Can Service Dogs Improve Activity and Quality of Life in Veterans With PTSD? (SDPTSD)

This study is currently recruiting participants. (see Contacts and Locations)
Verified May 2015 by Department of Veterans Affairs
Sponsor:
Information provided by (Responsible Party):
Department of Veterans Affairs
ClinicalTrials.gov Identifier:
NCT02039843
First received: January 7, 2014
Last updated: May 13, 2015
Last verified: May 2015
  Purpose

Service Dogs are trained to assist people with disabilities to accomplish tasks which permit the individual to be more functional in their home and social environment. Often the dogs are trained to help in the completion of activities of daily living and instrumental activities of daily living. Service Dogs are efficacious for individuals with disabilities, such as vision limitations, spinal cord injury and hearing problems. In addition, some mental health outcomes have improved with the introduction of a Service Dog. A research study was mandated in the Department of Defense Bill of 2010, to examine the efficacy of service dogs for Veterans with Post Traumatic Stress Disorder (PTSD). Together with the Cooperative Studies Program, the proponents have designed a research study to effectively meet the demands of the Bill and to provide timely research into an evolving field.


Condition Intervention
Post Traumatic Stress Disorders
Other: Service Dog or Emotional Support Dog
Other: Emotional Support Dog

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Supportive Care
Official Title: Can Service Dogs Improve Activity and Quality of Life in Veterans With PTSD?

Further study details as provided by Department of Veterans Affairs:

Primary Outcome Measures:
  • The primary outcome measures are limitations of activities and quality of life. [ Time Frame: 3 years ] [ Designated as safety issue: No ]
    The World Health Organization Disability Assessment Scale II will define activity limitations. The WHO-DAS 2.0 is a structured 36-item instrument, which assesses difficulties in six domains of life during the last 30 days.

  • quality of life [ Time Frame: 3 years ] [ Designated as safety issue: No ]
    The outcome measure will be the summary measures from the Veteran's Rand 12 item Health Survey (VR-12) as measured by both the Physical Component Summary and Mental Component Summary scores.


Secondary Outcome Measures:
  • Secondary outcomes include PTSD severity and symptoms, depression, sleep, suicide intent, healthcare utilization, healthcare cost, and employment. [ Time Frame: 3 years ] [ Designated as safety issue: No ]
    The outcome measure for PTSD severity will be the Posttraumatic Stress Disorder Checklist. PCL is a 20-item self-report measure of PTSD symptoms (in the past month) based on DSM-IV criteria with a 5-point Likert scale response format.

  • Suicidal Ideation [ Time Frame: 3 years ] [ Designated as safety issue: No ]
    Will examine suicidal ideation, which will be assessed by the Columbia-Suicide Severity Rating Scale.

  • Depression [ Time Frame: 3 years ] [ Designated as safety issue: No ]
    Hypothesis 2c examines depression, will be assessed by the Patient Health Questionnaire.

  • Sleep Quality [ Time Frame: 3 years ] [ Designated as safety issue: No ]
    Hypothesis 2d will to measure sleep quality as assessed by the Pittsburgh Sleep Quality Index.

  • Healthcare Utilization [ Time Frame: 3 years ] [ Designated as safety issue: No ]
    Along with the Health Economics Resource Center information healthcare utilization and costs will be collected from VA administrative data sets and from standard questions regarding non-VA outpatient and inpatient utilization.

  • Employment [ Time Frame: 3 years ] [ Designated as safety issue: No ]
    Employment outcomes will be examined with the Work Productivity and Activity Impairment Questionnaire: General Health Problem V2.0.


Estimated Enrollment: 220
Study Start Date: October 2014
Estimated Study Completion Date: June 2017
Estimated Primary Completion Date: October 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1
Emotional Support Dogs
Other: Service Dog or Emotional Support Dog

Emotional Support Dog. Service Dog - an assistance dog specifically trained to perform tasks that are specific to the person's disability and has public access privileges.

-Emotional Support Dog - a dog that has earned AKC Good Canine Citizen certification and provides emotional support and comfort to the Veteran.

Other: Emotional Support Dog
-Emotional Support Dog - a dog that has earned AKC Good Canine Citizen certification and provides emotional support and comfort to the Veteran.
Active Comparator: 2
Service Dogs
Other: Service Dog or Emotional Support Dog

Emotional Support Dog. Service Dog - an assistance dog specifically trained to perform tasks that are specific to the person's disability and has public access privileges.

-Emotional Support Dog - a dog that has earned AKC Good Canine Citizen certification and provides emotional support and comfort to the Veteran.

Other: Emotional Support Dog
-Emotional Support Dog - a dog that has earned AKC Good Canine Citizen certification and provides emotional support and comfort to the Veteran.

Detailed Description:

Background: Service Dogs are trained to assist people with disabilities to accomplish tasks which permit the individual to be more functional in their home and social environment. Often the dogs are trained to help in the completion of activities of daily living and instrumental activities of daily living. Service Dogs are efficacious for individuals with disabilities, such as vision limitations, spinal cord injury and hearing problems. In addition, some mental health outcomes have improved with the introduction of a Service Dog. A research study was mandated in the Department of Defense Bill of 2010, to examine the efficacy of service dogs for Veterans with Post Traumatic Stress Disorder (PTSD). Together with the Cooperative Studies Program, the proponents have designed a research study to effectively meet the demands of the Bill and to provide timely research into an evolving field.

Study Primary Objective: To examine how limitations on activity and quality of life in Veterans with PTSD are impacted by the provision of a Service Dog versus an Emotional Support Dog.

