AzTrials
AzTrials

Post-Traumatic Stress Disorder (PTSD)NCT07829510

Transforming Trauma Care

A study testing Trauma Resilience and Recovery Program Portal 2.0 (TRRP 2.0) in people with Post-Traumatic Stress Disorder (PTSD) and Depression, run by Medical University of South Carolina.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

This study evaluates the implementation and clinical effectiveness of the Trauma Resilience and Recovery Program (TRRP 2.0), a technology-enhanced behavioral health intervention designed for trauma center patients. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
Trauma Resilience and Recovery Program Portal 2.0 (TRRP 2.0)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
No sites listed yet
Study dates
1 Dec 2026to 30 Aug 2028
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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Adults aged ≥18 years
  • Admitted to a trauma center for ≥24 hours following injury
  • English- or Spanish-speaking

Who cannot join

  • Moderate to severe cognitive impairment
  • Active psychosis
  • Injury preventing verbal communication
  • Self-inflicted injury

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Tatiana Davidson, PhD contact

8437920979

davidst@musc.edu

Sarah German, MA contact

8437920979

germansa@musc.edu

About this study

Official title: Transforming Trauma Care: Innovative Solutions for Enhancing Behavioral Health Outcomes

This study evaluates the implementation and clinical effectiveness of the Trauma Resilience and Recovery Program (TRRP 2.0), a technology-enhanced behavioral health intervention designed for trauma center patients. TRRP 2.0 integrates screening, monitoring, and referral services for posttraumatic stress disorder (PTSD), depression, and substance use disorder (SUD).

The study uses a two-phase design across two trauma centers: a usual care phase followed by implementation of TRRP 2.0. A total of 300 adult trauma patients will be recruited and followed for 3 months to assess behavioral health service utilization and clinical outcomes.

Read the detailed description

Each year, over 600,000 of the 3 million U.S. patients hospitalized for traumatic injuries develop PTSD or depression within a year post-injury. Despite the 2022 American College of Surgeons (ACS) mandate for routine mental health screening and treatment, many trauma centers struggle to implement effective programs due to a lack of clear implementation roadmaps and operational barriers. The Trauma Resilience and Recovery Program (TRRP), developed by the Medical University of South Carolina (MUSC), addresses these gaps with a comprehensive, evidence-based intervention designed to meet the behavioral health needs of trauma patients. TRRP includes a web-based, HIPAA-compliant provider navigator platform that is cost-efficient and unique in its ability to facilitate improved screening accuracy at the bedside and efficient screening and referral post-discharge. The TRRP model and navigator platform have been used and sustained at MUSC since 2015 and have been adopted by over a dozen trauma centers. However, while adopters have noted several benefits of the platform, they emphasize two top-priority needs to facilitate adherence to ACS guidelines, ensure workload efficiencies that reduce provider burden, and minimize patient data capture errors: 1) integration of resources to facilitate screening and intervention for substance use disorders (SUD), and 2) the ability to read from and write to the electronic medical record (EMR). In this Phase I STTR, FRD Accel will partner with the MUSC team to enhance and de-risk an upgraded navigation platform-TRRP 2.0-to improve its scalability nationally in preparation for commercial launch. Our upgraded TRRP 2.0 platform will add features for integrated screening, intervention, and referral for SUD in addition to PTSD and depression. This will reduce provider burden and ensure compliance with ACS guidelines, promoting comprehensive care and optimizing patient outcomes. The specific aims for Phase I STTR are to 1) improve the TRRP platform by integrating new resources to facilitate the screening and referral of trauma patients with SUD and enabling communication with the Epic EMR (months 1-8), and 2) evaluate the clinical effectiveness of the TRRP 2.0 platform on post-discharge follow-up, behavioral health service utilization, and mental health outcomes among a sample of 300 adult trauma injury survivors (months 3-22). Successful completion of Phase I will validate TRRP 2.0's capacity to meet trauma centers' needs for integrated behavioral health services. The anticipated results will demonstrate the platform's ability to enhance patient care, streamline provider workflows, and ensure adherence to ACS standards. This will justify the transition to Phase II, where we will focus on broader dissemination, further development, and commercialization of the platform to maximize its impact across trauma centers nationwide.

