Implementation of Innovative Treatment for Moral Injury Syndrome: A Hybrid Type 2 Study

Conditions

• Moral Injury Syndrome

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• Building Spiritual Strength — BEHAVIORAL
  Spiritually Integrated group intervention for moral injury
• Present Centered Group Therapy — BEHAVIORAL
  Active control, manualized evidence-based coping skills intervention for PTSD

Study Details

Moral Injury Syndrome (MIS) affects up to 35-60% of Veterans managing combat-related PTSD; it results from experiences that challenge deeply held values or spiritual beliefs. Symptoms of MIS may include hopelessness, helplessness, loss of spiritual beliefs, difficulty with forgiveness, loss of meaning or purpose, reduced trust in self or others, or intractable guilt, shame or anger. Veterans managing MIS have difficulty responding to mental health treatment, and are at increased risk for suicide ideation or attempts. To date evidence-based interventions for MIS are not widely available in VA. This study will implement an evidence-based intervention for MIS in four VA facilities, collect data on the effectiveness of the intervention, and develop an implementation toolkit. This data will inform national dissemination in collaboration with the Office of Mental Health and Suicide Prevention and the National Chaplain Service.

Key Dates

Start date

Jul 30, 2024

Status verified

Jul 2025

Primary completion

Jan 1, 2028

Completion

Jul 31, 2028

Study Design

Enrollment

200 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Arms

• Experimental: Building Spiritual Strength
  Spiritually integrated group intervention for moral injury.
• Active Comparator: Present Centered Group Therapy
  Coping strategies group intervention addressing broad spectrum trauma symptoms

Primary Outcome Measure

Change in Moral Injury and Distress Scale [ Time Frame: 8 weeks (end of treatment) and 20 weeks (long-term follow-up) ]

Locations (5)

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