Multifaceted Intervention to Restore Resilience and Overcome Risk
Part of paid clinical trials in Houston, Texas.
- Sponsor
- Icahn School of Medicine at Mount Sinai
- Study ID
- NCT06988787
- Status
- Recruiting
Conditions
- Brain Injury
- Intimate Partner Violence
- Military Sexual Trauma
- Post Traumatic Stress Disorder
Eligibility Criteria
- Sex
- FEMALE
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- webSTAIR — BEHAVIORALTen web-based modules that are completed independently by participants (\~2 modules per week) and receive therapist support via video-telehealth after the completion of every 2 skill modules (1x per week for a total of 5 meetings). The first five modules review emotional awareness, emotion management, and distress tolerance while the final five modules raise awareness about relationship patterns and provide interpersonal skills training regarding effective assertiveness, interpersonal flexibility, and compassion for self and others.
- ExpoTx — BEHAVIORALA real-time, present-focused, intervention that does not require participants to relive or focus on past trauma(s), but rather on current social functioning; ie, how they are doing in day-to-day life, and current cognitive and psychological functioning. Therapist will meet individually with the participant for 5 sessions, 60 minutes each conducted virtually. During the 5 sessions, participants will be guided to use in vivo or in the moment ExpoTx to identified fear-based triggers. In each consecutive session, the therapist will engage the Veteran to explore cognitions that interfered with, reinforced, or diminished fear responses. Participants will be asked about their use of coping skills during exposure practice. Intentional participation in exposure for one target at least 30 minutes per day, or until SUDs lower by half. At the end of ExpoTx, the therapist will engage the Veteran in self-determining future goals and offer referrals in the community or at VA for additional support.
- PsychoEd — OTHERPsycho-education (PsychEd) orientation that provides an overview of PsychEd as a process for learning about mental health symptoms and disease management related to trauma. During PsychEd sessions, therapists will focus on the following 5 areas: 1) Defining trauma and PTSD. 2) Brain Basics and Brain Injury. 3) Understanding the Role of Stress and Its impact on trauma symptoms. 4) The Role of Nutrition and Exercise in Disease Management. 5) Information on other Programs.
Study Details
The MIRROR study will compare the effectiveness of two interventions in improving emotion regulation and reducing PTSD symptoms in female Veterans with military sexual trauma (MST) and/or intimate partner violence (IPV) and co-occurring brain injury.
Key Dates
- Start date
- Sep 12, 2025
- Status verified
- Dec 2025
- Primary completion
- Aug 1, 2028
- Completion
- Aug 1, 2028
Study Design
- Enrollment
- 136 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Experimental: webSTAIR+ExpoTxWeb-based technology "webSTAIR" (Web-Based Skills Training in Affective Regulation and Interpersonal Relationships Program) will be used to guide Female Veterans (FVets) through each of the 10 webSTAIR skill modules for 5-weeks followed by 5 weeks of standard, patient-centered, exposure therapy (ExpoTx) delivered by a therapist.
- Active Comparator: PsychoEd+ExpoTx5 online sessions of psycho-education followed by 5 online sessions of exposure therapy
Primary Outcome Measure
Difficulties in Emotion Regulation Scale (DERS) [ Time Frame: At week 0, week 2.5, week 5, week 7.5, week 10, and month 3 ]
Central Contacts
- Maria Kajankova, PhD212-241-3379
- Madelyn Olis, BA212-241-4820
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Baylor College of Medicine | Houston | Texas | 77030 | Deleene Menefee, PhD (PRINCIPAL_INVESTIGATOR) |
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