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Post Traumatic Stress Disorder PTSDNCT07430657

Nurse-Led PTSD Treatment in Primary Care

A study testing NurseNET and Referral to PTSD Treatment in people with Post Traumatic Stress Disorder PTSD, run by Rush University Medical Center at 2 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Purpose of the Study Post-traumatic stress disorder (PTSD) is a common and serious condition, but many people cannot get the help they need because there are not enough mental health specialists (like psychologists or psychiatrists) available. This study is testing a new program called NurseNET. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Post Traumatic Stress Disorder PTSD
What is being tested?
NurseNET and Referral to PTSD Treatment
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
2 sitesUnited States
Study dates
30 Mar 2026to Sep 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • o PTSD + trauma exposure (PCL-5 score ≥28, plus trauma endorsed on LEC-5/CAPS)
  • Life-threatening CV event in the last 90 days (including myocardial infarction/heart attack, acute cerebrovascular accident/stroke, sudden cardiac arrest, acute decompensated heart failure, or life-threatening arrhythmia requiring cardioversion or defibrillation).
  • Primary care patient at Rush University Medical Center

Who cannot join

  • o Safety risk (documented suicidal ideation/need for acute psychiatric care)
  • NET conflict (actively receiving psychotherapy/PTSD treatment)
  • Cognitive/decisional non-capacity (University of California, San Diego Brief Assessment of Capacity to Consent [UBACC] ≤ 14.5)

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

United States2 sites, 2 recruiting
  • Rush University Medical Center

    Brookfield, Wisconsin, 53045

    Kirsten Assistant Professor, PhD, FNP-C, 3129421442, kirsten_dickins@rush.edu

    Sarah Senior Research Operations Manager, MA, LCPC, 3129421442

    Recruiting
  • Rush University Medical Center

    Chicago, Illinois, 60612

    Kirsten Dickins Assistant Professor, PhD, (312) 942-1442, kirsten_dickins@rush.edu

    Sarah Pridgen, MA, LCPC, 312-563-0577, Sarah_Pridgen@rush.edu

    Recruiting

Other trials in United States

About this study

Official title: A Hybrid Implementation-Effectiveness Trial of Nurse-Delivered Post-Traumatic Stress Disorder Treatment in Primary Care

Purpose of the Study Post-traumatic stress disorder (PTSD) is a common and serious condition, but many people cannot get the help they need because there are not enough mental health specialists (like psychologists or psychiatrists) available. This study is testing a new program called NurseNET. The goal of NurseNET is to train nurses to provide a proven, short-term trauma treatment called Narrative Exposure Therapy (NET).

Why This Study is Important Most people see their nurse or doctor for health concerns. Because nurses are highly trusted and already work on the front lines of healthcare, they may be in the best position to offer PTSD treatment quickly and conveniently. This study aims to see if nurse-led care can bridge the gap between patients and the treatment they deserve.

Read more

What the Study Involves Researchers will enroll 100 participants who have symptoms of PTSD. Participants will work with a trained nurse in a primary care setting to complete the NurseNET program.

The Treatment: The program consists of 4 to 6 sessions. During these sessions, the nurse helps the patient talk through their life story and process difficult memories in a safe, supportive way.

What We Are Measuring: The research team will look at several factors to see if the program is successful:

Effectiveness: Do PTSD symptoms improve after working with the nurse?

Feasibility and Acceptability: Do patients and nurses find this type of care easy to use and helpful?

Health Impact: Since PTSD is linked to heart health, the study will also look at whether the treatment improves things like blood pressure or physical activity levels.

Goal of the Research By the end of this study, researchers hope to show that nurses can safely and effectively provide trauma care. If successful, this model could be used across the United States to make PTSD treatment much easier to access for everyone.

Read the detailed description

Background and Theoretical Framework This Type 2 Hybrid Implementation-Effectiveness Trial is designed to address the critical gap in posttraumatic stress disorder (PTSD) treatment for patients who have experienced co-occurring physical illness, namely cardiovascular (CV) events. Approximately one-third of CV event survivors develop PTSD, which serves as an independent risk factor for further CV morbidity and mortality. This study utilizes the Enduring Somatic Threat (EST) model, which posits that PTSD is driven by a persistent internal threat and can manifest as Fear-Related Behavioral Avoidance (FRBA). FRBA often leads to poor medication adherence and avoidance of necessary physical activities, creating a recursive cycle of poor health outcomes.