Being tested
Trauma Resilience and Recovery Program Portal 2.0 (TRRP 2.0)
Keywords
Trauma care, Behavioral health, Post-Traumatic Stress Disorder (PTSD), Depression, Substance use
Medical subject headings
Stress Disorders, Post-Traumatic, Depression, Substance-Related Disorders, Wounds and Injuries

What participants receive

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

  • Trauma Resilience and Recovery Program Portal 2.0 (TRRP 2.0)Behavioural

    TRRP 2.0 is an enhanced, technology-supported behavioral health care model for patients hospitalized after traumatic injury. The intervention includes bedside behavioral health and substance use screening, education about emotional recovery, enrollment in post-discharge follow-up services, automated symptom monitoring and education via text messaging, follow-up behavioral health screening, and referral to treatment when indicated. The TRRP 2.0 provider navigation platform supports delivery and tracking of these services and includes integrated substance use screening/intervention resources and Epic electronic medical record read/write functionality.

Study groups in NCT07829510
Study groupRoleWhat they receive
Usual CareActive comparatorACS adherent usual care for SBIRT and Behavioral Health Screening and Referral
Receives: Behavioral: Trauma Resilience and Recovery Program Portal 2.0 (TRRP 2.0)
TRRP 2.0ExperimentalService delivery via TRRP 2.0
Receives: Behavioral: Trauma Resilience and Recovery Program Portal 2.0 (TRRP 2.0)

What is being measured

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

  1. Posttraumatic Stress Symptom Severity as Measured by the PCL-8

    The PTSD Checklist for DSM-5 (Weathers et al., 2013) is a self-report measure that assesses the extent to which participants are bothered by the DSM-5 PTSD symptoms. Each symptom is rated on a scale of 0 (not at all) to 4 (extremely). Total scores are obtained by summing the scores of all items. The 8-item adaptation includes assessment of intrusive thoughts, avoidance of external reminders, negative expectations of self/ world, easily startled, emotional cue reactivity, avoidance of thoughts/emotions, loss of interest, and difficulty concentrating.

    Measured: 3-month post-baseline

  2. Number of Participants Screening Positive for Posttraumatic Stress Risk on the Injured Trauma Survivor Screen (ITSS)

    Posttraumatic stress risk is assessed using the ITSS. Five items are scored yes=1 and no=0 and summed. Participants with a score of 2 or greater are classified as screening positive for risk of posttraumatic stress.

    Measured: Baseline

  3. Change in Psychological Distress as Measured by the Kessler-6 (K6)

    The Kessler 6 (K6; Kessler et al., 2003) is a screening scale for nonspecific distress to discriminate cases of several mental illness. Items are rated on a 5-point Likert scale (1-5). Total scores range from 6-30 and are calculated as the sum of all item ratings, with a total score ³ 13 indicating severe mental illness. This measure has been shown to have strong psychometric properties.

    Measured: Baseline, 3-month postbaseline

  4. Depressive Symptom Severity as Measured by the PHQ-8

    The Patient Health Questionniare-9 (PHQ-9;

    Kroenke, Spitzer, \& Williams, 2001) assesses

    the presence and frequency of 9 core depressive

    symptoms. Items are rated on a 4-point Likert

    scale (0-3). Total scores range from 0-27 and are

    calculated as the sum of all item ratings, with a

    total score of ≥ 10 indicating clinical significance.

    Measured: 3 months postbaseline

  5. Frequency of Alcohol Use as Measured by the NIDA Quick Screen

    The NIDA Quick Screen (NIDA, 2010) is a

    validated instrument designed to assist providers

    in screening adults for substance use. The screen

    simply inquires whether a participant has used

    drugs (mood-altering, illegal, or prescription

    for nonmedical reasons), alcohol, or tobacco

    products within the past year and how often these

    substances have been used.

    Measured: 3 months postbaseline

  6. General Life Satisfaction as Measured by PROMIS General Life Satisfaction

    The 10-item PROMIS General Life Satisfaction

    questionnaire (Salsman et al., 2014) measures

    one's perception of life experiences and whether

    one likes his/her life or not.

    Measured: 3 months postbaseline

  7. Frequency of Tobacco Use as Measured by the NIDA Quick Screen

    Tobacco use is assessed using the NIDA Quick Screen. Participants report the frequency of tobacco product use during the past year using the response categories never, once or twice, monthly, weekly, or daily/almost daily.