Study Design: A three-year prospective randomized study is proposed which has two randomized arms. Arm one of the study will be Veterans (n=110) randomized to receiving a Service Dog, which has been trained for specific tasks to assist with the Veteran's disability. Arm two (n=110) of the study will be Veterans randomized to receive an Emotional Support Dog (a dog which provide emotional comfort). All Veterans, after confirmation of eligibility will be randomized to receive a Service Dog or Emotional Support Dog and will be observed a minimum of three months. During this period, Veterans will be required to participate in a Dog Care Course to ensure they are aware of the demands dogs place on humans. Once dogs become available, Veterans will be paired with a Service Dog or Emotional Support Dog. Follow-up will begin at one week post pairing to track any dog behavior issues, and will continue after pairing for 18 months. Primary outcomes to be examined include limitations on activity (as measured by the WHO- DAS 2.0), quality of life (measured by the VR-12). Secondary outcomes include PTSD symptoms (measured by the PCL), Suicidal ideation (Columbia-Suicide Severity Rating Scale); depression (PHQ-9) and Sleep (Pittsburgh Sleep Quality Index). In addition, health care utilization, anger management, employment and productivity will also be examined. This multi-site study will be conducted at three locations, Nationwide.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Males and Females greater than> 18 years of age
  • Referral from Mental Health provider that documents PTSD.
  • PTSD as a result of any trauma as determined by meeting DSM 5 diagnostic criteria.
  • Enrolled in mental health services at VA and has attended at least one visit in the 90 days prior to consent.
  • If individual not currently enrolled in mental health treatment decides to enroll in such then he/she may become eligible to participate in the study.
  • If individual enrolled in mental health treatment schedules and attends a mental health visit then he/she may become eligible to participate in the study.
  • Agrees to remain in mental health treatment throughout the duration of the study
  • Can adequately care for a dog
  • Home environment is suitable for a dog.
  • If the home environment can be remedied the potential participant may become eligible to participate in the study
  • If a participant moves home while enrolled in the study the new home must be suitable for a dog
  • Home environment is accessible for study staff
  • If a participant moves home while enrolled in the study, the new home must be geographically accessible to study staff.
  • Is willing to accept randomization outcome..
  • Has someone to care for dog in a long-term absence
  • If no one is available to care for the dog but the situation changes then the participant may become eligible to participate.
  • Others in home are agreeable to having dog
  • If others in the home are not agreeable but at a later date the situation changes, then the potential participant may become eligible to participate
  • Is willing and able to travel (by air or car) to training site for pairing
  • If potential participant's unwillingness to travel to a training site changes, he/she may become eligible to participate.
  • Individual has no cats, dogs or other household pets that would threaten the dog-human bonding process
  • If an individual has household pets but the situation changes, the individual may become eligible to participate
  • If can verbalize understanding of consent form, is willing to provide written informed consent and to follow study procedures.

Exclusion Criteria:

  • Hospitalization for mental health reasons in the past 6 months
  • Once six months since hospitalization have passed, the individual may become eligible to participate in the study
  • Aggressive behavior that would make it unsafe for dog
  • Diagnosis of psychoses, delusions, dementia, active alcohol/substance dependence, or moderate to severe traumatic brain injury
  • Active suicidal intent as determined by a CPRS flag for suicidal intent or a score 5 on the C-SSRS completed at the baseline visit
  • Homicidal intent or cognitive disabilities that would preclude safety of dog and/or ability to participate in the study
  • Social, mental or physical condition that prevents the potential participant from either giving informed consent or participating in the study
  • Participation in another research trial
  • If a participant is in another unrelated study and both the study Chair/PI of this and the other study consider participation in both studies to be acceptable then the individual may become eligible to participate in the study.
  • Has chart note flag for violent/disruptive behavior
  • For safety reasons potential participants who are pregnant/have a partner who is pregnant, or who currently have children younger than age 10 in the household for more than 8 hours per day, 1 day a week will be excluded. If a participant or anyone else in the household becomes pregnant during the observational phase the participant will be excluded.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02039843

Contacts
Contact: Gabrielle H Saunders (503) 220-8262 ext 56210 gabrielle.saunders@va.gov

Locations
United States, Georgia
Atlanta VA Medical and Rehab Center, Decatur, GA Recruiting
Decatur, Georgia, United States, 30033
Contact: Kelly Skelton, MD    404-321-6111 ext 3121    kelly.skelton@va.gov   
United States, Iowa
Iowa City VA Health Care System, Iowa City, IA Recruiting
Iowa City, Iowa, United States, 52246-2208
Contact: Thad Abrams, MD    319-338-0581    thad.abrams@va.gov   
United States, Oregon
VA Portland Health Care System, Portland, OR Recruiting
Portland, Oregon, United States, 97239
Contact: Daniel M Storzbach, PhD    503-220-8262 ext 56497    daniel.storzbach@va.gov   
Study Chair: Gabrielle H Saunders         
Sponsors and Collaborators
Investigators
Study Chair: Gabrielle H Saunders VA Portland Health Care System, Portland, OR
  More Information

No publications provided

Responsible Party: Department of Veterans Affairs
ClinicalTrials.gov Identifier: NCT02039843     History of Changes
Other Study ID Numbers: SDPTSD
Study First Received: January 7, 2014
Last Updated: May 13, 2015
Health Authority: United States: Federal Government

Additional relevant MeSH terms:
Stress Disorders, Post-Traumatic
Stress Disorders, Traumatic
Anxiety Disorders
Mental Disorders

ClinicalTrials.gov processed this record on June 29, 2015