The NurseNET Intervention

The core of the experimental arm is Nurse-delivered Narrative Exposure Therapy (NurseNET), an evidence-based, four-session protocol integrated directly into the primary care (PC) setting. The treatment is delivered by specially trained nurses and follows a manualized structure:

Session 1: Includes psychoeducation regarding medical trauma and the co-reconstruction of a "Lifeline", a chronological, autobiographical narrative of the patient's life events.

Sessions 2-4: Focus on gradual imaginative exposure, where the nurse guides the patient to systematically process and extinguish trauma-related fear memories.

Safety Component: Every session concludes with structured somatic relaxation or "grounding" exercises to help participants regulate emotional arousal.

Study Design and Objectives Participants (N=100) are randomized 1:1 to either the NEST intervention or minimally-enhanced usual care (UC). The UC arm receives identical psychoeducation but is provided with external referrals for trauma treatment rather than co-located, nurse-led care.

The trial aims to evaluate three primary domains:

Effectiveness: Assessing changes in PTSD symptom severity (PCL-5) as the primary outcome, alongside secondary measures of depression (PHQ-9), anxiety (GAD-7), and CV-specific outcomes like blood pressure and medication adherence.

Implementation: Using the Consolidated Framework for Implementation Research (CFIR) to identify contextual drivers and implementation outcomes (acceptability, feasibility, and fidelity) to develop a replicable blueprint for future large-scale integration.

Cost-Effectiveness: Conducting a preliminary analysis of direct intervention costs and healthcare resource utilization (e.g., ED visits and hospitalizations) over 12 months.

Safety and Monitoring To ensure participant safety, a Data Safety Monitoring Committee (DSMC) will conduct interim reviews when 25% and 50% of the target sample is reached. The study excludes individuals with acute safety risks, such as active suicidal ideation, and provides clinical consultation with psychiatry and psychology for managing acute distress if it arises during exposure sessions.

Being tested
NurseNET, Referral to PTSD Treatment
Keywords
post traumatic stress disorder, primary care, nurse
Medical subject headings
Combat Disorders, Stress Disorders, Post-Traumatic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NurseNETBehavioural

    NurseNET is a pragmatic clinical intervention designed to deliver evidence-based PTSD treatment within primary care workflows. It is distinguished from traditional Narrative Exposure Therapy (NET) and other primary care behavioral health interventions by the following four core elements:

    Nurse-Led Task Sharing. Unlike traditional models that rely on licensed mental health specialists (psychologists or social workers), NurseNET is delivered entirely by nurses. This leverages the existing nursing workforce to bypass specialist shortages and reduce the "referral cliff" associated with external mental health consultations.

    Dose-Compressed Protocol. While standard NET often extends to 10 or more sessions, NurseNET utilizes a condensed 4-session format. This "minimum therapeutic dose" is specifically engineered for the high-throughput U.S. healthcare environment. We use a safety-net supervision framework and leverage the holistic nurse preparation in the context of co-located/integrated care

  • Referral to PTSD TreatmentBehavioural

    Standard referral to PTSD treatment.

Study groups in NCT07430657
Study groupRoleWhat they receive
NurseNETExperimentalThe NurseNET experimental arm involves training primary care nurses to deliver a condensed, 4 session version of Narrative Exposure Therapy (NET) to patients with PTSD symptoms. This task sharing approach integrates evidence-based trauma treatment directly into the primary care workflow to increase service access and improve select health outcomes.
Receives: Behavioral: NurseNET
Minimally-Enhanced Usual CareActive comparatorThe minimally-enhanced usual care arm consists of provision of psychoeducational materials regarding trauma symptoms and available community resources, followed by referral to PTSD treatment. This arm serves as a rigorous control to account for the effects of time and general medical attention while identifying the specific clinical impact of the nurse-led Narrative Exposure Therapy intervention.
Receives: Behavioral: Referral to PTSD Treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. PTSD Checklist for DSM-5 (PCL-5)

    20-item self-report scale that assesses the 20 DSM-5 PTSD symptoms; used to monitor symptom change/screen for probable PTSD diagnosis.

