Condition: Posttraumatic Headache · Sponsor: The University of Texas Health Science Center at San Antonio
Posttraumatic headache (PTH) is a common and highly disabling consequence of traumatic brain injury (TBI) in U.S. military service members and veterans. Cognitive Behavioral Therapy for PTH has been shown to significantly improve disability outcomes in veterans with persistent PTH when delivered in-person. Telemedicine platforms can dramatically increase access to evidence-based care. However, whether CBT for PTH retains its effectiveness when delivered through a telemedicine platform has yet to be established. The purpose of this 3-arm randomized clinical trial is to compare Clinic-based Cognitive-Behavioral Therapy (CCBT) to Telemedicine-based Cognitive Behavioral Therapy (TCBT) and to treatment as usual (TAU) in 525 service members and veterans with chronic posttraumatic headaches (PTH) at 4 VA medical centers\* and 3 military treatment facilities across the U.S. Participants will be assessed for headache-related disability, headache experience, and psychiatric comorbidities across multiple time points. \*VA Palo Alto Health Care System is temporarily randomizing into TAU and TCBT only.
This description comes directly from the study's public registry record.
Nicole A Brackins, MS · 210-450-8076 · brackins@uthscsa.edu
Fermin A Carrizales · 210-562-6724 · carrizalesF@uthscsa.edu
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| VA Greater Los Angeles Healthcare System | Los Angeles, California, United States | Recruiting |
| VA Palo Alto Health Care System | Palo Alto, California, United States | Recruiting |
| Tripler Army Medical Center (Desmond Doss Health Clinic, Schofield Barracks) | Honolulu, Hawaii, United States | Active Not Recruiting |
| Walter Reed National Military Medical Center | Bethesda, Maryland, United States | Withdrawn |
| Minneapolis VA Health Care System | Minneapolis, Minnesota, United States | Recruiting |
| Carl R. Darnall Army Medical Center (Fort Cavazos) | Killeen, Texas, United States | Recruiting |
| South Texas Veterans Health Care System | San Antonio, Texas, United States | Recruiting |
| Brooke Army Medical Center | San Antonio, Texas, United States | Recruiting |
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Source record: clinicaltrials.gov/study/NCT05620719