NCT06354361

Trauma-Informed Goal Management Training for Individuals With Post-traumatic Stress Disorder (PTSD)

A Trial Examining the Effectiveness of a Novel, Trauma-informed Approach to Cognitive Remediation (Goal Management Training) in Individuals With Post-traumatic Stress Disorder (PTSD) and Co-morbid Conditions

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 33 (actual)
• Sponsor: McMaster University · Academic / Other
• Sex: All
• Age: 18 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

Goal Management Training (GMT) is a program designed to help improve cognitive functioning. For this study, researchers have worked closely with the developers of this program to create a modified version called Trauma-Informed Goal Management Training (TI-GMT), that is more sensitive to the needs of individuals experiencing symptoms of posttraumatic stress and posttraumatic stress disorder (PTSD). The goal of this clinical trial is to find out whether this modified, Trauma-Informed Goal Management Training program is effective for individuals experiencing symptoms associated with Post-Traumatic Stress Disorder. The main questions it aims to answer are: 1. Does Trauma-Informed Goal Management Training result in improved neuropsychological functioning and reductions in the severity of PTSD symptoms from baseline to post? 2. Does Trauma-Informed Goal Management Training result in self-reported improvements in cognitive functioning and the overall ability to function (including intent to return to work, and/or intent to stay at work, reductions in disability status, etc.) from baseline to post? 3. Does Trauma-Informed Goal Management Training continue to benefit individuals three months after treatment? Participants will: * complete three separate assessments before starting the treatment - a clinical interview to evaluate symptoms, a cognitive assessment, and completing a set of questionnaires * participate in a nine-week group treatment program (one day a week for two hours) * complete four separate assessments after completing the treatment - a clinical interview to evaluate symptoms, a cognitive assessment, a feedback interview, and completing a set of questionnaires * complete three separate assessments three months after completing the treatment - a clinical interview to evaluate symptoms, a cognitive assessment, and completing a set of questionnaires

Conditions

• Post-Traumatic Stress Disorder

Interventions

Type	Name	Description
BEHAVIORAL	Trauma-Informed Goal Management Training (TI-GMT)	Trauma Informed-Goal Management Training (TI-GMT) is a modified version of Goal Management Training (GMT), a cognitive remediation program that emphasises mindfulness and practice in planning and completing goal-oriented behaviours. TI-GMT enhances the standard GMT protocol with the addition of several trauma-informed adaptations and content that is sensitive and specific to public safety personnel with PTSD. Participants are trained to interrupt ongoing disruptive behaviours through the resumption of executive control to help define goal hierarchies and monitor goal achievement. Mindfulness meditation helps develop attentional control and the skill of bringing one's mind to the present. Real-life examples are incorporated to illustrate goal attainment failures and successes, and participants practice solving complex, real-life tasks in sessions. Sessions include instructional material, interactive tasks, discussion of real-life deficits, and homework/practice activities.

Timeline

• Start date: 2024-08-10
• Primary completion: 2025-10-03
• Completion: 2025-11-03
• First posted: 2024-04-09
• Last updated: 2026-02-13

Locations

1 site across 1 country: Canada