    Measured: Baseline, 3, 6, 12 months

Secondary outcomes (10)
  1. Patient Health Questionnaire (PHQ-9)

    9-item tool used to screen, diagnose, and monitor the severity of depression/depressive symptoms based on DSM-IV(/V) criteria.

    Measured: Baseline, 3, 6, 12 months

  2. Generalized Anxiety Disorder (GAD-7)

    7-item clinical scale for screening and measuring the severity of generalized anxiety disorder symptoms.

    Measured: Baseline, 3, 6, 12 months

  3. Somatic Symptoms Scale (SSS-8)

    8-item self-report instrument used to assess the somatic symptom burden, focusing on physical manifestations of psychological distress.

    Measured: Baseline, 3, 6, 12 months

  4. Medication Adherence Report Scale (MARS-5)

    5-item self-report scale used to identify non-adherent medication behaviors and beliefs about treatment.

    Measured: Baseline, 3, 6, 12 months

  5. Self-Efficacy for Managing Chronic Conditions (PROMIS)

    4-item (short-form) instrument used to measure a patient's self-efficacy for managing chronic conditions, including symptoms and social tasks.

    Measured: Baseline, 3, 6, 12 months

  6. EuroQoL-5 Dimension (EQ-5D)

    5-item instrument for measuring health status and quality of life (mobility, self-care, activities, pain, anxiety/depression) used to calculate QALYs.

    Measured: Baseline, 3, 6, 12 months

  7. Blood Pressure

    Clinical assessment of systolic and diastolic pressure to evaluate the impact of trauma recovery on hypertension risk.

    Measured: Baseline, 3, 6, 12 months

  8. Acceptability of Intervention Measure (AIM)

    4-item measure used to assess the perception of whether a specific intervention is agreeable, palatable, or satisfactory to stakeholders.

    Measured: 3 months

  9. Intervention Appropriateness Measure (IAM)

    4-item measure assessing the perceived fit or relevance of the intervention for a given setting or problem, such as referral-based care.

    Measured: 3 months

  10. Feasibility of Intervention Measure (FIM)

    4-item measure assessing extent to which an intervention can be successfully carried out within a given setting, such as primary care clinics.

    Measured: 3 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Feb 2026
  2. Study start30 Mar 2026
  3. Primary completionJun 2028 (estimated)
  4. Study completionSep 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07430657
Sponsor's protocol ID
25120501
Status last verified
Apr 2026
First submitted
18 Feb 2026
Last updated
29 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual Participant Data (IPD) will not be shared to ensure the maximum protection of participant privacy and confidentiality, which is paramount given the highly sensitive nature of the traumatic life events disclosed during Narrative Exposure Therapy. Due to the narrative nature of the intervention, the risk of deductive re-identification remains high even in de-identified datasets in this early, small sample pilot trial.

Publications

  • Dickins KA. Improving Traumatic Stress with Justice-Impacted Women and Women Experiencing Homelessness: A Pilot Study of Narrative Exposure Therapy. Issues Ment Health Nurs. 2024 Feb;45(2):121-141. doi: 10.1080/01612840.2023.2238091. Epub 2023 Aug 24.

    PubMed 37616593
  • Dickins KA, Houlihan MC, Neely S, Smith DL, Nowell H, Karnik N, Held P. Improving post-traumatic stress symptoms in homeless-experienced women using narrative exposure therapy: a single-arm, open pilot study. Eur J Psychotraumatol. 2026 Dec;17(1):2620215. doi: 10.1080/20008066.2026.2620215. Epub 2026 Feb 6.

    PubMed 41645787

Questions about this trial

What is this clinical trial studying?

A study testing NurseNET and Referral to PTSD Treatment in people with Post Traumatic Stress Disorder PTSD, run by Rush University Medical Center at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 29 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

PTSD Checklist for DSM-5 (PCL-5) (time frame: Baseline, 3, 6, 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07430657, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Apr 2026.

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