Relaxation Response Training for PTSD Prevention in US Military Personnel (RR)
The purposes of this study are to evaluate the acceptability and utility of a mind-body intervention on a convenience sample of Soldiers (n=120) who have screened positive through RESPECT-MIL for symptoms that may lead to post-traumatic stress and to test the effectiveness of this Relaxation Response (RR) intervention designed to decrease the physiological and psychosocial effects of stress and trauma. The study aims to enhance the psychological health of Soldiers with a RR intervention designed to promote self-awareness of physiological responses to stress and the ability to increase relaxation responses.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
|Official Title:||Relaxation Response (RR) Training for PTSD Prevention in Soldiers a.k.a. "SPIRIT SMART" (Stemming PTSD, Increasing Resilience and Impeding Trauma in Service Members: Assessing Relaxation Response Training)|
- Sleep [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]Sleep will be measured pre and post intervention. Sleep will be measured by the Pittsburgh Sleep Quality Index (PSQI). The PSQI assesses sleep quality and disturbances during the past month based on seven component scores for sleep quality, latency, duration, efficiency, disturbance, medication use, and daytime dysfunction that sum to a global score. A Sleep Diary will also be used to measure sleep and related factors.
- Anger [ Time Frame: 6 Weeks ] [ Designated as safety issue: No ]Anger, measured with the Spielberger State-Trait Anger Expression Inventory-2 (STAXI-2)
- Health Status [ Time Frame: 6 Weeks ] [ Designated as safety issue: No ]Health Status as measured with the Veterans RAND 12-item Health Survey Short Form (VR-12 or SF-12) and the Functional Assessment of Chronic Illness Therapy- Spiritual Well-Being 12 (Non-Illness)
- Resilience [ Time Frame: 6 Weeks ] [ Designated as safety issue: No ]Resilience will be measured with the Post Traumatic Growth Inventory
- Stress [ Time Frame: 6 Weeks ] [ Designated as safety issue: No ]Stress as measured with physiological measurements of blood pressure and heart rate (pulse) and subjective measurement using the Perceived Stress Scale
|Study Start Date:||July 2012|
|Estimated Study Completion Date:||December 2013|
|Estimated Primary Completion Date:||September 2013 (Final data collection date for primary outcome measure)|
Experimental: Relaxation Response Training
The Military tailored RR training program will consist of six weekly small group sessions which involve group presentations, in-group skill building exercises, and at-home assignments. Groups will contain 5-8 participants who are active-duty Soldiers enrolled in either Respect-MIL or the Interdisciplinary Pain Management Center (IPMC).
Behavioral: Relaxation Response training
Behavioral Relaxation Response Training (Benson-Henry Institute Relaxation Response Training) Participants randomized to the intervention group will participate in the six weekly RR sessions. Examples of in-group skill building exercises are mini relaxations, diaphragmatic breathing, introduction to imagery, and eliciting RR through Yoga. Presentations topics include Introduction to Mind/Body Medicine, Introduction to the RR, Experiential RR Sessions, and Introduction to Cognitive Restructuring. Home skill building assignments include relaxation focus practice, an appreciation journal, self-monitoring with Biodots (biosensor technology that helps participants to monitor and regulate their psycho-emotional state), physical activity, balanced nutrition, and progress notes.
Other Name: Benson-Henry Institute Relaxation response training
No Intervention: Standard of Care
Participants randomized to the control group will receive standard care through their providers at Respect-MIL or at the IPMC. Participants randomized to the control group will remain on the wait list for further standard care. After the collection of the final data point, these participants will also have the option to participate in an abbreviated, two-hour version of the RR training.
- Demonstrate that trainers can be trained effectively to deliver the intervention, a mind-body skills training program based on the Benson-Henry Institute's standard RR training curriculum and tailored to a military population.
- Evaluate feasibility, acceptability, and compliance to the training program in an active duty military population.
- Compare outcomes on sleep disturbance, PTSD, stress-related symptoms, quality of life, and psychosocial variables related to resilience of Soldiers who receive the 6-week training program to promote the Relaxation Response to those Soldiers who do not receive the intervention.
|Contact: Roxana E Delgado, MSfirstname.lastname@example.org|
|Contact: COL Richard P Petri, MDemail@example.com|
|United States, Texas|
|William Beaumont Army Medical Center, Ft Bliss||Recruiting|
|El Paso, Texas, United States, 79920|
|Contact: Roxana E Delgado, MS 915-742-3245 firstname.lastname@example.org|
|Contact: Richard P Petri, MD 915-742-3245 email@example.com|
|Principal Investigator: Richard P Petri, MD|
|Sub-Investigator: Roxana E Delgado, MS|
|Sub-Investigator: Joan Walter, JD, PA|
|Sub-Investigator: Salvatore Libretto, PhD|
|Principal Investigator:||Richard P Petri, MD||William Beaumont Army Medical Center|