SMART Therapist Training: A Hybrid Factorial-SMART Design (NCT07010770)
🩺 Plain-English Summary (8th-Grade Level)
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. The 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. The investigators 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.
Who can join: Review the eligibility criteria below.
Location: VA Palo Alto Health Care System, Palo Alto, CA — Palo Alto, California
Age range: 18 Years
🧪 Interventions in This Study
- Web-Based Training (WBT) (OTHER)
- Work Sample Review (WR) (OTHER)
- Step down to fidelity self-monitoring (OTHER)
- Step up to session audio review (OTHER)
- Standard Consultation (SC) (OTHER)
- Standard Training (ST) (OTHER)
- Continue in Standard Consultation (OTHER)
📋 "Do I Qualify?" — 1-Minute Self Screener
Instant ChecklistFull eligibility criteria are available on the official NIH protocol. View the criteria ↗
📍 All Participating Trial Locations (4 Sites)
- VA Palo Alto Health Care System, Palo Alto, CA — Palo Alto, California
- VA Ann Arbor Healthcare System, Ann Arbor, MI — Ann Arbor, Michigan
- Minneapolis VA Health Care System, Minneapolis, MN — Minneapolis, Minnesota
- Cincinnati VA Medical Center, Cincinnati, OH — Cincinnati, Ohio
📞 Contact the Study Coordinator
Phone: (734) 222-7432
Email: rebecca.sripada@va.gov
Coordinator details come directly from the registered NIH protocol. Confirm the study is still recruiting before traveling.
💰 Cost, Insurance & Patient Rights
- 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
- Routine Patient Care: Under federal law (ACA § 2709) and many state statutes, routine care costs are covered during participation.
- Voluntary Participation: You may withdraw at any time without affecting your standard medical care.
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💡 How to Participate
- Check the checklist above to see if you may qualify.
- Contact the study coordinator using the phone/email above.
- Ask about the visit schedule, what is covered at no cost, and any travel support.
- Confirm with your own doctor before making a decision.