The goal of this clinical trial is to determine whether which types of integrative care, meaning a combination of psychotherapy and mind-body interventions, lead to the most changes in functioning among Veterans with posttraumatic stress disorder (PTSD). The main aims are: 1. To evaluate the impact of integrative care approaches on functional outcomes among Veterans with PTSD. 2. To examine factors relevant to the implementation of integrated treatments for PTSD from the perspective of patients, providers and administrators in the VA Healthcare System. Participants will: 1. Complete assessments at the beginning of the study and 12- and 24-weeks later. 2. Engage in 12 weeks of integrated care, with the type being randomly assigned.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
300
12 weekly 60-minute hatha yoga classes and access to video-based training in a portable mantra-based meditation practice
12 weekly 60-minute classes to provide education about exercise and nutrition and facilitate lifestyle changes
12 weekly 60-minute classes to teach strategies for increasing positive affect and to provide social connection
Provision of written information about local and national complementary and integrative care resources
VA Central Arkansas Healthcare System
Little Rock, Arkansas, United States
VA San Diego Healthcare System
San Diego, California, United States
VA Portland Healthcare System
Portland, Oregon, United States
VA North Texas Healthcare System
Dallas, Texas, United States
Inventory of Psychosocial Functioning (IPF)
The IPF is a self-report measure of functioning across several domains. It is summarized in a mean score with higher scores indicating greater functional impairment.
Time frame: weeks 0, 12 and 24
Clinician Administered PTSD Scale for DSM-5 Revised (CAPS-5R)
The CAPS-5R is a clinician-administered measure of PTSD symptom severity summarized in a total score with higher scores indicating greater symptom severity.
Time frame: weeks 0, 12 and 24
Quick Inventory of Depressive Symptomatology (QIDS)
The QIDS is a self-report measure of depression severity summarized by a total score for which higher scores reflect greater symptom severity.
Time frame: weeks 0, 12 and 24
Insomnia Severity Index (ISI)
The ISI is a self-report measure that assesses the consequences of and distress related to insomnia summarized by a total score in which higher scores indicate greater sleep disruption.
Time frame: weeks 0, 12 and 24
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