delivery.

What are the requirements for patient participants?

Eligible patient participants:

  • Veterans or non-veterans diagnosed with PTSD, with a minimum PCL-5 score of 31, indicating a likely PTSD diagnosis
  • Patients that have not previously received CPT
  • Willing to consent allowing the measures they complete during their PTSD treatment to be accessed by the study team, and their therapy sessions audio recorded and listened to by a fidelity rater and potentially other clinicians teaching and learning CPT.
    • Patients are permitted to continue other psychotherapeutic interventions if not specifically focused on treating PTSD symptoms;
  • No minors; must be legal adults with the ability to consent.

Ineligible patients:

  • Those not eligible for CPT based on the state of research evidence, including those with:
    • Current uncontrolled psychotic or bipolar disorder
    • Substance dependence requiring daily use or detoxification
    • Imminent suicidality or homicidally requiring immediate intervention
    • Significant cognitive impairment that prevents engagement in therapy (e.g. significantly impaired memory or attention).