    Measured: 3 months postbaseline

  8. Frequency of Prescription Drug Use for Nonmedical Reasons as Measured by the NIDA Quick Screen

    Nonmedical prescription drug use is assessed using the NIDA Quick Screen. Participants report frequency of prescription drug use for nonmedical reasons during the past year using the response categories never, once or twice, monthly, weekly, or daily/almost daily.

    Measured: 3 months postbaseline

  9. Frequency of Illegal Drug Use as Measured by the NIDA Quick Screen

    Illegal drug use is assessed using the NIDA Quick Screen. Participants report frequency of illegal drug use during the past year using the response categories never, once or twice, monthly, weekly, or daily/almost daily.

    Measured: 3 months postbaseline

  10. Number of Participants Screening Positive for Depression Risk on the Injured Trauma Survivor Screen (ITSS)

    Depression risk is assessed using the ITSS. Five items are scored yes=1 and no=0 and summed. Participants with a score of 2 or greater are classified as screening positive for risk of depression.

    Measured: Baseline

Secondary outcomes (8)
  1. Hospital Length of Stay

    Length of stay for the index traumatic injury hospitalization will be obtained from the electronic medical record and reported in days.

    Measured: Baseline

  2. Electronic Medical Record Data

    Data will be collected at baseline via the electronic

    medical record including patients' length of stay;

    injury severity scores; number of emergency

    department visits; and opioid, anti-anxiety and

    anti-depression medications prescribed.

    Measured: Baseline

  3. National Health Interview Survey Adult Access to Health Care and Utilization Module

    This protocol includes 10 interviewer-administered

    questions from the National Health Interview

    Survey (NHIS) Adult Access to Health Care \&

    Utilization Module (CDC, 2019) designed to

    assess when medical care was last sought, usual

    place of care, frequency of getting medical treatment.

    Measured: 3 months postbaseline

  4. Injury Severity Score (ISS)

    Injury Severity Score associated with the index traumatic injury will be obtained from the electronic medical record. ISS ranges from 1 to 75, with higher scores indicating greater injury severity.

    Measured: Baseline

  5. Number of Emergency Department Visits

    Number of emergency department visits occurring during the specified period will be obtained from the electronic medical record.

    Measured: 3 months postbaseline

  6. Number of Participants Prescribed Opioid Medication

    Number of participants with an opioid medication prescription documented in the electronic medical record during the specified period.

    Measured: 3 months postbaseline

  7. Number of Participants Prescribed Anti-Anxiety Medication

    Number of participants with an anti-anxiety medication prescription documented in the electronic medical record during the specified period.

    Measured: 3 months postbaseline

  8. Number of Participants Prescribed Antidepressant Medication

    Number of participants with an antidepressant medication prescription documented in the electronic medical record during the specified period.

    Measured: 3 months postbaseline

Timeline

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

  1. First posted21 Sep 2026
  2. Study start1 Dec 2026 (estimated)
  3. Primary completion1 May 2028 (estimated)
  4. Study completion30 Aug 2028 (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
Non-randomised
Intervention model
Sequential
Model description
This study uses a sequential, two-phase pre-post implementation design conducted at two Level I trauma centers. During the usual-care phase, 150 participants (75/site) will receive each center's standard ACS guideline-adherent behavioral health screening, education, and referral services. Following implementation of TRRP 2.0, an additional 150 participants (75/site) will receive TRRP services supported by the enhanced platform. Participants in both phases will complete baseline and 3-month assessments. Outcomes will be compared between the usual-care and TRRP 2.0 implementation phases to evaluate behavioral health service engagement and clinical outcomes.
Masking
None (open label)
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07829510
Sponsor's protocol ID
Pro00151208
Status last verified
Sep 2026
First submitted
4 Sep 2026
Last updated
21 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Questions about this trial

What is this clinical trial studying?

A study testing Trauma Resilience and Recovery Program Portal 2.0 (TRRP 2.0) in people with Post-Traumatic Stress Disorder (PTSD) and Depression, run by Medical University of South Carolina.

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 4 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: opening soon, as of the sponsor's last update on 21 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

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?

Contact Tatiana Davidson, PhD (8437920979, davidst@musc.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Posttraumatic Stress Symptom Severity as Measured by the PCL-8 (time frame: 3-month post-baseline). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 21 Sep 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in